Gallienne-Bouygues S, Soltner C, Lassalle V, Beydon L
Pôle d'Anesthésie-Réanimation, CHU d'Angers, 49933 Angers cedex 09, France.
Ann Fr Anesth Reanim. 2006 Nov-Dec;25(11-12):1105-6. doi: 10.1016/j.annfar.2006.06.021. Epub 2006 Oct 11.
OBJECTIVE(S): To assess the content of the intensive care unit (ICU) information booklet delivered to patient families, and that of the general information booklet of the hospital in a sample of intensive care, in France.
Survey.
A sample of 105 ICU was obtained at random from a national database. A survey form was sent to each ICU medical director. The ICU information booklet, that one from the hospital and the corresponding questionnaire of each participating ICU have been studied to assess the percentage of information items present which matched the recommendations of at least one of three different professional guidelines.
Fifty-nine ICU answered. We observed a significant (P<0.01) heterogeneity by the kind ICU considered (general, medical, or surgical). The percentage of information items matching guidelines remained low (median: 41%) even if higher (P<10(-3)) than the percentage of items not matching guidelines (median: 6%). Among a panel of items we considered as important, we observed a significant discrepancy (P<10(-3)) between a low citation rate in ICU booklets (median: 14%) and the opinion of doctors who judged it should included in booklets (median: 68%).
Guidelines in terms of patient and family information in ICU seem to have a mild impact on the information booklets which are also very different among the types of ICU. There is a gap between what doctors judge to be included in booklets and what they effectively write in these documents.
评估在法国重症监护病房样本中，提供给患者家属的重症监护病房（ICU）信息手册以及医院通用信息手册的内容。
调查。
从国家数据库中随机抽取105个ICU样本。向每个ICU的医疗主任发送一份调查问卷。对ICU信息手册、医院手册以及每个参与调查的ICU的相应问卷进行研究，以评估符合三种不同专业指南中至少一种推荐的信息项目的百分比。
59个ICU做出回应。我们观察到，根据所考虑的ICU类型（综合、内科或外科）存在显著（P<0.01）异质性。即使与不符合指南的项目百分比（中位数：6%）相比更高（P<10⁻³），符合指南的信息项目百分比仍然较低（中位数：41%）。在我们认为重要的一系列项目中，我们观察到ICU手册中低引用率（中位数：14%）与医生认为应包含在手册中的意见（中位数：68%）之间存在显著差异（P<10⁻³）。
ICU中关于患者和家属信息的指南似乎对信息手册的影响较小，而且不同类型的ICU之间差异也很大。医生认为应包含在手册中的内容与他们在这些文件中实际编写的内容之间存在差距。
