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成人重症监护病房中患者及家庭照顾者的满意度:文献综述

Satisfaction of patients and family caregivers in adult intensive care units: Literature Review.

作者信息

Guerra-Martín M D, González-Fernández P

机构信息

Profesora Titular de Universidad. Facultad de Enfermería, Fisioterapia y Podología. Universidad de Sevilla, Sevilla, España.

Enfermera Interna Residente. Hospital Virgen de Valme. Servicio Andaluz de Salud, Sevilla, España.

出版信息

Enferm Intensiva (Engl Ed). 2020 Oct 20. doi: 10.1016/j.enfi.2020.07.002.

Abstract

UNLABELLED

Intensive care units are hostile places, which must be conditioned to the needs of patients and families, and therefore the factors that influence their satisfaction must be known.

OBJECTIVE

To update the knowledge on the satisfaction of the patients admitted to an adult intensive care unit and that of their family caregivers as described in the scientific literature.

METHODOLOGY

A systematized literature review was carried out in PubMed, Scopus, Cinahl and WOS databases.

SEARCH STRATEGY

"Personal Satisfaction" and (patients or caregivers) and "Intensive Care Units".

INCLUSION CRITERIA

studies published between 2013-2018, population aged between 19-64 years, english and spanish language.

RESULTS

760 studies were located and 15 were selected. The factors that increased satisfaction are: good communication with professionals (n=5), the quality of care (n=4), and the cleanliness and environment of the units (n=2). The factors that produced dissatisfaction are: the infrastructure of the waiting room (n=5), inadequate communication (n=4), and the involvement of families and patients in decision-making (n=4). Training of professionals (n=5), inclusion of the family during the process of hospitalization (n=2) and redesigning the waiting room (n=2) are some of the suggestions for improvement.

CONCLUSIONS

Factors related to professionals, environment and cleanliness of the units are satisfaction-generating factors. Factors generating dissatisfaction related to poor infrastructure, a lack of involvement in decision-making and poor professional communication. Strategies to improve patient and family satisfaction relate to the organization, professionals, family members, and infrastructure and environment.

摘要

未标注

重症监护病房环境恶劣,必须根据患者及其家属的需求进行调整,因此必须了解影响他们满意度的因素。

目的

更新科学文献中关于入住成人重症监护病房患者及其家庭护理人员满意度的知识。

方法

在PubMed、Scopus、Cinahl和WOS数据库中进行系统的文献综述。

检索策略

“个人满意度”以及(患者或护理人员)和“重症监护病房”。

纳入标准

2013年至2018年发表的研究,年龄在19至64岁之间的人群,英文和西班牙文。

结果

共检索到760项研究,筛选出15项。提高满意度的因素有:与专业人员的良好沟通(n = 5)、护理质量(n = 4)以及病房的清洁和环境(n = 2)。导致不满的因素有:候诊室的基础设施(n = 5)、沟通不足(n = 4)以及家庭和患者参与决策(n = 4)。专业人员培训(n = 5)、住院期间让家属参与(n = 2)以及重新设计候诊室(n = 2)是一些改进建议。

结论

与专业人员、病房环境和清洁相关的因素是产生满意度的因素。导致不满的因素与基础设施差、缺乏决策参与以及专业沟通不良有关。提高患者和家属满意度的策略涉及组织、专业人员、家庭成员以及基础设施和环境。

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