Gaglione K M
Nurs Clin North Am. 1984 Sep;19(3):427-32.
Until recently, attention to the needs of the family of a CCU patient has been minimal. However, it is an interplay now recognized between meeting the needs of both patient and family. Patients are members of families and a holistic approach to patient care warrants addressing the needs of both patient and family. Owing to the life-threatening nature of the illness, a family member's admission to a CCU has a significant impact on the family system. In turn, this may affect the patient and the recovery process. Family needs can be conceptually categorized as emotional, informational, physical, and spiritual. When family needs are met, members are more capable of offering support to the patient. Thus, addressing the needs of the family can enhance the family support system. Several family interventions have been suggested in this article. Sources for ascertaining family needs are the patient, the patient's chart, individual family members, and current literature. Meeting privately with family members, involving them in the patient's care, and keeping them informed about the patient's progress are just a few effective means of meeting these needs. Greater emphasis too should be placed on identifying and meeting the physical and spiritual needs of families. These may be easily met and impact upon family coping. Addressing family needs can support coping and decrease anxiety related to the cardiac event. In turn, the patient can benefit from the support offered by a family which is less anxious and able to contribute to the recovery process.(ABSTRACT TRUNCATED AT 250 WORDS)
直到最近,对冠心病监护病房(CCU)患者家属需求的关注仍微乎其微。然而,现在人们认识到满足患者和家属双方需求之间存在相互作用。患者是家庭的成员,全面的患者护理方法需要兼顾患者和家属的需求。由于疾病危及生命的性质,家庭成员入住CCU会对家庭系统产生重大影响。反过来,这可能会影响患者及其康复过程。家庭需求在概念上可分为情感、信息、身体和精神需求。当家庭需求得到满足时,家庭成员更有能力为患者提供支持。因此,满足家庭需求可以加强家庭支持系统。本文提出了几种家庭干预措施。确定家庭需求的来源包括患者、患者病历、个别家庭成员以及当前的文献。与家庭成员私下会面、让他们参与患者护理并让他们了解患者的进展情况,这些都是满足这些需求的一些有效方法。还应更加重视识别和满足家庭的身体和精神需求。这些需求可能很容易得到满足,并会影响家庭应对。满足家庭需求可以支持应对并减少与心脏事件相关的焦虑。反过来,患者可以从焦虑程度较低且能够促进康复过程的家庭所提供的支持中受益。(摘要截选至250词)