内科

目的调查儿童重症监护室（PICU）转出患儿主要照顾者的迁移应激状况，并分析其影响因素。方法选取150例PICU转出患儿的主要照顾者作为研究对象，收集患儿及其主要照顾者的一般资料。应用ICU转出患者家属应激压力评估量表评估主要照顾者的迁移应激水平，并采用单因素分析和多元线性回归模型分析PICU转出患儿主要照顾者迁移应激水平的影响因素。结果 PICU转出患儿主要照顾者的ICU转出患者家属应激压力评估量表总分为（38.92±8.93）分。单因素分析结果显示，不同性别、文化程度、家庭月收入、工作状态、居住地、照顾经历、对病情了解程度、患儿PICU治疗时间的PICU转出患儿主要照顾者的应激压力评估量表总分比较，差异均有统计学意义（均P<0.05）。多元线性回归分析结果显示，主要照顾者的性别和对病情了解程度，以及患儿PICU治疗时间均是PICU转出患儿主要照顾者迁移应激水平的影响因素；女性主要照顾者的迁移应激水平高于男性，对病情了解程度越低、患儿PICU治疗时间越长，主要照顾者的迁移应激水平越高（均P<0.05）。结论 PICU转出患儿主要照顾者迁移应激处于中低水平，主要照顾者的性别和对病情了解程度，以及患儿PICU治疗时间是其主要影响因素。

【Abstract】 Objective To investigate the relocation stress of the main caregivers of children transferred from the pediatric intensive care units (PICU) and to analyze its influencing factors. Methods A total of 150 main caregivers of children transferred from the PICU were selected as the study subjects, and the general data of the children and their main caregivers were collected. The Family Relocation Stress Scale for Patient Transferred From Intensive Care Units(FRSS) was used to assess the relocation stress level of the main caregivers, and the univariate analysis and the multivariate linear regression model were used to analyze the influencing factors for the relocation stress level of the main caregivers of children transferred from PICU. Results The total score of FRSS of the main caregivers of children transferred from PICU was (38.92±8.93). The univariate analysis results showed that there were statistically significant differences in the total scores of FRSS between the main caregivers of children transferred from PICU with different genders, education levels, monthly family incomes, working status, places of residence, nursing experiences, understanding of the disease, and PICU treatment time of the children (all P<0.05). The results of multivariate linear regression analysis showed that the gender and the understanding of the disease of main caregivers, as well as the PICU treatment time of the children, were the influencing factors for the relocation stress level of main caregivers of children transferred from PICU; female main caregivers had a higher relocation stress level than males, main caregivers who had a lower understanding of disease or whose children stayed in the PICU for a longer time had a higher relocation stress level (all P<0.05). Conclusion The relocation stress of the main caregivers of children transferred from PICU is at a low to medium level, which is mainly influenced by the gender and the understanding of the disease of main caregivers, as well as the PICU treatment time of the children.