目的：探讨重症监护病房（intensive care unit, ICU）患者的尊严现状及影响因素。方法：选取本院ICU 2023年4月至10月收治的240例患者进行横断面研究，记录一般资料，采用医院焦虑抑郁量表（Hospital Anxiety and Depression Scale, HADS）、患者尊严量表（Patient Dignity Inventory, PDI）进行调查。分析ICU患者的尊严现状及其与临床特征的关系；采用Pearson相关分析法分析ICU患者尊严与焦虑、抑郁情绪的相关性；采用多元线性回归分析ICU患者尊严影响因素。结果：240例患者PDI总分为（70.48±10.67）分，中度及重度尊严丧失占比大于75.58%。不同年龄、文化程度、家庭人均月收入、居住方式、主要陪护者、家庭关系、入住ICU天数和患者的PDI评分差异有统计学意义（P<0.05）。相关性分析显示，PDI总分及各维度与HADS总分、焦虑评分、抑郁评分均呈正相关（P<0.05）。多元线性回归分析显示，高龄、主要陪护者为他人、家庭关系一般、入住ICU天数较多为ICU患者尊严丧失的危险因素，文化程度高是其保护因素（P<0.05）。结论：ICU患者普遍存在尊严丧失情况，其发生与患者年龄、主要陪护者、家庭关系、入住ICU天数、焦虑抑郁情绪及文化程度密切相关，应给予高度重视并采取积极干预策略。

Objective To explore the current status and influencing factors of dignity among patients in the intensive care unit (ICU). Methods A cross-sectional study was conducted on 240 patients admitted to the ICU of our hospital from April to October 2023. General data were recorded, and the Hospital Anxiety and Depression Scale (HADS), and the Patient Dignity Inventory (PDI) were used for assessment. The current status of dignity among ICU patients and its relationship with clinical characteristics were analyzed. Pearson correlation analysis was used to examine the correlation between ICU patient dignity and anxiety/depression emotions. Multiple linear regression analysis was performed to identify factors influencing ICU patient dignity. Results The total PDI score of the 240 patients was (70.48±10.67) points, with moderate to severe loss of dignity accounting for over 75.58%. Statistically significant differences in PDI scores were observed among patients of different ages, educational levels, family monthly per capita income, living arrangements, primary caregivers, family relationships, and length of ICU stay (P<0.05). Correlation analysis showed that the total PDI score and its dimensions were positively correlated with the total HADS score, anxiety score, and depression score (P<0.05). Multiple linear regression revealed that advanced age, non-family member as the primary caregiver, average family relationships, and longer ICU stay were risk factors for loss of dignity in ICU patients, while high educational level was a protective factor (P<0.05). Conclusions Loss of dignity is common among ICU patients, and its occurrence is closely related to patient age, primary caregiver, family relationships, length of ICU stay, anxiety/depression, and educational level. Close attention should be paid to this issue, and active intervention should be implemented.