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了解重症监护病房患者及其亲属术前的信息需求。

Understanding the pre-operative information needs of patients and their relatives in intensive care units.

作者信息

McGaughey J, Harrisson S

出版信息

Intensive Crit Care Nurs. 1994 Sep;10(3):186-94. doi: 10.1016/0964-3397(94)90019-1.

DOI:10.1016/0964-3397(94)90019-1
PMID:7803968
Abstract

A descriptive study was undertaken to assess the pre-operative information needs of patients and relatives admitted electively to intensive care units (ICU) following surgery. A convenience sample of five patient and relative groups were interviewed pre- and postoperatively. The interviews were analysed using thematic content analysis (Burnard 1991). The findings showed that the patient and relative dyads' 'expressed worries' related to the anaesthetic, surgery and ICU; patients stated that their relatives were more anxious than they were. The findings are similar to the pre-operative 'information needs' in which patient and relative dyads sought information regarding the surgery, visiting and treatment regimes in ICU. The most important information need identified was 'the need to understand the operation'. From the findings it was concluded that the nature of the information sought by ICU patients and their relatives was associated with perceived harms and threats related to the hospitalisation. Information which was structured to meet individual needs reduced anxiety and increased satisfaction with the information provided.

摘要

开展了一项描述性研究,以评估择期手术后入住重症监护病房(ICU)的患者及其亲属术前的信息需求。对五个患者及亲属群体的便利样本在术前和术后进行了访谈。采用主题内容分析法(伯纳 1991年)对访谈进行了分析。研究结果表明,患者及其亲属的“表达的担忧”与麻醉、手术和重症监护病房有关;患者表示他们的亲属比他们更焦虑。这些结果与术前的“信息需求”相似,在术前,患者及其亲属寻求有关手术、探视和重症监护病房治疗方案的信息。确定的最重要的信息需求是“了解手术的必要性”。从研究结果得出的结论是,重症监护病房患者及其亲属寻求的信息的性质与住院相关的感知危害和威胁有关。为满足个人需求而构建的信息减少了焦虑,并提高了对所提供信息的满意度。

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