Hannich H J, Wedershoven C
Anasth Intensivther Notfallmed. 1985 Apr;20(2):89-94.
Up to now there are almost no investigations on the situation of relatives of ICU patients. Therefore a study was designed into the impressions left on relatives by intensive care treatment in their next of kin. A questionnaire including 46 items was developed which mainly refers to the following topics: first contact with the ICU, experience with the situation in the ICU, information given on the patient's state, psychosocial assistance, evaluation of experiences made in the ICU. The questionnaire was sent to 210 relatives of former long-term intensive care patients; 57 completed forms could be evaluated. It can be demonstrated that the first contact with the ICU is characterised by the concern for the patient's actual state of disease so that previous information about the ICU and on the patient's condition are considered helpful. The contact with the intensive care patient seems to be most impressive for all relatives. It creates feelings of uneasiness, compassion and despair. The relatives of moribund patients additionally show feelings of mourning. The request for information mainly refers to the patient's present state. The technical equipment of the ICU represents a reassuring factor to most of the relatives; likewise the smallest number of them feels disturbed by witnessing therapeutical measures. The relation to the medical and nursing staff is described as positive, especially by relatives of surviving patients. In retrospect the relatives--like the former ICU patients--hold a positive view of the intensive care unit. The reasons are discussed.
到目前为止,几乎没有针对重症监护病房(ICU)患者亲属情况的调查。因此,设计了一项研究,以了解重症监护治疗给亲属留下的印象。设计了一份包含46个条目的问卷,主要涉及以下主题:与ICU的首次接触、在ICU的经历、关于患者病情的信息、心理社会支持、对在ICU经历的评价。问卷被发送给210名曾长期在ICU接受治疗的患者的亲属;57份完整的问卷可用于评估。结果表明,与ICU的首次接触以对患者实际病情的担忧为特征,因此之前关于ICU和患者病情的信息被认为是有帮助的。与重症监护患者的接触对所有亲属来说似乎印象最为深刻。这会引发不安、同情和绝望的情绪。濒死患者的亲属还表现出哀悼之情。对信息的需求主要涉及患者的当前状态。ICU的技术设备对大多数亲属来说是一种安慰因素;同样,目睹治疗措施而感到困扰的亲属人数最少。与医护人员的关系被描述为积极的,尤其是幸存患者的亲属。回顾起来,亲属们——和以前的ICU患者一样——对重症监护病房持积极看法。文中对原因进行了讨论。