Chatzaki Maria, Klimathianaki Maria, Anastasaki Maria, Chatzakis Georgios, Apostolakou Eleni, Georgopoulos Dimitrios
Intensive Care Medicine Department, University Hospital of Heraklion, Medical School, University of Crete, Heraklion, Crete, Greece.
J Clin Nurs. 2012 Jul;21(13-14):1831-9. doi: 10.1111/j.1365-2702.2011.04022.x. Epub 2012 Apr 18.
To define the needs of intensive care unit patients' families in the specific suburban/rural population of Crete Island.
Families of intensive care unit patients have specific needs that should also be addressed by the intensive care unit-care team. Current research has mostly concentrated on families from an urban setting, therefore may not be applicable to other populations.
Prospective cohort study.
Family members of patients admitted in the intensive care unit for ≥ 48 hours over 18 months, in a mixed medical-surgical, 11 bed closed intensive care unit. Questionnaire: The Greek translation of Critical Care Family Need Inventory, which consists of 45 need items covering the information, reassurance, proximity, support and comfort domains. Each item was scored on a four-point scale (1 = very important to 4 = not important). Participants were also asked to single out the most important need from the Critical Care Family Need Inventory and complete a questionnaire on basic demographic characteristics.
Two hundred and thirty (65%) family members completed the questionnaire. Mean score for each of the 45 items ranged from 1.03-3 (scale from 1: very important-4: not important). Fourteen items were rated by responders as very important (mean score <1.25). Reassurance need items were consistently singled out as most important regardless of the participant's background. Participants with a lower educational and socio-economical status rated support need items as more important than those with a higher status.
In this particular suburban/rural population, both 'universal' reassurance needs and specific support needs related to responders' educational or socio-economical background were identified.
Enhanced recognition of these needs may improve quality of care offered by intensive care unit-care team to families of their patients.
确定克里特岛特定郊区/农村人口中重症监护病房患者家属的需求。
重症监护病房患者的家属有特定需求，重症监护病房护理团队也应予以关注。目前的研究大多集中在城市环境中的家庭，因此可能不适用于其他人群。
前瞻性队列研究。
在一个拥有11张床位的混合内科-外科封闭式重症监护病房，对18个月内入住重症监护病房≥48小时的患者的家属进行研究。问卷：《重症监护家庭需求问卷》的希腊语翻译版，该问卷由45项需求条目组成，涵盖信息、安心、亲近、支持和舒适等领域。每个条目按四点量表评分（1 = 非常重要至4 = 不重要）。参与者还被要求从《重症监护家庭需求问卷》中选出最重要的需求，并填写一份关于基本人口统计学特征的问卷。
230名（65%）家属完成了问卷。45个条目中每个条目的平均得分在1.03 - 3之间（量表范围为1：非常重要 - 4：不重要）。14个条目被受访者评为非常重要（平均得分<1.25）。无论参与者的背景如何，安心需求条目一直被认为是最重要的。教育和社会经济地位较低的参与者比地位较高的参与者更看重支持需求条目。
在这个特定的郊区/农村人口中，既发现了“普遍的”安心需求，也发现了与受访者教育或社会经济背景相关的特定支持需求。
对这些需求有更强的认识可能会提高重症监护病房护理团队为患者家属提供的护理质量。
