Kamali Seyyedeh Halimeh, Imanipour Masoomeh, Emamzadeh Ghasemi Hormat Sadat, Razaghi Zahra
Department of Critical Care Nursing and Management, School of Nursing and Midwifery, Tehran University of Medical Sciences; Tehran, Iran.
Department of Critical Care Nursing and Management, Nursing and Midwifery Care Research Center; Tehran University of Medical Sciences; Tehran; Iran.
J Caring Sci. 2020 Jun 1;9(2):104-112. doi: 10.34172/JCS.2020.016. eCollection 2020 Jun.
Hospitalization of patients in the intensive care units always has negative consequences such as anxiety and concern for patients and their families. This study aimed to investigate the effect of programmed family presence in intensive care units on patients' and families' anxiety. This was a quasi-experimental study conducted in Iran. The eligible patients and a member of their families were assigned into two groups (N = 80) through convenience sampling. The family members in the experimental group were allowed to attend twice a day for 15 minutes in a planned way beside the patient and contribute to their clinical primary care. In the control group, the family members had a strict limitation to visit their patients based on the usual policy. Anxiety in both groups at the beginning and on the third day of patient's admission was measured, using Spielberger's questionnaire. The data were analyzed with SPSS version13. The mean score of anxiety in the control group did not show significant difference in patients and in families, however it had decreased significantly in the experimental group after the intervention for both patients and families. The results showed that mean differences between the two groups was statistically significant in patients and families. The planned presence of the family of patients in coronary care unit (CCU) played a crucial role in reducing the anxiety of patients and their family. Furthermore, it is recommended that strategies of visiting policy in intensive care units (ICUs) should be revised and the possibility be provided for the families' planned presence and participation in the patient care.
重症监护病房患者的住院治疗总会产生负面影响，比如患者及其家属会感到焦虑和担忧。本研究旨在调查重症监护病房中安排家属陪伴对患者及其家属焦虑情绪的影响。这是一项在伊朗进行的准实验研究。通过便利抽样将符合条件的患者及其一名家属分为两组（N = 80）。实验组的家属被允许每天有计划地在患者床边陪伴两次，每次15分钟，并参与患者的临床基础护理。对照组的家属则根据常规政策严格限制探视患者。使用斯皮尔伯格问卷对两组患者入院时及入院第三天的焦虑情况进行测量。数据用SPSS 13版软件进行分析。对照组患者及其家属的焦虑平均得分没有显著差异，但实验组在干预后患者及其家属的焦虑得分均显著下降。结果显示，两组在患者及其家属方面的平均差异具有统计学意义。冠心病监护病房（CCU）中安排患者家属陪伴在减轻患者及其家属焦虑方面发挥了关键作用。此外，建议修订重症监护病房（ICU）的探视政策策略，为家属有计划地陪伴和参与患者护理提供可能。
