Scott Pamela, Thomson Patricia, Shepherd Ashley
Intensive Care Unit Forth Valley Royal Hospital Larbert UK.
School of Health Sciences University of Stirling Stirling UK.
Nurs Open. 2019 May 18;6(3):698-712. doi: 10.1002/nop2.287. eCollection 2019 Jul.
To describe published literature on the needs and experiences of family members of adults admitted to intensive care and interventions to improve family satisfaction and psychological well-being and health.
Scoping review.
Several selective databases were searched. English-language articles were retrieved, and data extracted on study design, sample size, sample characteristics and outcomes measured.
From 469 references, 43 studies were identified for inclusion. Four key themes were identified: (a) Different perspectives on meeting family needs; (b) Family satisfaction with care in intensive care; (c) Factors having an impact on family health and well-being and their capacity to cope; and (d) Psychosocial interventions. Unmet informational and assurance needs have an impact on family satisfaction and mental health. Structured written and oral information shows some effect in improving satisfaction and reducing psychological burden. Future research might include family in the design of interventions, provide details of the implementation process and have clearly identified outcomes.
描述已发表的关于重症监护病房成年患者家庭成员的需求与经历,以及旨在提高家庭满意度、改善心理健康状况的干预措施的文献。
范围综述。
检索了多个选择性数据库。检索英文文章,并提取关于研究设计、样本量、样本特征和测量结果的数据。
从469篇参考文献中,确定了43项研究纳入。确定了四个关键主题:(a)满足家庭需求的不同观点;(b)家庭对重症监护护理的满意度;(c)影响家庭健康和幸福及其应对能力的因素;(d)心理社会干预措施。未满足的信息需求和保障需求会影响家庭满意度和心理健康。结构化的书面和口头信息在提高满意度和减轻心理负担方面显示出一定效果。未来的研究可能会在干预措施设计中纳入家庭成员,提供实施过程的详细信息,并明确确定结果。