以质量求发展,以服务铸品牌

护理学报 ›› 2021, Vol. 28 ›› Issue (9): 19-21.doi: 10.16460/j.issn1008-9969.2021.09.019

• 文献研究 • 上一篇    下一篇

以家庭为中心的护理对ICU患者家属满意度影响的研究进展

李洁1,2, 张斯秀3, 徐翠荣3   

  1. 1.东南大学医学院,江苏 南京 210009;
    2.南京大学医学院附属鼓楼医院,江苏 南京 210008;
    3.东南大学医学院附属中大医院 护理部,江苏 南京 210009
  • 收稿日期:2020-11-04 出版日期:2021-05-10 发布日期:2021-06-09
  • 通讯作者: 徐翠荣(1976-),女,江苏南京人,硕士,硕士研究生导师,护理部主任,护理系副主任。E-mail:xucuirong67@126.com
  • 作者简介:李洁(1990-),女,河南商丘人,本科学历,硕士研究生在读,护师。
  • 基金资助:
    江苏省重点研发计划(社会发展)项目(BE2019746)

  • Received:2020-11-04 Online:2021-05-10 Published:2021-06-09

摘要: 目的 对以家庭为中心的护理(patient and family-centered care,PFCC)对ICU患者家属满意度的影响进行综述,以期改善国内的ICU医疗护理服务质量,提高家属满意度。方法 通过对国内外文献进行梳理,对以家庭为中心的护理进行概述,从家庭参与、家庭支持、沟通支持、决策支持、人文关怀等方面对满意度的影响进行总结。结果 以家庭为中心的护理提高了家属的参与度,改善了与家属的沟通,促进了家属参与医疗决策,注重了人文关怀的落实,从而满足了家属的需求,提高了满意度。结论 目前国内针对ICU患者家属满意度的相关研究处于发展阶段,有待开展多中心、前瞻性、深层次的研究。

关键词: ICU患者, 家属, 以家庭为中心的护理, 满意度

中图分类号: 

