Department of Intensive Care Medicine, University Medical Center Utrecht, Room F.06-149, P.O. Box 85500, 3508 GA, Utrecht, The Netherlands.
Intensive Care Med. 2013 Sep;39(9):1626-34. doi: 10.1007/s00134-013-2966-0. Epub 2013 Jun 6.
To determine to what extent intensive care unit environment affects family and patient satisfaction.
A before-after study was performed in one university hospital in The Netherlands, 2 months before and 2 months after the migration of an intensive care unit (ICU) with multiple beds on a ward to a newly built ICU with all single rooms. Family and patient satisfaction were determined by two surveys: family satisfaction with care in the ICU and patient satisfaction with care in the ICU, respectively.
From 387 of 617 (63 %) discharged patients at least one survey (patient and/or family) was returned. Both family and patients were more satisfied with their overall ICU experience in the new ICU as compared with the old ICU. Mean scores for family satisfaction increased from 69.5 [standard deviation (SD) 16.6] to 74.1 (SD 15.2) for old and new ICU, respectively (p = 0.02). For patients, satisfaction rates increased from 63.6 (SD 18.9) to 69.6 (SD 18.3) for old and new ICU, respectively (p = 0.02). The largest differences on single items of the surveys were noted on environmental aspects.
This is the first study to quantify the effect of ICU environment on family and patient satisfaction. Family and patient satisfaction with ICU experience increased by 6 % in the new ICU environment with noise-reduced, single rooms with daylight, adapted colouring and improved family facilities.
确定重症监护病房（ICU）环境在多大程度上影响患者及其家属的满意度。
在荷兰的一家大学医院进行了一项前后对照研究，在 ICU 从多床位病房迁移到新建成的全部为单人间的 ICU 之前 2 个月和之后 2 个月，分别通过两项调查来确定患者及其家属的满意度：一项是 ICU 护理的家属满意度调查，另一项是 ICU 护理的患者满意度调查。
从 617 名出院患者中（占 63%），有 387 名至少完成了一项调查（患者和/或家属）。与旧 ICU 相比，患者及其家属对新 ICU 的整体 ICU 体验更为满意。旧 ICU 和新 ICU 的家属满意度评分分别从 69.5（标准差 16.6）增加到 74.1（标准差 15.2）（p = 0.02）。对于患者而言，满意度评分分别从 63.6（标准差 18.9）增加到 69.6（标准差 18.3）（p = 0.02）。在问卷调查的单项评分中，最大的差异体现在环境方面。
这是第一项量化 ICU 环境对患者及其家属满意度影响的研究。新的 ICU 环境采用了降噪、带自然光的单人间、适应性配色和改进的家属设施，使患者及其家属对 ICU 体验的满意度提高了 6%。
