Sharieff Saleem, Sajjal Ayesha, Idrees Asim, Rafai Wajid Ali
Saleem Sharieff, MBBS, FCPS, FRCPC Senior Consultant Intensivist, Pakistan Kidney and Liver Institute and Research Center, Lahore - Pakistan.
Ayesha Sajjal, M.Phil Coordinator ICU, Pakistan Kidney and Liver Institute and Research Center, Lahore - Pakistan.
Pak J Med Sci. 2024 Nov;40(10):2441-2446. doi: 10.12669/pjms.40.10.8697.
BACKGROUND & OBJECTIVE: Patient's family satisfaction is a crucial but often overlooked indicator of the quality of the intensive care unit (ICU). The goal was to assess how satisfied patients' families were with the treatment they received for terminally ill patients, where we worked with them to create a care plan.
The study was conducted in ICU at Pakistan Kidney and Liver Institute and Research Center (PKLI & RC), Lahore, Pakistan which is a quaternary care center between December 1 2022 and April 30 2023. We used the Family Satisfaction in the Intensive Care Unit 24 (FS-ICU 24) questionnaire to interview the next of kin of patients who passed away in our ICU.
Of the 330 patients admitted to the intensive care unit (ICU) between December 1, 2022, and April 30, 2023, 42 patients (12.7%) passed away. Mean age was 46.8 ± 14.5 years, with 28 men (66.7%) and 14 females (33.3%). Mean length of ICU stay was 5.57 ± 5.84 day. On a scale of 1-5 (1 = very Dissatisfied; 5 = fully satisfied) the overall family's satisfaction score was 4.21 ± 0.52 with ICU consultants received a high satisfaction rating for informing families about their patients' conditions and involving them in the decision-making process.
The study showed involving family members in the care plan and helping them prepare for death not only helps them deal better but also makes them feel satisfied with the treatment they received in the intensive care unit, It makes them appreciate that they were able to participate in the decision-making process.
患者家属满意度是重症监护病房（ICU）医疗质量的一个关键但常被忽视的指标。我们的目标是评估患者家属对为绝症患者提供的治疗的满意程度，在此过程中我们与他们共同制定护理计划。
该研究于2022年12月1日至2023年4月30日在巴基斯坦拉合尔的巴基斯坦肾脏与肝脏研究所及研究中心（PKLI & RC）的ICU进行，该中心是一家四级医疗中心。我们使用《重症监护病房家属满意度24项问卷》（FS - ICU 24）对在我们ICU去世患者的近亲进行访谈。
在2022年12月1日至2023年4月30日期间入住重症监护病房（ICU）的330例患者中，42例（12.7%）去世。平均年龄为46.8±14.5岁，其中男性28例（66.7%），女性14例（33.3%）。ICU平均住院时间为5.57±5.84天。在1 - 5分的评分量表上（1 = 非常不满意；5 = 完全满意），家属总体满意度评分为4.21±0.52，ICU顾问在向家属告知患者病情并让他们参与决策过程方面获得了较高的满意度评分。
该研究表明，让家庭成员参与护理计划并帮助他们为死亡做准备，不仅有助于他们更好地应对，还能让他们对在重症监护病房接受的治疗感到满意，这让他们感激自己能够参与决策过程。
