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重症监护病房出院患者家属的教育需求:护士与患者家属的观点

The Educational Needs of Family of Patients Discharged from the Intensive Care Units: The Viewpoints of Nurses and the Patients' Families.

作者信息

Hajalizadeh Asma, Ahmadinejad Mehdi, Dehghan Mahlagha, Arab Mansoor

机构信息

Nursing and Midwifery School, Kerman University of Medical Sciences, Kerman, Iran.

Fellow of Critical Care, Anesthesiology and Critical Medicine, Kerman University of Medical Sciences, Kerman, Iran.

出版信息

Crit Care Res Pract. 2021 Apr 30;2021:9956023. doi: 10.1155/2021/9956023. eCollection 2021.

Abstract

INTRODUCTION

Thousands of patients are admitted to the intensive care units annually, which are stressful for patients and their families. The discharged patients and their families face different challenges in the caring process of the patients.

OBJECTIVES

This study aimed to determine the educational needs of the families of patients discharged directly home from the postintensive care units and to compare the views of families and nurses about these needs.

METHOD

This was a cross-sectional study. One hundred forty nurses and 140 family members of the patients discharged from intensive care units participated in the survey by convenience sampling method. A questionnaire of sociodemographic information and a researcher-made questionnaire on the educational needs of the family of patients discharged from the postintensive care units were used for data collection.

RESULTS

The mean total score of the educational needs of the patients' families was 31.81 and 35.33 from views of families and nurses, respectively. Nurses significantly estimated the educational needs of families more than what they did ( < 0.001). The families and nurses reported the educational needs of self-care as well as nutrition and medicine at the highest level, respectively. Both groups reported the educational needs of defecation at the lowest level. Nurses estimated higher educational needs in all dimensions, except for the patient's mental health and family self-care than families ( < 0.001).

CONCLUSION

According to the present study, the educational needs were high from the views of nurses and families. Family need assessment is essential in designing and applying instructional interventions. Given the high level of family needs, implementing educational and practical interventions is necessary to enhance their skills.

摘要

引言

每年有成千上万的患者被收治入重症监护病房,这对患者及其家属来说压力巨大。出院患者及其家属在患者护理过程中面临着不同的挑战。

目的

本研究旨在确定从重症监护病房直接出院回家的患者家属的教育需求,并比较家属和护士对这些需求的看法。

方法

这是一项横断面研究。采用便利抽样法,140名护士和140名从重症监护病房出院患者的家属参与了调查。使用社会人口学信息问卷和研究者编制的关于重症监护病房出院患者家属教育需求的问卷进行数据收集。

结果

从家属和护士的看法来看,患者家属教育需求的平均总分分别为31.81分和35.33分。护士对家属教育需求的估计显著高于家属自身的估计(<0.001)。家属和护士分别将自我护理以及营养和用药方面的教育需求列为最高水平。两组均将排便方面的教育需求列为最低水平。除患者心理健康和家庭自我护理外,护士在所有维度上对教育需求的估计均高于家属(<0.001)。

结论

根据本研究,从护士和家属的看法来看,教育需求都很高。在设计和应用指导性干预措施时,家庭需求评估至关重要。鉴于家庭需求水平较高,实施教育和实践干预措施以提高他们的技能是必要的。

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