背景:家庭成员在ICU患者的治疗和决策中起着至关重要的作用,尽管他们可能会经历压力和不确定性,确保高质量的医疗服务。通过降噪技术提供舒适的空间可以提高家庭满意度。需要进一步的研究来支持重症监护病房(ICU)的家庭。这项研究旨在评估ICU中多发性创伤患者的家庭满意度和决策。识别改进机会,并分析影响满意度的人口和社会经济因素。
方法:这项横断面研究是在乔治国王医科大学进行的,勒克瑙,在一年的时间里。共66名患者,年龄在20至70岁之间,他们的家庭成员,以及给予书面知情同意书的人也包括在内.排除标准包括在ICU入院48小时内死亡或未同意的人。患者特征,比如年龄,性别,急性生理学和慢性健康评估(APACHE)II评分,和住院时间,也被收集了。重症监护病房(FS-ICU)家庭满意度问卷,由24个项目组成,有五个李克特回应选项,用于评估ICU护理和决策的满意度。
结果:一项66例患者的研究,其中男性78.79%,女性21.21%。大多数患者(66.67%)与家人住在一起。ICU平均住院13.03天,APACHE得分为17.39分。结果表明,家庭对ICU住院的相当一部分非常满意。总体满意度得分为57.00分。家庭对ICU的气氛和参与决策过程的满意度较低。两种性别的满意度得分相当,除了回答问题的时间,这对女性来说明显更高。
结论:尽管家属对ICU的入住非常满意,几个领域被确定为具有改进潜力。本研究表明,住院期间的治疗和沟通质量是需要后续护理的主要因素。这突出表明,在护士和医生的培训以及他们在ICU的实践培训中,需要不断关注沟通技巧。参与决策,尤其是幸存者的家庭成员,被确定为需要改进的领域。我们建议在印度进行更多的研究,重点是家庭对参与ICU决策的满意度,考虑到独特的种族,文化,民族,以及印度的语言差异。
BACKGROUND: Family members play a crucial role in ICU patients\' treatment and decision-making, despite the stress and uncertainty they may experience, ensuring high-quality medical care. Providing comfortable spaces with noise-reducing techniques can boost family satisfaction. Further research is needed to support families in intensive care units (ICU). This study aims to evaluate family satisfaction and decision-making in polytrauma patients in the ICU, identify improvement opportunities, and analyze demographic and socioeconomic factors influencing satisfaction.
METHODS: This cross-sectional study was conducted at King George\'s Medical University, Lucknow, over a period of one year. A total of 66 patients, aged between 20 and 70, their family members, and those who gave written informed consent were included. Exclusion criteria included those who died within 48 hours of ICU admission or did not give consent. Patient characteristics, such as age, sex, Acute Physiology and Chronic Health Evaluation (APACHE) II score, and hospital stay length, were also collected. The family satisfaction in the intensive care unit (FS-ICU) questionnaire, consisting of 24 items with five Likert response options, was used to assess satisfaction levels in ICU care and decision-making.
RESULTS: A study of 66 patients which included 78.79% male and 21.21% female. The majority of the patients (66.67%) lived with their family members. The mean ICU stay was 13.03 days, with an APACHE score of 17.39. The results showed that families were very satisfied with a considerable portion of the ICU stay. The overall satisfaction score was 57.00. Families were less satisfied with the atmosphere in the ICU and involvement in the decision-making process. The satisfaction scores were comparable for both genders, except for the time taken to respond to questions, which was significantly higher for women.
CONCLUSIONS: Although families were very satisfied with the ICU stay, several areas were identified as having potential for improvement. The present study shows that the quality of treatment and communication during hospitalization is a major factor in the need for follow-up care. This underlines the need for a constant focus on communication skills in the training of nurses and doctors and in their practical training in the ICU. Participation in decision-making, especially by family members of survivors, was identified as an area for improvement. We recommend more research to be conducted in India focusing on family satisfaction with involvement in the decision-making in ICU considering the unique racial, cultural, ethnic, and linguistic differences in India.