Actor-Partner Interdependence Model of the relationship between transfer readiness and migration stress in ICU transferred patients and their primary caregivers
10.3760/cma.j.cn115682-20240802-04317
- VernacularTitle:ICU转出患者及其主要照顾者转出准备度与迁移应激关系的主客体互倚模型分析
- Author:
Chuanhao LI
1
;
Yuhao ZHANG
1
;
Na LI
1
;
Zhihong TANG
1
Author Information
1. 四川大学华西护理学院/四川大学华西医院重症医学科，成都 610041
- Publication Type:Journal Article
- Keywords:
Intensive Care Units;
Transition period;
Patient;
Primary caregiver;
Transfer readiness;
Relocation stress;
Actor-Partner Interdependence Model
- From:
Chinese Journal of Modern Nursing
2025;31(16):2189-2194
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the interactive transfer effects between ICU transferred patients' and their primary caregivers' transfer readiness and relocation stress using the Actor-Partner Interdependence Model (APIM) .Methods:A convenience sampling method was used to select 304 pairs of ICU patients and their primary caregivers, who were transferred from the ICU between January and July 2024 at West China Hospital of Sichuan University. A general information questionnaire, ICU patients Transfer Readiness Scale, Relocation Stress Syndrome Scale-Short Form, Caregiver Preparedness Scale, and Family Relocate Stress Syndrome Scale were used to collect data. The APIM was applied to analyze the relationship between ICU patients' and caregivers' transfer readiness and relocation stress.Results:The transfer readiness scores of 304 pairs of ICU patients and their primary caregivers were (65.22±10.04) and (14.57±4.84) , respectively, and the relocation stress scores were (25.06±5.34) and (50.35±7.38) , respectively. APIM analysis showed that the transfer readiness of ICU patients negatively predicted their own relocation stress ( P<0.05) , and the transfer readiness of primary caregivers negatively predicted their own relocation stress ( P<0.05) . The ICU patients' transfer readiness negatively predicted the primary caregivers' relocation stress ( P<0.05) , while the transfer readiness of primary caregivers did not significantly predict the ICU patients' relocation stress ( P>0.05) . Conclusions:ICU patients' relocation stress is influenced by their own transfer readiness, while primary caregivers' relocation stress is jointly influenced by both their own and the patients' transfer readiness. This suggests that healthcare providers should pay attention to the transmission of relocation stress between ICU patients and their families and actively explore family-based intervention strategies.
