Bahmane Zohra, Belayachi Jihane, Meknassi Nawal, Hughes Rinker Cortney, Abouqal Redouane, Madani Naoufel
Acute Assessment Unit, Ibn Sina University Hospital, Mohammed V University, Rabat 10000, Morocco.
Laboratory of Biostatistics, Clinical and Epidemiological Research, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat 10000, Morocco.
Healthcare (Basel). 2024 Sep 13;12(18):1831. doi: 10.3390/healthcare12181831.
Opinion surveys on family participation in care in non-Western countries are rare. This study aims to assess the opinions of patients, families, and healthcare professionals regarding family involvement in care to identify their preferences and the associated factors. A cross-sectional survey was conducted over eight months involving 717 participants, using structured questionnaires at the Acute Assessment Unit of a university hospital in Morocco. Comparative analyses examined the association between participant characteristics and the preferences of care categories. Poisson regression was applied to determine factors associated with participant preferences. Attitudes toward family participation in care were positive, with an average score of 3.62 ± 0.43 on a 4-point Likert scale. Healthcare professionals were more favorable towards family participation, with an average of 10.6 ± 2.44 types of care, compared to 7.17 ± 1.96 for families and 5.71 ± 2.16 for patients. Participants' opinions converged on a set of simple and less technical care tasks. Factors significantly associated with patient preferences in the final adjustment model ( < 0.05) included frailty, loss of autonomy, length of stay, and regular and continuous (day and night) family presence. This study highlights the strong support of health professionals, patients, and families for family participation in care. Understanding these preferences and related factors is essential to maximize family participation and develop a model of Patient And Family Centered Care adapted to the Moroccan context.
在非西方国家，关于家庭参与护理的意见调查很少见。本研究旨在评估患者、家庭和医疗保健专业人员对家庭参与护理的意见，以确定他们的偏好及相关因素。在摩洛哥一家大学医院的急性评估单元，使用结构化问卷，在八个月内对717名参与者进行了横断面调查。比较分析考察了参与者特征与护理类别偏好之间的关联。应用泊松回归来确定与参与者偏好相关的因素。对家庭参与护理的态度是积极的，在4点李克特量表上的平均得分为3.62±0.43。医疗保健专业人员对家庭参与更为支持，平均有10.6±2.44种护理类型，而家庭为7.17±1.96种，患者为5.71±2.16种。参与者的意见集中在一系列简单且技术含量较低的护理任务上。在最终调整模型中与患者偏好显著相关（<0.05）的因素包括身体虚弱、自主性丧失、住院时间以及家人定期持续（白天和晚上）在场。本研究强调了卫生专业人员、患者和家庭对家庭参与护理的大力支持。了解这些偏好和相关因素对于最大限度地提高家庭参与度以及建立适应摩洛哥国情的患者和家庭中心护理模式至关重要。