  • R473
[1] Adams JA, Anderson RA, Docherty SL, et al.Nursing Strategies to Support Family Members of ICU Patients at High Risk of Dying[J].Heart Lung,2014,43(5):406-415.
[2] Mitchell ML, Coyer F, Kean S, et al.Patient, Family Centred Care Interventions within the Adult ICU Setting: An Integrative Review[J]. Aust Crit Care, 2016,29(4):179-193.
[3] Davidson JE, Jones C, Bienvenu OJ.Family Response to Critical Illness:Postintensive Care Syndrome-family[J]. Crit Care Med,2012,40:618-624.
[4] 田鹏,刘海杰,李正红,等.美国以患者和家庭为中心的护理模式对我国全科医学教育的启示[J].中国高等医学教育,2017(31):38-39.
[5] Davidson JE, Aslakson RA, Long AC,et al.Guidelines for Family-centered Care in the Neonatal, Pediatric, and Adult ICU[J]. Crit Care Med, 2017, 45(1):103-128.
[6] Davidson JE, Powers K, Hedayat KM, et al.Clinical Practice Guidelines for Support of the Family in the Patient-centered Intensive Care Unit :American College of Critical Care Medicine Task Force 2004-2005[J]. Crit Care Med,2007,35(2):605-622.
[7] Leske JS.Internal Psychometric Properties of the Critical Care Family Needs Inventory[J]. Heart Lung,1991,20(3):236.
[8] Nassar JAP, Besen B, Robinson Cc, et al.Flexible Versus Restrictive Visiting Policies in ICUS:A Systematic Review and Meta-analysis[J]. Crit Care Med, 2018,46(7):1175-1180.
[9] Yakubu YH, Esmaeilie M, Navab E.Nurses Beliefs and Attitudes Towards Visiting Policy in the Intensive Care Units of Ghanaian Hospitals[J]. Adv Biosci Clin Med,2018, 6(4): 25-32.
[10] Fumis RRL, Ranzani OT, Faria PP,et al.Anxiety, Depression, and Satisfaction in Close Relatives of Patients in An Open Visiting Policy Intensive Care Unit in Brazil[J]. Crit Care,2015, 30(2):440-441.
[11] 胡琴,熊文平.定时结合预约探视制度在NICU的应用[J].护理学杂志,2013,28(20):21-23.
[12] 韦琴. 早产儿发育支持护理的研究现状与展望[J].护士进修杂志,2013,27(13):1210-1212.
[13] Browne J, Talmi A.Family-based Intervention to Enhance Infant-parent Relationships in the Neonatal Intensive Care Unit[J].J Pediatr Psychol,2005,30(8):667-677.
[14] Bogue TL, Mohr L.Putting The Family Back in the Center:a Tech-back Protocol to Improve Communication during Rounds in a Pediatric Intensive Care Unit[J]. Crit Care Nurs Clin North Am,2017,29(2):233-250.
[15] 郑秀. 以家庭为中心的护理模式对 ICU 患者家属满意度、疾病不确定感的影响研究[D]. 太原:山西医科大学,2020.
[16] McLennan M, Aggar C. Family Satisfaction with Care in the Intensive Care Unit: A Regional Australian Perspective[J].Aus Crit Care,2020.DOI:10.1016/j.aucc.2020.01.003.
[17] 李明珍,邓爱辉,龚凤翔.ICU护士与患者家属沟通影响因素的质性研究[J].护理学杂志,2015,30(17):54-56.
[18] Adams A, Mannix T, Harrington A.Nurses’ Communication with Families in the Intensive Care Unit—a Literature Review[J]. Nurs Crit Care,2015,22(2):70-80.
[19] Chang CL, Park BK, Kim SS.Conversational Analysis of Medical Discourse in Rehabilitation: A Study in Korea[J].JSpinal Cord Med,2013, 36(1):24-30.
[20] Andrew O’D,April B,Toby CC,et al.The Critical Care Nurse Communicator Program an Integrated Primary Palliative Care Intervention[J]. Crit Care Nurs Clin N Am, 2020,32:265-279.
[21] Lautrette A, Darmon M, Megarbane B, et al.A Communication Strategy and Brochure for Relatives of Patients Dying in the ICU[J]. N EnglJMed,2007, 356:469-478.
[22] Kodali S, Stametz R, Clarke D, et al.Implementing Family Communication Pathway in Neurosurgical Patients in An Intensive Care Unit[J]. Palliat Support Care, 2015,13:961-967.DOI:10.1017/S1478951514000650.
[23] Arnold RM.The Critical Care Communication Project: Improving Fellows’Communication Skills[J].JCrit Care,2015,30:250-254.
[24] Rana L, Awdish DB,Maria K,et al.A Communications Bundle to Improve Satisfaction for Critically Ill Patients and Their Families: A Prospective, Cohort Pilot Study[J].J Pain Sym Manag,2017,53(3):644-649.
[25] Shelton W, Moore CD, Socaris S, et al.The Effect of a Family Support Intervention on Family Satisfaction,Length-of-stay, And Cost of Care in the Intensive Care Unit[J].Crit Care Med,2010,38(5):1315-1320.
[26] Chew KS, Ghani ZA. Attitudes and Perceptions of the General Malaysian Public Regarding Family Presence during Resuscitation[J]. Singapore Med J, 2014, 55(8):439-442. [27] Hunziker S,McHugh W,Sarnoff-Lee B,et al. Predictors and Correlates of Dissatisfaction with Intensive Care[J]. Crit Care Med,2012(40):1554-1561.
[28] McLennan M, Aggar C. Family Satisfaction with Care in the Intensive Care Unit: A Regional Australian Perspective[J].Aust Crit Care,2020,33(6):1-8.DOI:10.1016/j.aucc.2020.01.003.
[1] 叶香, 黎楷, 黄敏, 张倩, 李际敏, 刘荣珍, 孟敏, 朱少玉, 谢翠华. 对成年2型糖尿病患者基于移动APP+家属共管血糖的研究[J]. 护理学报, 2024, 31(9): 60-65.
[2] 侯敏, 钟文欢, 祁丽萍, 陈雨沛, 侯斌斌, 陈柳, 冯惠霞. 肿瘤放疗专科护理门诊的建立与实践[J]. 护理学报, 2024, 31(21): 27-31.
[3] 杨霞, 江智霞, 徐楠, 陈青青, 张芳, 曹明伟. 信息支持在家属ICU后综合征心理干预中的应用进展[J]. 护理学报, 2024, 31(14): 43-46.
[4] 谭剑, 孔雪二, 侯璇璇. 工作满意度在护士心理弹性与职业倦怠间的中介效应[J]. 护理学报, 2023, 30(8): 69-73.
[5] 毛赛璐, 曾莉. ICU患者代理决策者决策冲突的研究进展[J]. 护理学报, 2023, 30(7): 33-37.
[6] 杨启迪, 王轶, 袁翠, 王颖, 肖艳艳, 王芳. 基于理论域框架的ICU患者转入普通病房结构化交接促进和障碍因素分析[J]. 护理学报, 2023, 30(7): 75-78.
[7] 姜硕, 马靓, 苗晓. 脑出血术后患者家属家庭抗逆力现况及影响因素分析[J]. 护理学报, 2023, 30(2): 7-11.
[8] 滕莉, 徐苗苗, 肖月平, 胡欢, 张星, 罗甜, 邹桂珍, 王云, 付阿丹. 专科护士主导的综合护理门诊的建立与实践[J]. 护理学报, 2023, 30(16): 37-40.
[9] 张习习, 李漓, 梁丽婵, 廖小妹. 白血病化疗患儿主要照顾者参与用药安全行为水平及影响因素[J]. 护理学报, 2023, 30(14): 18-23.
[10] 刘冠琳, 陈健鹏, 宋开兰, 栾奕, 张迪, 王鑫源, 周婷, 孔颖. 三级联动联合家属赋能模式在7例居家安宁疗护患者突发症状中的应用[J]. 护理学报, 2023, 30(11): 13-16.
[11] 王丽萍, 王慧, 侯铭, 郭俊梅, 祖百法, 李萍. 222名颅内肿瘤患者家属决策冲突现状及影响因素分析[J]. 护理学报, 2022, 29(20): 11-16.
[12] 吴晓芬, 王丽洁, 王宁, 苏婷, 李夕然, 梁津, 王双, 张嘉怡, 黄秋娜. 老年人家属临终关怀决策的影响因素分析[J]. 护理学报, 2022, 29(18): 12-17.
[13] 亢东琴, 陆宇晗, 马晓晓, 王云. 国内外癌症患者家属居丧干预研究进展[J]. 护理学报, 2021, 28(5): 12-15.
[14] 李辉, 袁素娥, 陈佳星, 曾莉, 李云霞, 方静芝. 316名三级医院感染病科护士职业生涯现状及影响因素分析[J]. 护理学报, 2021, 28(3): 58-62.
[15] 黎敏仪, 罗艳华, 钟雪怡, 严斯静, 李佳萌, 陆妃妃. 全日制护理硕士研究生教育质量满意度现状及其影响因素分析[J]. 护理学报, 2021, 28(22): 6-11.
Viewed
Full text


Abstract

Cited

  Shared   
No Suggested Reading articles found!