Jiang Tianxiang, Lu Hongyang, Su Caiyan, Ge Yangling
Intensive Care Unit, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai City, Zhejiang Province, China.
School of Nursing, Xinjiang Second Medical College, Xinjiang Uygur Autonomous Region, Karamay City, Xinjiang Uygur Autonomous Region, China.
BMC Nurs. 2025 Jul 21;24(1):949. doi: 10.1186/s12912-025-03608-6.
Relatives play an important role as caregivers in facilitating the recovery of their intensive care unit (ICU) patients during the transition period. Insight into the relatives' needs is key to improving the continuum of transitional care and guiding family-centred high-quality health care services. This study aimed to comprehensively explore the needs of the relatives during the transition and to identify the factors influencing these needs in China.
This study adopted a mixed-method explanatory sequential design. The survey completed by relatives included needs levels, anxiety and depression levels, social support levels, and relocation stress levels. Qualitative data from semistructured interviews were collected after the survey to complement and explain the quantitative data. Twelve relatives were interviewed, and the qualitative data were analysed via thematic analysis.
There were 161 valid responses and 12 relatives participated in unstructured face-to-face interviews. The present study identified a relatively high overall level of need. The highest overall mean scores on the need scale subscales were observed for communication needs, need for caregiving skills, and information needs. Six themes were identified: communication and access to information, caregiving guidance, emotional support, financial burden, information for a family care manual, and the comfort of the environment. The level of need was influenced by factors including age, educational attainment, caregiving experience, level of anxiety and depression, and level of relocation stress.
This mixed methods study identified in depth the needs of relatives during the transition period in China. This knowledge will help medical staff better understand relatives' needs, recognize high-need target relatives and priority should be given to the implementation of tailored supportive care measures.
Not applicable.
在重症监护病房（ICU）患者的过渡期，亲属作为照顾者在促进患者康复方面发挥着重要作用。了解亲属的需求是改善过渡性护理连续性和指导以家庭为中心的高质量医疗服务的关键。本研究旨在全面探讨中国亲属在过渡期的需求，并确定影响这些需求的因素。
本研究采用混合方法解释性序列设计。亲属完成的调查问卷包括需求水平、焦虑和抑郁水平、社会支持水平以及搬迁压力水平。在调查之后收集半结构化访谈的定性数据，以补充和解释定量数据。对12名亲属进行了访谈，并通过主题分析对定性数据进行了分析。
共获得161份有效回复，12名亲属参与了非结构化面对面访谈。本研究确定亲属的总体需求水平相对较高。需求量表子量表上总体平均得分最高的是沟通需求、护理技能需求和信息需求。确定了六个主题：沟通与信息获取、护理指导、情感支持、经济负担、家庭护理手册信息以及环境舒适度。需求水平受到年龄、教育程度、护理经验、焦虑和抑郁水平以及搬迁压力水平等因素的影响。
这项混合方法研究深入确定了中国亲属在过渡期的需求。这些知识将有助于医护人员更好地了解亲属的需求，识别高需求目标亲属，并优先实施量身定制的支持性护理措施。
不适用。
