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成人重症监护病房患者和家属护理人员的满意度:文献综述。

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

机构信息

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

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

出版信息

Enferm Intensiva (Engl Ed). 2021 Oct-Dec;32(4):207-219. doi: 10.1016/j.enfie.2020.07.002. Epub 2021 Nov 9.

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

未加说明

重症监护病房是充满敌意的地方,必须根据患者和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

更新有关成年重症监护病房患者及其家属满意度的科学文献中描述的知识。

方法

在 PubMed、Scopus、Cinahl 和 WOS 数据库中进行了系统的文献回顾。

检索策略

“个人满意度”和(患者或护理人员)和“重症监护病房”。

纳入标准

发表于 2013-2018 年的研究,年龄在 19-64 岁之间的人群,英语和西班牙语语言。

结果

共定位了 760 项研究,并选择了 15 项研究。增加满意度的因素有:与专业人员的良好沟通(n=5)、护理质量(n=4)以及单位的清洁和环境(n=2)。产生不满的因素有:候诊室的基础设施(n=5)、沟通不畅(n=4)以及家庭和患者参与决策(n=4)。专业人员的培训(n=5)、住院过程中家属的参与(n=2)和候诊室的重新设计(n=2)是一些改进建议。

结论

与专业人员、环境和单位清洁度相关的因素是产生满意度的因素。与基础设施差、缺乏参与决策和专业沟通不畅相关的不满因素。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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