Şeren Hasan, Altun Uğraş Gülay, Çam Yanik Tuğba
Mersin University, Institute of Health Sciences PhD Student, Turkey.
Mersin University, Faculty of Nursing, Department of Surgical Nursing, Ciftlikkoy Campus, 33343, Yenisehir, Mersin, Turkey.
Aust Crit Care. 2025 Jan;38(1):101085. doi: 10.1016/j.aucc.2024.06.008. Epub 2024 Jul 25.
The precautions taken in the intensive care unit (ICU) during the COVID-19 pandemic have caused a change in the needs of relatives of patients.
This research was conducted to determine the needs of relatives of ICU patients diagnosed with COVID-19.
The sample of this cross-sectional study consisted of 68 relatives of patients treated with COVID-19 in the ICU. Data were collected with a "Patient Relatives Information Form", a "Factors Affecting the Needs of the Relatives of Patients in the Intensive Care Unit Form", and the Critical Care Family Needs Inventory (CCFNI). A multivariate and univariate general linear model was used to determine the factors affecting the CCFNI total and subscale scores. Higher CCFNI scores are indicative of higher family need.
The assurance (3.5 ± 0.4), information (3.4 ± 0.5), proximity (3.0 ± 0.6), comfort (2.8 ± 0.6), and support (2.7 ± 0.5) dimensions were important needs of relatives of patients hospitalised in the ICU. There was a weak negative correlation between participants' ages and CCFNI scores (p = 0.041). According to the univariate general linear model, significant difference was found between the total CCFNI scores (p = 0.032; 95% confidence interval [CI]: 2.68-3.03), based on multivariate general linear model proximity scores (p = 0.000; 95% CI: 2.49-2.91), and support scores (p = 0.029; 95% CI: 2.26-2.68) and the effect of ICU visit restrictions on relatives' anxiety. Additionally, based on the multivariate general linear model, significant difference was found between the assurance scores and the presence of people who provided support to avoid disruption of responsibilities at home (p = 0.025; 95% CI: 3.30-3.54) and between the proximity scores and the expectations of intensive care nurses (p = 0.028; 95% CI: 2.83-3.59).
This study showed that relatives of ICU patients had high levels of needs. Relatives had high needs for assurance and information, whereas their needs for comfort and support were low. As the age of patients' relatives increased, their levels of needs decreased. Relatives of the patients who received support to help with their obligations at home had increased assurance needs, and those who had anxiety about the ICU visit restrictions had increased proximity and support needs.
新型冠状病毒肺炎（COVID-19）大流行期间重症监护病房（ICU）采取的预防措施导致了患者亲属需求的变化。
本研究旨在确定被诊断为COVID-19的ICU患者亲属的需求。
这项横断面研究的样本包括68名在ICU接受COVID-19治疗患者的亲属。通过“患者亲属信息表”、“影响重症监护病房患者亲属需求的因素表”和重症监护家庭需求量表（CCFNI）收集数据。采用多变量和单变量一般线性模型来确定影响CCFNI总分及分量表得分的因素。CCFNI得分越高表明家庭需求越高。
保障（3.5±0.4）、信息（3.4±0.5）、接近度（3.0±0.6）、舒适度（2.8±0.6）和支持（2.7±0.5）维度是入住ICU患者亲属的重要需求。参与者年龄与CCFNI得分之间存在弱负相关（p = 0.041）。根据单变量一般线性模型，基于多变量一般线性模型的接近度得分（p = 0.000；95%置信区间[CI]：2.49 - 2.91）、支持得分（p = 0.029；95% CI：2.26 - 2.68）以及ICU探视限制对亲属焦虑的影响，CCFNI总分存在显著差异（p = 0.032；95% CI：2.68 - 3.03）。此外，基于多变量一般线性模型，保障得分与有提供支持以避免家庭责任中断的人员的存在之间（p = 0.025；95% CI：3.30 - 3.54）以及接近度得分与重症监护护士的期望之间（p = 0.028；95% CI：2.83 - 3.59）存在显著差异。
本研究表明，ICU患者亲属的需求水平较高。亲属对保障和信息有较高需求，而对舒适度和支持的需求较低。随着患者亲属年龄的增加，他们的需求水平下降。在家中义务得到支持的患者亲属对保障的需求增加，而对ICU探视限制感到焦虑者对接近度和支持的需求增加。
