Min Jinsoo, Kim Youlim, Lee Jung-Kyu, Lee Hannah, Lee Jinwoo, Kim Kyung Su, Cho Young-Jae, Jo You Hwan, Ryu Ho Geol, Kim Kyuseok, Lee Sang-Min, Lee Yeon Joo
Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Daejeon Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul Metropolitan Government-Seoul National University Boramae Medical Center Department of Anesthesiology Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine Department of Emergency Medicine, Seoul National University Hospital, Seoul Department of Emergency Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
Medicine (Baltimore). 2018 Aug;97(32):e11809. doi: 10.1097/MD.0000000000011809.
Although family satisfaction is an important indicator for quality improvement of intensive care units (ICUs), few studies have translated family satisfaction data into quality improvement in Asia. A prospective multicenter study was conducted to evaluate family satisfaction regarding the care of patients and their family.The family satisfaction in the ICU (FS-ICU) questionnaire was administered from January 2015 to February 2016 at ICUs of 3 tertiary teaching hospitals in South Korea. Family members of adult patients, staying at an ICU for ≥48 hours, were included. Key factors affecting satisfaction were identified using quantitative and qualitative analyses.In total, 200 family members participated in this survey. The mean score for overall family satisfaction (FS-ICU/total) was 75.4 ± 17.7. The mean score for satisfaction with information/decision-making was greater than that for satisfaction with care (78.2 ± 18.2 vs 73.5 ± 19.4; P ≤ .001). Family members who agreed to not resuscitate and whose patient died at the ICU had lower FS-ICU/total scores. When compared with hospital A, hospital C was an independent predictor with an FS-ICU/total score of <75. Families reported the least satisfaction for the atmosphere of the ICU, including the waiting room atmosphere and management of agitation.We evaluated family satisfaction regarding ICUs for the first time in Asia using a validated tool. The decision to not resuscitate, ICU mortality, and ICU culture were associated with family satisfaction with critical care. Efforts should be targeted for improving factors that cause low family satisfaction when planning quality improvement interventions for ICUs in Asia.
尽管家庭满意度是重症监护病房（ICU）质量改进的重要指标，但在亚洲，很少有研究将家庭满意度数据转化为质量改进措施。本研究进行了一项前瞻性多中心研究，以评估患者及其家属对医疗护理的家庭满意度。2015年1月至2016年2月期间，在韩国3家三级教学医院的ICU中使用了ICU家庭满意度（FS-ICU）问卷。纳入了在ICU住院≥48小时的成年患者家属。通过定量和定性分析确定影响满意度的关键因素。
共有200名家庭成员参与了本次调查。家庭总体满意度（FS-ICU/总分）的平均得分为75.4±17.7。信息/决策方面的满意度平均得分高于护理方面的满意度（78.2±18.2对73.5±19.4；P≤0.001）。同意不进行心肺复苏且患者在ICU死亡的家庭成员的FS-ICU/总分较低。与医院A相比，医院C是FS-ICU/总分<75的独立预测因素。家属对ICU的氛围，包括候诊室氛围和躁动管理的满意度最低。
我们首次在亚洲使用经过验证的工具评估了家庭对ICU的满意度。不进行心肺复苏的决定、ICU死亡率和ICU文化与家庭对重症监护的满意度相关。在为亚洲的ICU规划质量改进干预措施时，应致力于改善导致家庭满意度低的因素。
