Renthlei Lalthlanawmi, Ramesh Ronur Srikantasastry, Thulasingam Mahalakshmy, Kumari Manjini Jeyaram
College of Nursing, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.
Department of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.
Acute Crit Care. 2024 Aug;39(3):420-429. doi: 10.4266/acc.2023.01116. Epub 2024 Aug 30.
Admission to an intensive care unit (ICU) is considered a mental crisis for patients and their families as they are unprepared for such a stressful and difficult situation. Hence, the objectives of this study are to assess the psychosocial needs of patient family members in the ICU in various dimensions such as assurance, proximity, information, support, and comfort; and to associate their psychosocial needs with their socio-demographic variables and clinical variables of the patient.
This was a cross-sectional analytical study conducted between December 2021 and January 2022 among 188 family members of patients admitted to the ICU using a convenience sampling technique in a tertiary hospital in Puducherry, India. The modified Critical Care Family Needs Inventory (CCFNI) questionnaire was administered to all consenting family members to determine their needs.
The overall most important need among the five dimensions of modified CCFNI scores identified by the family members is the need for assurance (2.71±0.38). Using analysis of variance, statistical significances were found as follows. Education and comfort (F-statistic and P-value): 2.76 (0.029); relationship with the patient and assurance: 2.61 (0.036); relationship with the patient and support: 2.44 (0.048); level of consciousness and comfort: 4.63 (0.010); ICU visit restriction and assurance: 3.28 (0.022); ICU visit restriction and comfort: 8.08 (<0.001).
Since family members are essential members of the treatment teams, nurses should concentrate on reassuring them, assisting them in emerging from crises through appropriate communication, offering support, and attending to their needs.
入住重症监护病房（ICU）对患者及其家属来说被视为一场心理危机，因为他们对这种压力巨大且艰难的情况毫无准备。因此，本研究的目的是评估ICU中患者家属在多个维度的心理社会需求，如安心、亲近、信息、支持和舒适；并将他们的心理社会需求与社会人口统计学变量以及患者的临床变量相关联。
这是一项横断面分析研究，于2021年12月至2022年1月在印度本地治里一家三级医院，采用便利抽样技术，对188名入住ICU患者的家属进行了研究。向所有同意参与的家属发放了改良的重症监护家庭需求问卷（CCFNI），以确定他们的需求。
家属确定的改良CCFNI分数五个维度中，总体最重要的需求是安心需求（2.71±0.38）。使用方差分析发现了以下统计学显著性。教育与舒适（F统计量和P值）：2.76（0.029）；与患者的关系与安心：2.61（0.036）；与患者的关系与支持：2.44（0.048）；意识水平与舒适：4.63（0.010）；ICU探视限制与安心：3.28（0.022）；ICU探视限制与舒适：8.08（<0.001）。
由于家属是治疗团队的重要成员，护士应专注于安抚他们，通过适当的沟通帮助他们走出危机，提供支持并关注他们的需求。
