关键词: critical care family satisfaction intensive care unit quality care satisfaction

来  源:   DOI:10.2147/PROM.S453246   PDF(Pubmed)

Abstract:
UNASSIGNED: Healthcare provided in medical facilities should prioritize the needs of families, as it enhances the quality of care for the patients. Family satisfaction gauges how effectively healthcare professionals address the perceived needs and expectations of family members. Numerous factors, including information dissemination, communication, family dynamics, patient characteristics, hospital facilities, and the caregiving process, serve as predictors of family satisfaction. Thus, this study seeks to evaluate the satisfaction of families with the care received by patients admitted to the intensive care unit.
UNASSIGNED: A hospital-based cross-sectional study involving 400 participants was conducted across multiple centers from March to June 2023. Multicollinearity was assessed by examining variance inflation factors (VIF), while the goodness-of-fit was evaluated using the Hosmer and Lemeshow test. Both bivariable and multivariable logistic regression analyses were utilized to identify factors correlated with family satisfaction. Variables with a p-value below 0.2 in the bivariable logistic regression were included in the multivariable logistic regression analysis. Adjusted Odds Ratios (AORs) with 95% Confidence Intervals were computed to indicate the strength of association. In the multivariable analysis, variables with a p-value less than 0.05 were deemed statistically significant.
UNASSIGNED: The overall family satisfaction with the care provided in the intensive care unit was 58.6%, with a 95% confidence interval ranging from 55.882% to 61.241%. Families expressed higher satisfaction levels with patient care (64.8%) and professional care (67.4%). However, they reported lower satisfaction levels regarding care provided for families (52.2%), the ICU environment (56.8%), and involvement of families in decision-making (55.8%). Lack of formal education (AOR: 1.949, 95% CI: 1.005, 4.169), completion of primary education (AOR: 2.581, 95% CI: 1.327, 5.021), and completion of grades 9-12 (AOR: 2.644, 95% CI: 1.411, 4.952) were found to be significantly associated with overall family satisfaction.
UNASSIGNED: The overall level of satisfaction is satisfactory. To enhance service quality and family satisfaction, healthcare providers should prioritize effective and regular communication with family members. Keeping them well informed about the patient\'s condition and treatment plan is essential.
摘要:
医疗机构提供的医疗保健应优先考虑家庭的需求,因为它提高了患者的护理质量。家庭满意度衡量医疗保健专业人员如何有效地解决家庭成员的感知需求和期望。众多因素,包括信息传播,通信,家庭动态,患者特征,医院设施,和护理过程,作为家庭满意度的预测因子。因此,这项研究旨在评估入住重症监护病房的患者家属对所接受护理的满意度。
从2023年3月至6月,在多个中心进行了一项基于医院的横断面研究,涉及400名参与者。通过检查方差膨胀因子(VIF)来评估多重共线性,而拟合优度使用Hosmer和Lemeshow检验进行评估。使用双变量和多变量逻辑回归分析来确定与家庭满意度相关的因素。双变量逻辑回归中p值低于0.2的变量包括在多变量逻辑回归分析中。计算具有95%置信区间的调整后的赔率比(AOR)以指示关联强度。在多变量分析中,p值小于0.05的变量被认为具有统计学意义.
家庭对重症监护室提供的护理的总体满意度为58.6%,95%置信区间为55.882%至61.241%。家庭对患者护理(64.8%)和专业护理(67.4%)的满意度较高。然而,他们报告说,对家庭提供的护理的满意度较低(52.2%),ICU环境(56.8%),家庭参与决策(55.8%)。缺乏正规教育(AOR:1.949,95%CI:1.005,4.169),完成初等教育(AOR:2.581,95%CI:1.327,5.021),并且完成9-12级(AOR:2.644,95%CI:1.411,4.952)与家庭总体满意度显著相关.
总体满意度令人满意。为了提高服务质量和家庭满意度,医疗保健提供者应优先考虑与家庭成员进行有效和定期的沟通。让他们充分了解患者的病情和治疗计划至关重要。
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