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:综述癌症病人疾病感知的影响因素,为今后展开干预性研究提供指导。方法:采用Arksey和O′Malley的范围综述报告框架,检索中国知网(CNKI)、中国生物医学文献数据库(CBM)、万方数据库、PubMed、Web of Science、the Cochrane Library...目的:综述癌症病人疾病感知的影响因素,为今后展开干预性研究提供指导。方法:采用Arksey和O′Malley的范围综述报告框架,检索中国知网(CNKI)、中国生物医学文献数据库(CBM)、万方数据库、PubMed、Web of Science、the Cochrane Library、EMbase、CINAHL,检索时限从建库至2023年7月25日,对纳入文献进行筛选和分析。结果:共纳入28篇文献,分析结果显示,国内外癌症病人疾病感知能力普遍较弱,癌症病人疾病感知受个人特征、疾病特征及心理社会特征的影响。结论:癌症病人受多重因素影响对自身疾病的感知能力较弱,导致其心理痛苦负荷加重、疾病依从性下降、生活质量水平降低。因此,今后医护人员应注重提升癌症病人疾病知识素养、早期识别危险因素,为其提供有效的干预措施。展开更多
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:综述癌症病人疾病感知的影响因素,为今后展开干预性研究提供指导。方法:采用Arksey和O′Malley的范围综述报告框架,检索中国知网(CNKI)、中国生物医学文献数据库(CBM)、万方数据库、PubMed、Web of Science、the Cochrane Library、EMbase、CINAHL,检索时限从建库至2023年7月25日,对纳入文献进行筛选和分析。结果:共纳入28篇文献,分析结果显示,国内外癌症病人疾病感知能力普遍较弱,癌症病人疾病感知受个人特征、疾病特征及心理社会特征的影响。结论:癌症病人受多重因素影响对自身疾病的感知能力较弱,导致其心理痛苦负荷加重、疾病依从性下降、生活质量水平降低。因此,今后医护人员应注重提升癌症病人疾病知识素养、早期识别危险因素,为其提供有效的干预措施。
