Linton Sophie, Grant Chelsea, Pellegrini Juliet
PICU Liaison Nurse, c/o Intensive Care Unit, Royal Children's Hospital, Flemington Road, Parkville 3052, Australia.
Intensive Crit Care Nurs. 2008 Dec;24(6):329-37. doi: 10.1016/j.iccn.2008.06.002. Epub 2008 Jul 26.
Discharge from paediatric ICU and transfer to the ward can evoke fear and anxiety. Along with the introduction of the ICU liaison nurse role, the literature suggests that the provision of written information has the greatest potential to reduce transfer anxiety. This paper will discuss the issues associated with discharge from a paediatric ICU, the process of identifying the information needs of families, the development of a written brochure and evaluation of the brochure in practice.
Evaluation of the 'discharge from ICU' brochure found, 95% of parents believed the brochure was easy to read, understand and helpful in improving their understanding of what to expect on the ward. 95% also found it useful to have the transfer ward details written down prior to leaving the PICU. 85% agreed the brochure helped to answer their questions in relation to the transfer.
The introduction of a brochure explaining the process of discharge from ICU and what to expect on the wards received positive feedback from families. The brochure provides families with generic information regarding ICU transfer, however, it is important for the ICU liaison nurse to promote discussion and tailor the information for the particular experiences and needs of each patient and family situation.
从儿科重症监护病房（PICU）出院并转至普通病房可能会引发恐惧和焦虑。随着ICU联络护士这一角色的引入，文献表明提供书面信息最有可能减轻转科焦虑。本文将讨论与儿科重症监护病房出院相关的问题、确定家庭信息需求的过程、书面宣传册的编写以及该宣传册在实际应用中的评估。
对“ICU出院”宣传册的评估发现，95%的家长认为该宣传册易于阅读、理解，有助于他们了解转至普通病房后的情况。95%的家长还认为在离开儿科重症监护病房之前将转科病房的详细信息写下来很有用。85%的家长同意该宣传册有助于解答他们关于转科的问题。
一份解释从ICU出院流程及转至普通病房后情况的宣传册得到了家长们的积极反馈。该宣传册为家庭提供了有关ICU转科的一般信息，然而，ICU联络护士促进讨论并根据每个患者的具体经历和每个家庭情况的特定需求调整信息非常重要。
