CCFNI评估危重症患者家属需求及护理

目的通过了解危重患者家属的需求,制定相应的护理干预措施,实施优质护理,提升护理品质。方法使用重危患者家属需求量表(CCFNI),调查2015年1月至2016年1月入住我院急诊重症监护病房48~96 h的患者家属需求情况,以此为基础制定出相应的科学的护理干预措施。结果在家属需求排名前10的条目中,有6条是有关医护人员对患者病情的保证,其次是希望每天保持和医生相互交流,医护人员能如实详尽地回答家属所提出的问题,感受到医护人员对患者的关心等。结论重症监护室的护理人员在精心护理患者的同时,还应充分兼顾患者家属的需求,积极与主管医师协调配合,结合患者疾病的特点和严重程度,向家属提供具有针对性的、一对一的健康宣教,多沟通并行有效的心理护理,提高护理质量,体现以人为本的护理理念。

急诊科危重患者家属的需求状况调查

目的了解急诊危重患者家属需求的现状。方法采用对危重患者家属需求量表(CCFNI)和家属一般情况问卷对2010年1月-2011年12月某院急诊科就诊入院的急诊危重患者家属进行问卷调查。结果急诊危重患者家属满足需求排列前五位分别为:真实准确的告知病情、知道病情进展及预后、接受治疗的情况、能随时探视以及能亲自照顾患者;满足需求排列后五位的分别为:医院候诊区的舒适性、有独处的时间、有人协助解决经济问题、有可口的食物和了解相关专业的医疗专家;家属需求最多的是"真实准确的告知病情"和"知道病情进展及预后"。结论急诊医护人员应重视评估和满足急诊危重患者家属的需求,积极主动地采取护理措施满足家属的需求,维持家属的身心健康。

Exploring the Self-Perceived Needs for Family Members Having Adult Critically Ill Loved Person: Descriptive Study

The aim of this study was to explore the self-perceived needs for adult family members having critically ill patient, measure to how extent the needs are met and identify who meet the needs. The study took place in critical care units of the largest governmental hospital in Jordan. The study adopted a descriptive cross-sectional design. The Arabic translation of Critical Care Family Need Inventory was used to investigate the needs of convenient samples of 60 adult family members having critically ill patients. Findings revealed that 16 out of 45 need items on the CCFNI were rated as very important in >90% of the sample. The participants ranked need for assurance, information and proximity as the highest;need for support and comfort as the lowest. Families in this study viewed nurses as the most important source to meet their needs. A holistic approach of nursing management requires that nurses assess family needs using valid and reliable tools and develop intervention strategies to meet the identified needs.