Department of Intensive Care, University Hospital François Mitterrand, Dijon, France; Lipness Team, INSERM Research Centre LNC-UMR1231 and LabEx LipSTIC, University of Burgundy, Dijon, France; INSERM CIC 1432, Clinical Epidemiology, University of Burgundy, Dijon, France.
INSERM CIC 1432, Clinical Epidemiology, University of Burgundy, Dijon, France; DRCI, USMR, CHU Dijon, Bourgogne, France.
J Crit Care. 2020 Jun;57:191-196. doi: 10.1016/j.jcrc.2020.02.017. Epub 2020 Feb 26.
We investigated the criteria that patients' relatives deem important for choosing, among themselves, the person best qualified to interact with the caregiving staff.
Exploratory, observational, prospective, multicentre study between 1st March and 31st October 2018 in 2 intensive care units (ICUs). A 12-item questionnaire was completed anonymously by family members of patients hospitalized in the ICU 3 and 5 days after the patient's admission. Relatives were eligible if they understood French and if no surrogate had been appointed by the patient prior to ICU admission. More than one relative per patient could participate.
In total, 87 relatives of 73 patients completed the questionnaire, average age of relatives was 58 ± 15 years, 46% were the spouse, 30% were children/grandchildren. Items classed as being the most important attributes for a reference person were: good knowledge of the patient's wishes and values; an emotional attachment to the patient; being a family member; and having an adequate understanding of the clinical status and clinical history.
This study identifies the attributes considered by relatives to be most important for designating, among themselves, a reference person for a patient hospitalized in the ICU.
我们研究了患者亲属在选择最有资格与医护人员互动的人选时所认为的重要标准。
这是一项 2018 年 3 月 1 日至 10 月 31 日在 2 个重症监护病房（ICU）进行的探索性、观察性、前瞻性、多中心研究。在患者入院后第 3 天和第 5 天，对入住 ICU 的患者的家属匿名完成了一份包含 12 个问题的问卷。如果亲属懂法语，且患者在入住 ICU 前未指定代理人，则有资格参与。每个患者可有多名亲属参与。
共有 73 名患者的 87 名亲属完成了问卷，亲属的平均年龄为 58 ± 15 岁，46%为配偶，30%为子女/孙子女。被归类为指定参考人员最重要属性的项目有：对患者的意愿和价值观有较好的了解；对患者有情感依恋；是家庭成员；并对患者的临床状况和既往病史有足够的了解。
这项研究确定了亲属在为 ICU 住院患者指定参考人员时认为最重要的属性。
