Lotfalipoor Roja, Jafaraghaee Fateme, Kazemnejad Leyli Ehsan, Ghorbani Vajargah Pooyan, Karkhah Samad, Javadi-Pashaki Nazila
School of Nursing and Midwifery.
Department of Medical-Surgical Nursing, School of Nursing and Midwifery.
Ann Med Surg (Lond). 2024 Jan 22;86(3):1370-1375. doi: 10.1097/MS9.0000000000001576. eCollection 2024 Mar.
The present study aims to determine the effect of family-centered care on anxiety levels among family members of patients undergoing cardiac surgery.
This study was a randomized clinical trial study that was conducted on the families of Iranian cardiac surgery patients. In the intervention group, family-centered care was implemented, and the content of the intervention included providing informational and emotional support to the family member and the family member's participation in patient care according to the set framework.
A total of 144 family members of patients undergoing cardiac surgery were included in this study. Among the 144 family members, 71 were in the intervention group, and 73 were in the control group. The changes in the state anxiety score before and after the intervention were significant between the two groups, and the changes were higher in the control group (=0.043). Also, there was no significant difference in the changes in trait anxiety before and after the intervention between the two groups (>0.05).
In general, the high prevalence of anxiety in patients' families has negative functional consequences on both patients and their families. To reduce the level of anxiety, special attention should be paid to knowing the effective factors and appropriate coping methods. Nevertheless, it is important to note that additional research is warranted to delve deeper into this matter in future studies.
本研究旨在确定以家庭为中心的护理对心脏手术患者家庭成员焦虑水平的影响。
本研究为一项针对伊朗心脏手术患者家庭开展的随机临床试验研究。在干预组中,实施以家庭为中心的护理,干预内容包括根据既定框架为家庭成员提供信息和情感支持以及让家庭成员参与患者护理。
本研究共纳入144名心脏手术患者的家庭成员。在这144名家庭成员中,71名在干预组,73名在对照组。两组干预前后状态焦虑评分的变化具有显著性差异,且对照组的变化更高(=0.043)。此外,两组干预前后特质焦虑的变化无显著差异(>0.05)。
总体而言,患者家庭中焦虑的高患病率对患者及其家庭均有负面功能影响。为降低焦虑水平,应特别关注了解有效因素和适当的应对方法。然而,需要注意的是,有必要在未来研究中进行更多研究以更深入地探讨此事。