Johnson S K, Craft M, Titler M, Halm M, Kleiber C, Montgomery L A, Megivern K, Nicholson A, Buckwalter K
University of Iowa Hospitals and Clinics, Iowa City, USA.
Image J Nurs Sch. 1995 Fall;27(3):238-43. doi: 10.1111/j.1547-5069.1995.tb00866.x.
An exploratory design was used to study the effects of critical care hospitalization on family roles and responsibilities of adult family members and how these effects changed over time. A convenience sample of 52 subjects from pediatric, neonatal, surgical, medical, and cardiovascular intensive care units was used. Data were collected using an open-ended question contained in the Iowa ICU Family Scale (IIFS). Using qualitative techniques, seven themes were identified: (a) Pulling together, (b) Fragmentation of families, (c) Increased dependence, (d) Increased independence, (e) Increased responsibilities, (f) Change in routine, and (g) Change in feelings. These findings indicate that nurses need to implement family-centered interventions such as role supplementation programs or identification of support systems to decrease role strain and role overload in families during a crisis.
采用探索性设计来研究重症监护住院对成年家庭成员的家庭角色和责任的影响，以及这些影响如何随时间变化。使用了一个便利样本，包括来自儿科、新生儿、外科、内科和心血管重症监护病房的52名受试者。数据通过爱荷华重症监护病房家庭量表（IIFS）中包含的一个开放式问题收集。运用定性技术，确定了七个主题：（a）团结一心，（b）家庭分裂，（c）依赖性增加，（d）独立性增加，（e）责任增加，（f）日常生活改变，以及（g）情感变化。这些研究结果表明，护士需要实施以家庭为中心的干预措施，如角色补充计划或支持系统的识别，以减轻危机期间家庭中的角色压力和角色过载。
