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重症监护病房中家庭照顾者与患者护理相关的偏好及贡献

Family Caregiver Preferences and Contributions Related to Patient Care in the ICU.

作者信息

Hetland Breanna D, McAndrew Natalie S, Kupzyk Kevin A, Krutsinger Dustin C, Pozehl Bunny J, Heusinkvelt Jennifer M, Camenzind Courtney E

机构信息

College of Nursing, University of Nebraska Medical Center, Omaha, NE, USA.

Critical Care Division, Nebraska Medicine, Omaha, NE, USA.

出版信息

West J Nurs Res. 2022 Mar;44(3):214-226. doi: 10.1177/01939459211062954. Epub 2021 Dec 14.

Abstract

Guided by Individual and Family Self-Management Theory, the purpose of this cross-sectional study was to describe patient care activities that family caregivers endorsed and performed while visiting their family member in the ICU. We found that caregivers wanted to be involved in ICU patient care and had preferences for the care they wanted to perform with their critically ill family member. More than 80% preferred to perform tasks related to daily grooming, communication, and education. Of note, many caregivers expressed interest in holistic healing activities (i.e., music and art), and yet, less than 50% of caregivers reported participating in these activities. The discrepancy between the number of care activities that respondents desired to perform compared to the number of care activities they reported performing represents an important opportunity to shift research and practice improvement efforts toward more tailored family engagement interventions and recognition of family caregivers as essential partners in care.

摘要

在个体和家庭自我管理理论的指导下,这项横断面研究的目的是描述家庭照顾者在重症监护病房探望其家庭成员时认可并执行的患者护理活动。我们发现,照顾者希望参与重症监护病房患者的护理,并对他们希望与重症家庭成员一起执行的护理有偏好。超过80%的人更喜欢执行与日常梳洗、沟通和教育相关的任务。值得注意的是,许多照顾者对整体康复活动(如音乐和艺术)表示感兴趣,然而,报告参与这些活动的照顾者不到50%。与报告执行的护理活动数量相比,受访者希望执行的护理活动数量之间的差异,为将研究和实践改进努力转向更具针对性的家庭参与干预措施,并将家庭照顾者视为护理中不可或缺的伙伴,提供了一个重要契机。

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