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美国重症监护病房患者亲属的需求:亲属、医生和护士的看法。

Needs of American relatives of intensive care patients: perceptions of relatives, physicians and nurses.

机构信息

The Catholic University of America, 411 Gowan Hall, 620 Michigan Ave NE, Washington DC 20064, USA.

出版信息

Intensive Crit Care Nurs. 2011 Aug;27(4):218-25. doi: 10.1016/j.iccn.2011.04.003. Epub 2011 Jun 15.

DOI:10.1016/j.iccn.2011.04.003
PMID:21680185
Abstract

OBJECTIVES

This study investigated differences between the perceptions of American relatives, physicians and nurses concerning the needs of relatives visiting intensive care patients.

DESIGN AND PARTICIPANTS

This was a prospective descriptive study. Perceived needs were measured using the 45 item Critical Care Family Needs Inventory (CCFNI) with 101 relatives visiting as well as 28 physicians and 109 nurses working with the same group of patients.

SETTING

Data were collected using a convenience sample of patients, their relatives visiting, as well as the physicians and nurses working with the same patients in six adult intensive care units in a large American tertiary acute care medical centre with over a 900 bed capacity.

RESULTS AND CONCLUSIONS

There were significant correlations (p<0.05) between the relatives, physicians and nurses on eight of the 45 individual items on the CCFNI. Subscale (Information, Proximity, Assurance, Comfort and Support) scores for the needs perceived by relatives, physicians and nurses were calculated and there were significant differences in the three groups on Information (F=5.90, df=2, p=.0005), Support (F=4.12, df=2, p=.022) and Comfort (F=5.01, df=2, p=.010). Relatives and nurses made multiple comments on the surveys. This is important information for all health care workers to consider in setting visiting policies in adult ICUs and developing approaches such as family centred care.

摘要

目的

本研究调查了美国亲属、医生和护士对重症监护患者亲属探视需求的看法差异。

设计和参与者

这是一项前瞻性描述性研究。使用 45 项重症监护家庭需求清单(CCFNI)测量感知需求,共有 101 名亲属、28 名医生和 109 名护士与同一组患者一起工作。

设置

数据是使用来自六个成人重症监护病房的患者、他们的亲属、以及与同一患者一起工作的医生和护士的便利样本收集的。该医疗中心是一家拥有 900 多张床位的大型美国三级急症医疗中心。

结果和结论

在 CCFNI 的 45 个单项中有 8 项,亲属、医生和护士之间存在显著相关性(p<0.05)。计算了亲属、医生和护士感知的需求的子量表(信息、接近、保证、舒适和支持)评分,在信息(F=5.90,df=2,p=.0005)、支持(F=4.12,df=2,p=.022)和舒适(F=5.01,df=2,p=.010)方面,这三组存在显著差异。亲属和护士在调查中多次发表评论。这对于所有医疗保健工作者在制定成人 ICU 探视政策和制定以家庭为中心的护理等方法时都很重要。

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