Molter N C
Heart Lung. 1979 Mar-Apr;8(2):332-9.
Relatives of critically ill patients were able to identify their needs during the intensive care phase of hospitalization. The universal need identified as very important was the need for hope. Other important needs were concerned with receiving adequate and honest information and feeling that the hospital staff members were concerned about the patient. Although several of the needs appeared to be of great concern to relatives, all the needs were considered very important by at least one relative. The majority of needs were perceived as being met consistently. Various resources were used by the relatives to meet their needs; however, specific needs were expected to be met by physicians and nurses. Since many relatives have similar needs, the use of a group process to deal with them should be investigated. A group process allows for sharing and support among the relatives and also allows one staff member to work with several relatives. The relatives perceived the role of health care personnel to be patientcentered only. If the patient is a member of a family, then the family and staff should recognize that the health care personnel are helping relatives because it is a crucial part of total patient care. This area in providing total patient care needs to be studied carefully. The relatives of critically ill patients have important needs in this crisis period. By recognizing these needs and evaluating how they are being met, total patient care will involve the family. Such involvement is essential to the care of the critically ill patient.
重症患者的亲属能够在住院重症监护阶段识别出他们的需求。被确定为非常重要的普遍需求是对希望的需求。其他重要需求涉及获得充分且诚实的信息,以及感受到医院工作人员对患者的关心。尽管有几项需求似乎是亲属极为关注的,但所有需求至少被一位亲属视为非常重要。大多数需求被认为得到了持续满足。亲属们利用各种资源来满足他们的需求;然而,特定需求期望由医生和护士来满足。由于许多亲属有相似的需求,应该研究采用群体方式来处理这些需求。群体方式能够让亲属之间相互分享并获得支持,也能让一名工作人员同时与多名亲属打交道。亲属们认为医护人员的角色仅是以患者为中心。如果患者是家庭中的一员,则家庭和工作人员应该认识到医护人员帮助亲属是因为这是全面患者护理的关键部分。在提供全面患者护理的这一领域需要仔细研究。重症患者的亲属在这个危机时期有重要需求。通过识别这些需求并评估需求的满足情况,全面患者护理将纳入家庭。这种参与对于重症患者的护理至关重要。