关键词: 目的：分析ICU幸存者健康相关生活质量（HRQoL）、社会支持的变化情况及HRQoL与社会支持、护理敏感结果的关系。方法：选取我院ICU在2017年3月至2019年3月期间收治的112例重症患者。采用健康状况调查问卷（SF-36）、领悟社会支持量表（PSSS）评估患者，并记录护理敏感结果发生情况。结果：ICU幸存者出院6个月的SF-36各维度评分均高于出院1个月的SF-36各维度评分（P<0.05）。出院6个月的社会支持各项目评分均高于出院1个月的社会支持各项目评分（P<0.05）。家庭内支持、呼吸机相关性肺炎、压力性损伤、尿失禁及相关性皮炎是患者出院6个月SF-36的独立影响因素（P<0.05）。结论：社会支持能提高ICU幸存者HRQoL，尤其是家庭内支持；护理敏感结果可能会损害ICU幸存者HRQoL。

Abstract: Objective: To explore the changes of health-related quality of life (HRQoL) and social support in ICU survivors, and analyze the relationship among HRQoL, social support and nursing sensitive outcomes (NSO). Methods: We investigated 112 critically ill patients by health status questionnaire (SF-36) and Perceived Social Support Scale (PSSS) in the ICU of a hospital from March 2017 to March 2019, and recorded their NSO and incidence. Results: The scores of SF-36 for all dimensions of ICU survivors at 6 months after discharge were higher than those at 1 month after discharge (P<0.05).The scores of PSSS of ICU survivors at 6 months after discharge were higher than those at 1 month after discharge (P<0.05). Family support, ventilator-associated pneumonia, pressure ulcers, urinary incontinence and associated dermatitis were independent factors affecting ICU survivors' HRQoL at 6 months after discharge (P<0.05). Conclusion: Social support can improve the HRQOL of ICU survivors, especially family support, while the NSO may harm it.

Key words: ICU; survivors; quality of life; social support; nursing