Kreutzer Jeffrey S, Marwitz Jennifer H, Klyce Daniel W, Wilder Schaaf Kathryn P, Sima Adam P, Welch Abigail M, Niemeier Janet P
Departments of Physical Medicine and Rehabilitation (Drs Kreutzer, Klyce, and Wilder Schaaf and Mss Marwitz and Welch) and Biostatistics (Dr Sima), Virginia Commonwealth University, Richmond; Hunter Holmes McGuire Veterans Affairs Medical Center, Richmond, Virginia (Dr Wilder Schaaf); and Department of Physical Medicine and Rehabilitation, Carolinas Medical Center, Charlotte, North Carolina (Dr Niemeier).
J Head Trauma Rehabil. 2018 Jul/Aug;33(4):228-236. doi: 10.1097/HTR.0000000000000390.
To examine the needs of family members in an inpatient setting and factors predicting extent to which needs are perceived as met.
University health system inpatient rehabilitation unit.
Adult survivors of traumatic brain injury and family members (n = 85).
Prospective, cross-sectional.
Family Needs Questionnaire-Revised (FNQ-R).
Needs related to the Health Information subscale were most frequently rated as met, whereas needs related to the Instrumental Support and Emotional Support subscales were most frequently rated as unmet. Predictors related to the FNQ-R included family income, gender, and ethnicity. For 4 of 6 subscales, white family members were more likely to rate needs as unmet than minority members. For 3 subscales, females were more likely to rate needs as unmet than males. Greater household income was associated with fewer met needs for 2 subscales.
The ranking of met and unmet needs in the present study was remarkably similar to previous studies within and outside the United States. Clinicians should not assume that families with relatively higher incomes will experience fewer unmet needs. Through structured assessment, clinicians can reveal perceived needs that might have otherwise been unrecognized and facilitate appropriate supports. Findings provide direction for inpatient program development.
探讨住院患者家属的需求以及预测需求被认为得到满足程度的因素。
大学健康系统住院康复科。
创伤性脑损伤成年幸存者及其家属（n = 85）。
前瞻性横断面研究。
修订后的家庭需求问卷（FNQ-R）。
与健康信息子量表相关的需求最常被评为得到满足，而与工具性支持和情感支持子量表相关的需求最常被评为未得到满足。与FNQ-R相关的预测因素包括家庭收入、性别和种族。在6个分量表中的4个分量表上，白人家庭成员比少数族裔成员更有可能将需求评为未得到满足。在3个分量表上，女性比男性更有可能将需求评为未得到满足。家庭收入越高，在2个分量表上被评为得到满足的需求就越少。
本研究中需求得到满足和未得到满足的排名与美国国内外先前的研究非常相似。临床医生不应认为收入相对较高的家庭未得到满足的需求会更少。通过结构化评估，临床医生可以揭示那些可能原本未被认识到的感知需求，并促进提供适当的支持。研究结果为住院项目的发展提供了方向。
