CNC Intensive Care, Northern NSW LHD, 89 Tamar Street, Ballina, NSW, 2478, Australia.
Academic Conjoint, Southern Cross University, 89 Tamar Street, Ballina, NSW, 2478, Australia.
Aust Crit Care. 2020 Nov;33(6):518-525. doi: 10.1016/j.aucc.2020.01.003. Epub 2020 Mar 13.
Many patients admitted to an intensive care unit (ICU) are unable to make ongoing decisions of care for themselves during their ICU stay. The perspectives of families and other nominated decision makers are particularly important in forming a partnership with clinicians to provide effective person-centred care. The aim of this study is to evaluate family satisfaction with care in the ICU in regional NSW, Australia, and explore the relationship between the level of satisfaction and family characteristics.
A cross-sectional survey design was conducted in two ICUs in regional NSW, Australia, using a validated family satisfaction questionnaire. The Family Satisfaction in the Intensive Care Unit survey calculates an overall family satisfaction score (FS-Total) and two subscales, measuring family satisfaction with care (FS-Care) and family satisfaction with decision-making (FS-DM).
A total of 104 family members were surveyed, with a 53% response rate. The mean FS-Total score was high (85.58, standard deviation [SD] = 14.6), with FS-Care (92.94, SD = 15.71) ranked higher than FS-DM (81.84, SD = 19.16). Significant differences in mean FS-Total and FS-DM scores were reported by the partners/spouses (p = 0.009 and p = 0.003, respectively) and those who lived with the patient (p = 0.039 and p = 0.011, respectively). Levels of satisfaction were also impacted by communication, waiting room facilities, and visiting times.
Opportunities exist to further explore and improve family satisfaction with care in ICUs in regional NSW, Australia, particularly for spouses and partners and those who co-reside with the patient. Developing family-friendly clinical spaces and waiting rooms that allow family privacy along with amenities that support comfort and rest throughout their ICU experience may improve satisfaction levels.
许多入住重症监护病房（ICU）的患者在 ICU 住院期间无法持续做出护理决策。家属和其他指定决策者的观点在与临床医生合作提供以患者为中心的有效护理方面尤为重要。本研究的目的是评估澳大利亚新南威尔士州农村地区 ICU 患者家属对护理的满意度，并探讨满意度水平与家属特征之间的关系。
在澳大利亚新南威尔士州农村地区的两个 ICU 中采用横断面调查设计，使用经过验证的家属满意度问卷。《重症监护病房家属满意度调查》计算出总体家属满意度评分（FS-Total）和两个分量表，即测量家属对护理的满意度（FS-Care）和对决策的满意度（FS-DM）。
共调查了 104 名家属，回应率为 53%。FS-Total 评分较高（85.58，标准差 [SD] 14.6），FS-Care（92.94，SD 15.71）评分高于 FS-DM（81.84，SD 19.16）。报告称，配偶/伴侣（p = 0.009 和 p = 0.003）和与患者同住的家属（p = 0.039 和 p = 0.011）的 FS-Total 和 FS-DM 评分存在显著差异。沟通、候诊室设施和探视时间也会影响满意度水平。
澳大利亚新南威尔士州农村地区 ICU 进一步提高和改善患者家属对护理满意度的机会仍然存在，特别是对于配偶/伴侣和与患者同住的家属。开发对家庭友好的临床空间和候诊室，允许家属保持隐私，并提供支持舒适和休息的设施，可能会提高满意度水平。
