Henneman E A, McKenzie J B, Dewa C S
Medical Center, University of California, Los Angeles.
Am J Crit Care. 1992 Nov;1(3):85-93.
To evaluate the effectiveness of two methods of meeting the information needs of families of critically ill patients: an open visiting hour policy and a family information booklet.
Medical intensive care unit of a university medical center.
Family members (N = 147) of patients admitted to the medical intensive care unit.
Implementation of an open visiting hour policy and information booklet.
Questionnaires were distributed to family members 24 to 48 hours after the patient's admission. The questionnaire addressed family satisfaction with having specific information needs met and posed questions that tested their knowledge of unit policies and personnel. The questionnaire was distributed to three groups: families who had restricted visiting hours and no booklet (group 1, n = 48), families who had open visiting hours but no booklet (group 2, n = 50), and families who had open visiting hours and an information booklet (Group 3, n = 49). Implementation of an open visiting hour policy increased family satisfaction. Families exposed to both the open visiting hours and the information booklet were more knowledgeable about specific details than were those exposed to only the open visiting hour policy.
Flexible visiting hours and information booklets were two practical methods of meeting the information needs of families. Open visiting hours, as a singular intervention, significantly improved family satisfaction. The effectiveness of the booklet in assisting families to recall discrete pieces of information supports the further development and use of preprinted materials to assist in meeting family information needs.
评估两种满足重症患者家属信息需求方法的有效性:开放探视时间政策和家属信息手册。
一所大学医学中心的医疗重症监护病房。
入住医疗重症监护病房患者的家属(N = 147)。
实施开放探视时间政策和信息手册。
在患者入院24至48小时后向家属发放问卷。问卷涉及家属对特定信息需求得到满足的满意度,并提出了测试他们对病房政策和人员了解程度的问题。问卷发放给三组人员:探视时间受限且没有手册的家属(第1组,n = 48)、有开放探视时间但没有手册的家属(第2组,n = 50)以及有开放探视时间并有信息手册的家属(第3组,n = 49)。实施开放探视时间政策提高了家属满意度。与仅接触开放探视时间政策的家属相比,同时接触开放探视时间和信息手册的家属对具体细节了解得更多。
灵活的探视时间和信息手册是满足家属信息需求的两种实用方法。开放探视时间作为一种单一干预措施,显著提高了家属满意度。手册在帮助家属回忆零散信息方面的有效性支持了预印材料的进一步开发和使用,以帮助满足家属的信息需求。