Trauma Research Committee and Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Atherosclerosis Research Center and Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Nurs Crit Care. 2022 May;27(3):401-409. doi: 10.1111/nicc.12683. Epub 2021 Aug 17.
Hospitalization of patients in an intensive care unit (ICU) is associated with a series of psychological problems for their family members called family intensive care unit syndrome (FICUS). Nonetheless, family members of patients in ICU often receive little attention from health care providers. Exploring family members' experiences of their patients' hospitalization in ICU helps health care providers focus more clearly on their problems.
This study aimed to explore FICUS-related experiences among the family members of patients in ICU.
This was a qualitative content analysis study.
This qualitative study was conducted in 2019. Participants were 14 family members of patients in ICU who were purposively selected from three hospitals in Tehran, Iran. Data were collected using semi-structured interviews and were analyzed using qualitative content analysis.
Participants' experiences of FICUS fell into four categories, that is, threat to psychological well-being (with four subcategories), threat to physical health (with three subcategories), threat to social health (with three subcategories), and change in spiritual orientation (with two subcategories). The 12 subcategories of these categories were emotional disturbances, hopelessness, changes in sleep pattern, mood changes, physical symptoms, aggravation of the existing illnesses, negligence towards personal health, alteration in social interactions, alteration in the burden of responsibility, alternation in the life process, resort to spiritual beliefs, and spiritual conflict, respectively.
FICUS symptoms are not limited to psychological problems, rather they include a wide range of psychological, physical, social, and spiritual problems, which can affect the different aspects of family members' lives. Along with care delivery to patients in ICU, health care providers should provide care and support to patients' family members.
FICUS is a major threat to health among the family members of patients in ICU. Careful assessment of these family members helps identify family members who are at risk for FICUS and identify FICUS effects on their decisions and health status.
患者在重症监护病房（ICU）住院会给其家属带来一系列心理问题，被称为“家庭重症监护病房综合征（FICUS）”。然而，ICU 患者的家属往往得不到医护人员的关注。了解 ICU 患者家属的住院体验有助于医护人员更清楚地关注他们的问题。
本研究旨在探讨 ICU 患者家属的 FICUS 相关体验。
这是一项定性内容分析研究。
本定性研究于 2019 年进行。参与者是从伊朗德黑兰的 3 家医院中按目的选取的 14 名 ICU 患者的家属。使用半结构式访谈收集数据，并采用定性内容分析进行分析。
参与者的 FICUS 体验分为 4 个类别，即心理健康受到威胁（有 4 个亚类）、身体健康受到威胁（有 3 个亚类）、社会健康受到威胁（有 3 个亚类）和精神取向改变（有 2 个亚类）。这 4 个类别的 12 个亚类分别是情绪困扰、绝望、睡眠模式改变、情绪变化、身体症状、现有疾病恶化、忽视个人健康、社交互动改变、责任负担改变、生活过程改变、诉诸精神信仰和精神冲突。
FICUS 症状不仅限于心理问题，还包括广泛的心理、身体、社会和精神问题，这些问题会影响到家属生活的不同方面。除了为 ICU 患者提供护理外，医护人员还应向患者家属提供护理和支持。
FICUS 是 ICU 患者家属的主要健康威胁。对这些家属进行仔细评估有助于确定处于 FICUS 风险中的家属，并确定 FICUS 对其决策和健康状况的影响。
