The intensive care unit(ICU)is a complex setting by nature,and some have described it as bizarre due to its numerous sirens that sound when anything is dangerous,constant activity,equipment,bright lights,and high fata...The intensive care unit(ICU)is a complex setting by nature,and some have described it as bizarre due to its numerous sirens that sound when anything is dangerous,constant activity,equipment,bright lights,and high fatality rate.The demands placed on nurses to care for critically ill patients in this environment frequently prevent nurses and other health‑care professionals from acknowledging the feelings of patient’s relatives or family caregivers,resulting in a hostile environment from the patient’s relative’s perspective.When a patient’s family enters the ICU,they feel that hospital administrators do little to nothing to alleviate their discomfort and fear.Despite research demonstrating the importance of providing a homely environment for patients’families,In Nigeria ICU is still far behind how a conventional ICU environment should be structured to accommodate patient’s relations in the unit.The goal of this study was to look at the patient’s relative’s perspective on providing care for a critically ill patient in an ICU,with a focus on the unit’s complexity and overall experience.Based on the findings of this study,we recommend that hospital administrators ensure that the environment of the upcoming ICU is designed to meet the needs of patient’s relatives by addressing identified environmental concerns,like caring neglect,by providing a friendly and stress‑free environment.展开更多
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 cr...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.展开更多
This study compared needs of family members as perceived by nurses and the family members themselves. The study design was descriptive and utilized quantitative data collection and analysis method. Nurses (n = 62) wor...This study compared needs of family members as perceived by nurses and the family members themselves. The study design was descriptive and utilized quantitative data collection and analysis method. Nurses (n = 62) working in the Intensive Care Units (ICU) and High Dependency Units (HDU) of three tertiary health facilities in Malawi at the time of the study consented to participate in the study. In addition, family members (n = 62) who were looking after a critically sick relative in the ICU and HDU in the same tertiary facilities consented and participated in the study. Data were collected using a questionnaire developed from the Critical Care Family Needs Inventory for a period of 7 days. STATA version 10 was used to analyze data. The rank correlation between the mean scores of perceived needs across major need categories of support, comfort, information, proximity and assurance between the nurses and family members was significantly different from zero (r = 0.97, p = 0.005). Nurses and family members, respectively ranked assurance (90% and 92%) as the highest priority need, followed by information (78% and 85%) and comfort (78% and 84%) and then support (70% and 73%) and proximity (66% and 69%). The ranking however between the 2 groups on 16 out of 45 individual needs were significantly different (p < 0.05). Among the nurses, the rankings by registered nurses were significantly higher (p < 0.05) from those of nurse midwife technicians. There were also significant differences (p < 0.05) in the mean scores between the gender of family members with men demanding more “comfort” than females. Results show a need for facility authorities to formulate ICU policies and strategies that ensure provision of friendly services to family members of critically ill patients.展开更多
目的评价灵活家庭探视制度对ICU患者谵妄的影响,为针对性干预提供参考。方法计算机检索PubMed、Cochrane Library、Web of Science、中国生物医学文献数据库、中国知网、万方数据等有关灵活家庭探视制度对ICU患者谵妄影响效果的研究,检...目的评价灵活家庭探视制度对ICU患者谵妄的影响,为针对性干预提供参考。方法计算机检索PubMed、Cochrane Library、Web of Science、中国生物医学文献数据库、中国知网、万方数据等有关灵活家庭探视制度对ICU患者谵妄影响效果的研究,检索时限从建库至2023年1月13日,由2名研究者独立筛选文献、提取资料、评价质量后进行Meta分析。结果共纳入17篇文献,Meta分析结果显示,与常规探视制度相比,灵活家庭探视制度能有效降低患者谵妄发生率[OR=0.41,95%CI(0.31,0.55),P<0.05]。结论灵活家庭探视制度可降低ICU患者谵妄发生率。展开更多
目的探讨患儿家属人文关怀需求与照顾能力的相关性,旨在为患儿家属提高照顾能力,增加护理人文关怀需求,为优化护理服务提出干预性的对策。方法随机选取2020年1月—2021年12月泉州市某医院正在接受治疗的患儿家属201例作为研究对象,且20...目的探讨患儿家属人文关怀需求与照顾能力的相关性,旨在为患儿家属提高照顾能力,增加护理人文关怀需求,为优化护理服务提出干预性的对策。方法随机选取2020年1月—2021年12月泉州市某医院正在接受治疗的患儿家属201例作为研究对象,且201例家属均采用护理人文关怀需求调查问卷和家属照顾者照顾能力测量表(family caregiver care ability scale,CFCTI)进行问卷调查。结果201例患儿家属的护理人文关怀需求得分为(165.84±17.73)分,各维度中最高的是归属与爱的需求;CFCTI得分(16.08±1.45)分。经Pearson相关分析显示,患儿家属护理人文关怀需求得分与CFCTI得分呈显著负相关(r=-0.511,P<0.001)。结论患儿家属的照顾能力和护理人文关怀需求均处于较高水平。医护人员应该注重改善患儿家属的照顾能力,根据护理人文关怀需求,提高这类人群的生活质量。展开更多
