重症监护病房家庭照顾者的期望和需求

Asma Khalil, R. Gul
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引用次数: 0

摘要

患者入住重症监护病房对其家庭成员来说通常是一种不愉快和意想不到的生活经历,家庭成员在住院期间应对压力和焦虑是不寻常的。目的:本研究旨在探讨伊斯兰堡两所三级医院重症监护病房患者家属的期望和需求。方法:采用探索性描述性设计来解决研究问题。采用目的性抽样,通过半结构化访谈指南对14名家庭成员进行了单独访谈。采用常规的内容分析方法对数据进行分析,从而确定类别和子类别。结果:数据分析揭示了家庭成员的三个角色,包括身体护理的协助,提供治疗的促进者和决策者。与会者表示,他们对资料和保证的需要在某种程度上得到了满足;然而,他们对支持和安慰的需求却没有。虽然私立医院有满足舒适的物理设施,但与家属的期望不符。结论:本研究表明,尽管在角色和需求上有一些相似之处,但家庭成员的期望和满意度与他们对医疗保健系统的认识以及获得服务的成本有关。家庭成员的建议是可执行的,可以提高他们在重症监护病房的体验和满意度,使他们更好地履行自己的角色。
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Family caregivers’ expectations and needs in Critical Care Units
Introduction: Patient admission into the critical care unit is usually an unpleasant and unexpected life experience for the family members, and unusual for family members to cope with stress and anxiety during their hospital stay.  Purpose: This study aimed to explore the expectations and needs of family members of the patients in critical care units at two tertiary care hospitals in Islamabad. Methodology: An exploratory descriptive design was used to address the study questions. Using purposive sampling, 14 family members were individually interviewed through a semi- structured interview guide. A conventional content analysis method was used to analyze the data through which categories and sub-categories were identified. Findings: The data analysis revealed three roles of the family members, which included assistance in physical care, facilitator in the provision of treatment and the decision maker. The participants expressed that their needs for information and assurance were being met to some extent; however, their need for support and comfort were not. Although the physical facilities for meeting the comfort were available in private hospital, it did not match the family members’ expectations. Conclusion: This study revealed that despite some similarities in the role and needs, the expectations and satisfaction of the family members is linked to their awareness of the healthcare system as well as the cost of the obtained services. The suggestions of the family members are implementable to improve their experiences and satisfaction in critical care units, which can enable them to perform their roles better. 
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