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以患者为中心的护理与危重症患者重症监护病房体验的关系:一项多中心横断面调查。

The relationship between person-centred care and the intensive care unit experience of critically ill patients: A multicentre cross-sectional survey.

机构信息

College of Nursing, Dong-A University, 32, Daesingongwon-ro, Seo-gu, Busan, 49201, Republic of Korea.

Department of Nursing, Youngsan University, 288, Junam-ro, Yangsan-si, Gyeongsangnam-do, Republic of Korea.

出版信息

Aust Crit Care. 2022 Nov;35(6):623-629. doi: 10.1016/j.aucc.2021.10.010. Epub 2021 Nov 27.

Abstract

BACKGROUND

Person-centred care has the potential to improve the patient experience in the intensive care unit (ICU). However, the relationship between person-centred care perceived by critically ill patients and their ICU experience has yet to be determined.

OBJECTIVES

The aim of this study was to investigate the relationship between person-centred care and the ICU experience of critically ill patients.

METHODS

This study was a multicentre, cross-sectional survey involving 19 ICUs of four university hospitals in Busan, Korea. The survey was conducted from June 2019 to July 2020, and 787 patients who had been admitted to the ICU for more than 24 hours participated. We measured person-centred care using the Person-Centered Critical Care Nursing perceived by Patient Questionnaire. Participants' ICU experience was measured by the Korean version of the Intensive Care Experience Questionnaire that consists of four subscales. We analysed the relationship between person-centred care and each area of the ICU experience using multivariate linear regression.

RESULTS

Person-centred care was associated with 'awareness of surroundings' (β = 0.29, p < .001), 'frightening experiences' (β = -0.31, p < .001), and 'satisfaction with care' (β = 0.54, p < .001). However, there was no significant association between person-centred care and 'recall of experience'.

CONCLUSIONS

We observed that person-centred care was positively related to most of the ICU experiences of critically ill patients except for recall of experience. Further studies on developing person-centred nursing interventions are needed.

摘要

背景

以患者为中心的护理有可能改善重症监护病房(ICU)患者的就医体验。然而,危重症患者感知的以患者为中心的护理与他们的 ICU 体验之间的关系尚未确定。

目的

本研究旨在调查危重症患者感知的以患者为中心的护理与 ICU 体验之间的关系。

方法

这是一项多中心、横断面调查,涉及韩国釜山的 4 家大学医院的 19 个 ICU。调查于 2019 年 6 月至 2020 年 7 月进行,共有 787 名在 ICU 住院超过 24 小时的患者参与。我们使用患者感知的以患者为中心的重症监护护理问卷来衡量以患者为中心的护理。参与者的 ICU 体验通过包含 4 个分量表的韩国版重症监护体验问卷来衡量。我们使用多元线性回归分析了以患者为中心的护理与 ICU 体验各个方面之间的关系。

结果

以患者为中心的护理与“对周围环境的意识”(β=0.29,p<0.001)、“恐惧体验”(β=-0.31,p<0.001)和“对护理的满意度”(β=0.54,p<0.001)相关。然而,以患者为中心的护理与“体验回忆”之间没有显著关联。

结论

我们观察到,以患者为中心的护理与危重症患者的大多数 ICU 体验呈正相关,除了体验回忆。需要进一步研究开发以患者为中心的护理干预措施。

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