Department of Gerontological Home Care and Long-term Care Nursing, The University of Tokyo, 7-3-1 Hongo, Bunkyo-Ku, Tokyo 113-0033, Japan; Department of Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University, Egypt. Electronic address: https://twitter.com/@Sameh_Eltaybani.
Department of Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University, Egypt; Department of Nursing, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates.
Intensive Crit Care Nurs. 2021 Oct;66:103060. doi: 10.1016/j.iccn.2021.103060. Epub 2021 Apr 17.
To examine family members' satisfaction in adult intensive care units.
This is mixed-method research. Family members of critically ill patients responded to a structured questionnaire and then were interviewed using semi-structured interviews. Quantitative and qualitative data were analyzed separately and integrated during the discussion.
Six adult intensive care units in university hospitals in Egypt.
Family satisfaction was assessed using the Critical Care Family Satisfaction Survey and field notes of the interviews.
The mean total satisfaction score was 12.8 ± 3.5, and comfort has the lowest subscale mean score: 2.07 ± 0.96. Multivariate regression analysis showed that family members' satisfaction was positively associated with their ability to communicate with patients (B [95% confidence interval]: 2.1 [1.19 to 3.02]) and negatively with daily purchasing of medications and supplies (-2.41 [-3.23 to -1.59]), low economic status (-1.57 [-2.47 to -0.67]), and perceiving patient condition to be deteriorating (-0.99 [-1.93 to -0.04]). Content analysis of qualitative data revealed four themes: aspects of family care, aspects of patient care, organizational and administrative issues and environment.
In Egyptian adult intensive care units, regular family meetings, flexible visiting hours, shared decision-making, increasing staff-to-patient ratio and ensuring comfortable waiting rooms are promising strategies to enhance family satisfaction.
调查成年重症监护病房患者家属的满意度。
这是一项混合方法研究。危重症患者的家属对一份结构化问卷做出回应，然后接受半结构化访谈。对定量和定性数据分别进行分析，并在讨论过程中进行整合。
埃及 6 所大学医院的 6 个成人重症监护病房。
采用危重患者家属满意度量表和访谈的现场记录评估家庭满意度。
平均总满意度评分为 12.8±3.5，舒适度的子量表平均得分最低：2.07±0.96。多变量回归分析显示，家属满意度与他们与患者沟通的能力呈正相关（B[95%置信区间]：2.1[1.19 至 3.02]），与每天购买药物和用品呈负相关（-2.41[-3.23 至-1.59]），经济状况较差呈负相关（-1.57[-2.47 至-0.67]），以及认为患者病情恶化呈负相关（-0.99[-1.93 至-0.04]）。定性数据的内容分析揭示了 4 个主题：家庭护理方面、患者护理方面、组织和管理问题以及环境。
在埃及的成人重症监护病房中，定期的家庭会议、灵活的探视时间、共同决策、增加医护人员与患者的比例以及确保舒适的等候室是提高家庭满意度的有前途的策略。
