Deffner Teresa, Münch Urs, Riessen Reimer, Nydahl Peter, Hierundar Anke
Klinik für Anästhesiologie und Intensivmedizin, Universitätsklinikum Jena, Am Klinikum 1, 07747, Jena, Deutschland.
Klinik für Allgemein‑, Viszeral- und Minimalinvasive Chirurgie, DRK Kliniken Berlin Westend, Berlin, Deutschland.
Med Klin Intensivmed Notfmed. 2022 Nov;117(8):600-606. doi: 10.1007/s00063-022-00966-w. Epub 2022 Oct 13.
Family-centered care is an important aspect of care in intensive care medicine. But currently there is no agreement about the implementation in intensive care units (ICUs). Specific concepts of palliative medicine and pediatrics offer a good basis, but contents have to be adapted for the field of intensive care medicine. ICUs should formulate and implement a minimum standard based on the goals of shared decision-making, support for relatives in accompanying the patient, and support for the potentially burdened relatives themselves. Related protocols, reportings, and evaluation should be developed. Staff training in family-centered care and liability of provision is of great relevance for the implementation.
以家庭为中心的护理是重症医学护理的一个重要方面。但目前在重症监护病房(ICU)的实施方面尚未达成共识。姑息医学和儿科学的具体概念提供了良好的基础,但内容必须针对重症医学领域进行调整。ICU应根据共同决策的目标、支持亲属陪伴患者以及支持可能负担过重的亲属自身,制定并实施最低标准。应制定相关协议、报告和评估。以家庭为中心的护理方面的人员培训和提供责任对于实施至关重要。