Alsharari Abdalkarem F
Nursing Department, College of Applied Medical Sciences, Jouf University, Sakakah, Saudi Arabia,
Patient Prefer Adherence. 2019 Apr 2;13:465-473. doi: 10.2147/PPA.S197769. eCollection 2019.
The unanticipated admission of a patient to the intensive care unit (ICU) can be particularly frightening and stressful for their family members. The objective of this study was to identify the most important needs of family members of patients admitted in the ICU and determine their relationship with their sociodemographic characteristics.
This was a cross-sectional study conducted from April to August 2017 among adult family members of patients admitted to the ICU of four public hospitals in the northern region of Saudi Arabia. The "Critical Care Family Needs Inventory" questionnaire was administered to all consenting relatives of ICU patients in order to determine the family needs. The data were analyzed using descriptive statistics. Also, students' -test and ANOVA were carried out.
The most important need identified by the family members was the need for assurance (3.62±0.44), followed by information (3.47±0.59), proximity (3.34±0.44), comfort (3.01±0.72), and support (2.91±0.68). A higher level of education was significantly associated with a higher level of need for assurance (<0.001), information (<0.001), and proximity (<0.001). Also, participants who had an unconscious/semiconscious relative in the ICU assigned a higher level of importance to information need (<0.001) compared with those with a conscious relative.
This study has shown that family members of patients admitted to ICU have elevated levels of needs in the assurance, proximity, and information dimensions that require to be addressed. This should guide the development of connection, effective communication, and beneficial cooperation toward offering the best possible care and support to ICU patients and their relatives.
患者意外入住重症监护病房（ICU）对其家属来说可能特别令人恐惧和有压力。本研究的目的是确定入住ICU患者家属的最重要需求，并确定这些需求与他们社会人口学特征之间的关系。
这是一项横断面研究，于2017年4月至8月在沙特阿拉伯北部地区四家公立医院ICU收治患者的成年家属中进行。向所有同意参与的ICU患者亲属发放“重症监护家庭需求量表”问卷，以确定家庭需求。数据采用描述性统计进行分析。此外，还进行了t检验和方差分析。
家属确定的最重要需求是获得保证（3.62±0.44），其次是信息（3.47±0.59）、接近（3.34±0.44）、舒适（3.01±0.72）和支持（2.91±0.68）。较高的教育水平与对保证（<0.001）、信息（<0.001）和接近（<0.001）的较高需求水平显著相关。此外，与亲属意识清醒的参与者相比，ICU中有昏迷/半昏迷亲属的参与者对信息需求的重视程度更高（<0.001）。
本研究表明，入住ICU患者的家属在保证、接近和信息方面的需求水平较高，需要得到满足。这应指导建立联系、进行有效沟通和开展有益合作，以便为ICU患者及其亲属提供尽可能好的护理和支持。
