家庭需求感知和满意度与已使用的重症监护室探视政策之间的关系

Shimmaa Mohamed, Hanem Mahmoud, Hanaa Elbana
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摘要

:背景:由于恐惧、生活被打乱、对未来的担忧以及紧张的重症监护室环境,危重病人的家属经历着情绪波动。他们渴望得到明确的信息、保证、坦诚的交流以及与亲人的近距离接触。传统、刻板的重症监护室探视往往基于过时的担忧,会妨碍护理工作,给患者造成压力,并使家属疲惫不堪。目的:探讨家属需求感知与满意度之间的关系,以及与使用过的重症监护室探视政策之间的关系。设计 :采用相关描述性研究设计。抽样:方便抽取 100 名护理人员家属。研究地点:本研究在贝尼苏伊夫大学医院重症监护室进行。工具 :使用两种数据收集工具。结果:家庭满意度总分与重症监护家庭对支持(p=0.002)、保证(p=0.001)、近距离(p=0.001)和信息(p<0.001)的需求呈强负相关。而对舒适感的需求则呈中度负值(p=0.05)。CCFNI总分与家庭满意度得分呈强负相关(p=0.002)。结论:在研究的家庭照顾者中,半数以上的家庭满意度较低。此外,近距离需求是重要性最高的需求,其次是信息需求、保证需求、支持需求,最后是舒适需求。家庭的一般特征可能起次要作用。建议探视政策可能会影响重症监护家庭的满意度。进一步研究与病人和医疗服务提供者举行跨学科家属会议的效果。
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Association Between Family Needs Perception and Satisfaction in Relation to Used ICU Visiting Policy
: Background : Families of critically ill patients experience emotional turmoil due to fear, disrupted lives, future worries, and the stressful ICU environment. They crave clear information, reassurance, open communication, and close proximity to their loved ones. Traditional, rigid ICU visitation, often based on outdated concerns, can hinder care, stress patients, and exhaust families. Purpose : To explore the association between family needs perception and satisfaction in relation to used ICU visiting policy. Design : A correlation descriptive research design was utilized. Sampling : A convenience sample of 100 caregiver family members were selected. Setting : This study was conducted at the intensive care units of Beni-Suef University Hospital. Instruments : Two instruments of data collection were used. Assessment of critically ill patients’ family needs using CCFNI, and family satisfaction questionnaire were involved Results : A strong negative correlation between total family satisfaction score and critical care family needs for support (p=0.002), assurance (p=0.001), proximality (p=0.001), and information (p<0.001). While a moderate negative was found, the need for comfort (p=0.05). The total CCFNI score had a strong negative correlation with family satisfaction score (p=0.002). Conclusion : More than half of studied family caregivers had poor family satisfaction. Also, the proximality need was the higher importance need ranked followed by information, assurance, support, and finally comfort need. General characteristics of family may play a subordinate role. Recommendations: Visiting policy may affect the level of critical care family satisfaction. A further study on the effect of using interdisciplinary family meetings with patients and health care providers.
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