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患者家属对重症监护的满意度:一项试点研究。

Family members' satisfaction with critical care: a pilot study.

机构信息

Department of Anaesthesiology and Intensive Care, Örebro University Hospital, Örebro, Sweden.

出版信息

Nurs Crit Care. 2011 Jan-Feb;16(1):11-8. doi: 10.1111/j.1478-5153.2010.00388.x.

Abstract

AIM

the aim of this pilot study was to describe family members' satisfaction with the care provided in a Swedish intensive care unit (ICU) based on the following needs: assurance, information, proximity, support, and comfort, which are all included in the Critical Care Family Satisfaction Survey (CCFSS).

BACKGROUND

knowledge concerning satisfaction with care among family members with a critically ill relative in an ICU is important if the family is to be met professionally.

DESIGN

the study design was descriptive and retrospective, with a consecutive selection of family members of critically ill people cared for in an ICU. In total 35 family members participated.

METHOD

quantitative analyses based on 20 questions, and a qualitative analysis, based on two open questions was used. The median, average value and percent were computed for every question. The open questions were analyzed using qualitative content analysis.

RESULTS

the family members had a high level of satisfaction regarding all groups of needs. They were especially satisfied with flexible visiting hours and the high quality of treatment that the ill person received. The shortcomings that emerged were that family members wanted the physician to be more available for regular talks, the room for relatives was felt to be uncomfortable; and it was felt there were deficiencies in the preparations before the patient's transferral to a ward.

RELEVANCE TO CLINICAL PRACTICE

the results highlight the family members' need for regular information and the need to improve the environment in the waiting rooms for family members. The ICU staff's competence and their way of encountering the ill person and their family seem to be important for family members' satisfaction with the care.

摘要

目的

本研究旨在基于以下需求描述瑞典重症监护病房(ICU)中家庭成员对护理的满意度:保证、信息、亲近、支持和舒适,这些需求都包含在危重病人家属满意度调查(CCFSS)中。

背景

了解 ICU 中危重病人家属对护理的满意度,对于专业满足家属的需求非常重要。

设计

研究设计为描述性和回顾性,对 ICU 中接受护理的危重病人的家庭成员进行连续选择。共有 35 名家庭成员参与。

方法

使用基于 20 个问题的定量分析和基于两个开放问题的定性分析。计算了每个问题的中位数、平均值和百分比。对开放问题采用定性内容分析进行分析。

结果

家庭成员对所有需求群体的满意度都很高。他们对灵活的探视时间和病人接受的高质量治疗特别满意。出现的不足之处是,家属希望医生能更常进行定期交流,认为亲属的房间不舒服;并且在病人转病房之前的准备工作存在不足。

临床相关性

结果强调了家属定期获得信息的需求,以及改善家属等候室环境的需求。ICU 工作人员的能力以及他们对待病人及其家属的方式,似乎对家属对护理的满意度很重要。

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