目的调查急诊重症监护室(emergency intensive care unit,EICU)患者家属需求情况。方法选取符合入选标准(患者入住EICU>24h,其家属年满18周岁;无智力或精神问题;其在患者的照顾中起重要作用,与患者关系亲密)的家属43名,在患者入院24...目的调查急诊重症监护室(emergency intensive care unit,EICU)患者家属需求情况。方法选取符合入选标准(患者入住EICU>24h,其家属年满18周岁;无智力或精神问题;其在患者的照顾中起重要作用,与患者关系亲密)的家属43名,在患者入院24h后采用危重患者家属需求量表(critical care family needs inventory,CCFNI)进行调查。结果信息获得的需求最为重要,非常重要项占72.40%;其次是病情保证因子,非常重要项占69.80%;最被家属忽略的是自身舒适因子,非常重要项仅占32.60%;不同文化程度和年龄对信息获得因子及病情保证因子的需求不同,差异具有统计学意义(均P<0.01)。结论 EICU医护人员应关注家属需求,特别是高文化水平、50岁以下成年家属信息获得和病情保证的需求,重视告知和沟通技巧,减少医患纠纷。展开更多
文摘The intensive care unit(ICU)is a complex setting by nature,and some have described it as bizarre due to its numerous sirens that sound when anything is dangerous,constant activity,equipment,bright lights,and high fatality rate.The demands placed on nurses to care for critically ill patients in this environment frequently prevent nurses and other health‑care professionals from acknowledging the feelings of patient’s relatives or family caregivers,resulting in a hostile environment from the patient’s relative’s perspective.When a patient’s family enters the ICU,they feel that hospital administrators do little to nothing to alleviate their discomfort and fear.Despite research demonstrating the importance of providing a homely environment for patients’families,In Nigeria ICU is still far behind how a conventional ICU environment should be structured to accommodate patient’s relations in the unit.The goal of this study was to look at the patient’s relative’s perspective on providing care for a critically ill patient in an ICU,with a focus on the unit’s complexity and overall experience.Based on the findings of this study,we recommend that hospital administrators ensure that the environment of the upcoming ICU is designed to meet the needs of patient’s relatives by addressing identified environmental concerns,like caring neglect,by providing a friendly and stress‑free environment.
文摘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.
文摘This study compared needs of family members as perceived by nurses and the family members themselves. The study design was descriptive and utilized quantitative data collection and analysis method. Nurses (n = 62) working in the Intensive Care Units (ICU) and High Dependency Units (HDU) of three tertiary health facilities in Malawi at the time of the study consented to participate in the study. In addition, family members (n = 62) who were looking after a critically sick relative in the ICU and HDU in the same tertiary facilities consented and participated in the study. Data were collected using a questionnaire developed from the Critical Care Family Needs Inventory for a period of 7 days. STATA version 10 was used to analyze data. The rank correlation between the mean scores of perceived needs across major need categories of support, comfort, information, proximity and assurance between the nurses and family members was significantly different from zero (r = 0.97, p = 0.005). Nurses and family members, respectively ranked assurance (90% and 92%) as the highest priority need, followed by information (78% and 85%) and comfort (78% and 84%) and then support (70% and 73%) and proximity (66% and 69%). The ranking however between the 2 groups on 16 out of 45 individual needs were significantly different (p < 0.05). Among the nurses, the rankings by registered nurses were significantly higher (p < 0.05) from those of nurse midwife technicians. There were also significant differences (p < 0.05) in the mean scores between the gender of family members with men demanding more “comfort” than females. Results show a need for facility authorities to formulate ICU policies and strategies that ensure provision of friendly services to family members of critically ill patients.
文摘目的评价灵活家庭探视制度对ICU患者谵妄的影响,为针对性干预提供参考。方法计算机检索PubMed、Cochrane Library、Web of Science、中国生物医学文献数据库、中国知网、万方数据等有关灵活家庭探视制度对ICU患者谵妄影响效果的研究,检索时限从建库至2023年1月13日,由2名研究者独立筛选文献、提取资料、评价质量后进行Meta分析。结果共纳入17篇文献,Meta分析结果显示,与常规探视制度相比,灵活家庭探视制度能有效降低患者谵妄发生率[OR=0.41,95%CI(0.31,0.55),P<0.05]。结论灵活家庭探视制度可降低ICU患者谵妄发生率。
文摘目的探讨患儿家属人文关怀需求与照顾能力的相关性,旨在为患儿家属提高照顾能力,增加护理人文关怀需求,为优化护理服务提出干预性的对策。方法随机选取2020年1月—2021年12月泉州市某医院正在接受治疗的患儿家属201例作为研究对象,且201例家属均采用护理人文关怀需求调查问卷和家属照顾者照顾能力测量表(family caregiver care ability scale,CFCTI)进行问卷调查。结果201例患儿家属的护理人文关怀需求得分为(165.84±17.73)分,各维度中最高的是归属与爱的需求;CFCTI得分(16.08±1.45)分。经Pearson相关分析显示,患儿家属护理人文关怀需求得分与CFCTI得分呈显著负相关(r=-0.511,P<0.001)。结论患儿家属的照顾能力和护理人文关怀需求均处于较高水平。医护人员应该注重改善患儿家属的照顾能力,根据护理人文关怀需求,提高这类人群的生活质量。
文摘目的调查急诊重症监护室(emergency intensive care unit,EICU)患者家属需求情况。方法选取符合入选标准(患者入住EICU>24h,其家属年满18周岁;无智力或精神问题;其在患者的照顾中起重要作用,与患者关系亲密)的家属43名,在患者入院24h后采用危重患者家属需求量表(critical care family needs inventory,CCFNI)进行调查。结果信息获得的需求最为重要,非常重要项占72.40%;其次是病情保证因子,非常重要项占69.80%;最被家属忽略的是自身舒适因子,非常重要项仅占32.60%;不同文化程度和年龄对信息获得因子及病情保证因子的需求不同,差异具有统计学意义(均P<0.01)。结论 EICU医护人员应关注家属需求,特别是高文化水平、50岁以下成年家属信息获得和病情保证的需求,重视告知和沟通技巧,减少医患纠纷。
