Sánchez-Vallejo A, Fernández D, Pérez-Gutiérrez A, Fernández-Fernández M
Servicio de Medicina Intensiva Complejo Asistencial Universitario de León (CAULE), León, España; Departamento de Enfermería y Fisioterapia, Facultad de Ciencias de la Salud, Universidad de León, León, España.
Departamento de Enfermería y Fisioterapia, Facultad de Ciencias de la Salud, Universidad de León, León, España.
Med Intensiva. 2016 Dec;40(9):527-540. doi: 10.1016/j.medin.2016.03.005. Epub 2016 May 13.
To describe the needs of the families of patients admitted to the Intensive Care Unit (ICU) and the opinion of ICU professionals on aspects related to the presence of patient relatives in the unit.
A prospective descriptive study was carried out between March and June 2015.
Polyvalent ICU of León University Healthcare Complex (Spain).
Two samples of volunteers were studied: one comprising the relatives emotionally closest to the primarily non-surgical patients admitted to the Unit for over 48hours, and the other composed of ICU professionals with over three months of experience in the ICU.
One self-administered questionnaire was delivered to each relative and another to each professional.
Sociodemographic data were collected. The variables in the questionnaire for relatives comprised the information received, closeness to the patient, safety of care, the support received, and comfort. In turn, the questionnaire for professionals addressed empathy and professional relationship with the family, visiting policy, and the effect of the family upon the patient.
A total of 59% of the relatives (35/61) answered the questionnaire. Of these subjects, 91.4% understood the information received, though 49.6% received no information on nursing care. A total of 82.9% agreed with the visiting policy applied (95.2% were patient offspring; P<.05). Participation on the part of the professionals in turn reached 76.3% (61/80). A total of 59.3% would flexibilize the visiting policy, and 78.3% considered that the family afforded emotional support for the patient, with no destabilizing effect. On the other hand, 62.3% routinely informed the family, and 88% considered training in communication skills to be needed.
Information was adequate, though insufficient in relation to nursing care. The professionals pointed to the need for training in communication skills.
描述入住重症监护病房（ICU）患者家属的需求，以及ICU专业人员对患者亲属在病房陪伴相关问题的看法。
2015年3月至6月进行了一项前瞻性描述性研究。
西班牙莱昂大学医疗中心综合ICU。
研究了两个志愿者样本：一个样本由与入住该病房超过48小时的主要非手术患者情感上最亲近的亲属组成，另一个样本由在ICU有超过三个月工作经验的ICU专业人员组成。
向每位亲属发放一份自填式问卷，向每位专业人员发放另一份问卷。
收集社会人口统计学数据。亲属问卷中的变量包括所获得的信息、与患者的亲近程度、护理安全性、所获得的支持以及舒适度。相应地，专业人员问卷涉及同理心、与家属的专业关系、探视政策以及家属对患者的影响。
共有59%的亲属（35/61）回答了问卷。在这些受试者中，91.4%理解所获得的信息，尽管49.6%未收到有关护理的信息。共有82.9%的人同意所实施的探视政策（95.2%为患者子女；P<0.05）。专业人员的参与率为76.3%（61/80）。共有59.3%的人希望放宽探视政策，78.3%的人认为家属为患者提供了情感支持，且没有造成不稳定影响。另一方面，62.3%的人会定期告知家属，88%的人认为需要进行沟通技巧培训。
信息充足，但在护理方面的信息不足。专业人员指出需要进行沟通技巧培训。
Zotero 插件