University of Utah Department of Pediatrics, Division of Pediatric Critical Care Medicine, United States; Intermountain Healthcare Primary Children's Hospital, United States.
University of Utah Department of Internal Medicine, Division of Epidemiology, United States.
Heart Lung. 2021 Mar-Apr;50(2):277-283. doi: 10.1016/j.hrtlng.2020.12.015. Epub 2020 Dec 28.
Quality improvement in the intensive care unit has transitioned from focusing on mortality to improving care and reducing morbidity.
This study prospectively investigated clinical and system drivers of family satisfaction in a large quaternary hospital ICU.
A validated tool was distributed to family members and a registry chart analysis was conducted. The aims were to assess associations with high or low family satisfaction to evaluate unit-level satisfaction. Candidate predictors were selected from univariate logistic regressions and finalized in a multivariate model by a stepwise selection approach.
Overall, 75% (n = 188) of respondents (n = 250) indicated high satisfaction. Respondents with higher satisfaction had a Plan of the Day posted (OR = 3.3, 95% CI: 1.63, 6.89, p = 0.001), and did not live with the patient (OR =0.5, 95% CI: 0.25, 0.96, p = 0.044).
This study indicates that communication and transparency of plans contributes to family satisfaction with ICU care.
重症监护病房的质量改进已经从关注死亡率转变为改善护理和降低发病率。
本研究前瞻性调查了一家大型四级医院 ICU 中患者家属满意度的临床和系统驱动因素。
向家属发放了经过验证的工具，并进行了登记图表分析。目的是评估与高或低家庭满意度相关的因素，以评估单位层面的满意度。候选预测因素从单变量逻辑回归中选择，并通过逐步选择方法在多变量模型中最终确定。
总体而言，75%（n=188）的受访者（n=250）表示满意度高。满意度较高的受访者有张贴的每日计划（OR=3.3，95%CI：1.63，6.89，p=0.001），并且不与患者同住（OR=0.5，95%CI：0.25，0.96，p=0.044）。
本研究表明，沟通和计划的透明度有助于提高 ICU 护理的家庭满意度。
