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Opinions of families, staff, and patients about family participation in care in intensive care units.

Abstract：

PURPOSE:The aims of the study were to assess opinions of caregivers, families, and patients about involvement of families in the care of intensive care unit (ICU) patients; to evaluate the prevalence of symptoms of anxiety and depression in family members; and to measure family satisfaction with care. MATERIALS AND METHODS:Between days 3 and 5, perceptions by families and ICU staff of family involvement in care were collected prospectively at a single center. Family members completed the Hospital Anxiety and Depression Scale (HADS) and a satisfaction scale (Critical Care Family Needs Inventory). Nurses recorded care provided spontaneously by families. Characteristics of patient-relative pairs (n = 101) and ICU staff (n = 45) were collected. Patients described their perceptions of family participation in care during a telephone interview, 206 ± 147 days after hospital discharge. RESULTS:The numbers of patient-relative pairs for whom ICU staff reported favorable perceptions were 101 (100%) of 101 for physicians, 91 (90%) for nurses, and 95 (94%) for nursing assistants. Only 4 (3.9%) of 101 families refused participation in care. Only 14 (13.8%) of 101 families provided care spontaneously. The HADS score showed symptoms of anxiety in 58 (58.5%) of 99 and of depression in 26 (26.2%) of 99 family members. The satisfaction score was high (11.0 ± 1.25). Among patients, 34 (77.2%) of 44 had a favorable perception of family participation in care. CONCLUSIONS:Families and ICU staff were very supportive of family participation in care. Most patients were also favorable to care by family members.

journal_name

J Crit Care

journal_title

Journal of critical care

authors

Garrouste-Orgeas M,Willems V,Timsit JF,Diaw F,Brochon S,Vesin A,Philippart F,Tabah A,Coquet I,Bruel C,Moulard ML,Carlet J,Misset B

doi

10.1016/j.jcrc.2010.03.001

subject

Has Abstract

pub_date

2010-12-01 00:00:00

pages

634-40

issue

4

eissn

0883-9441

issn

1557-8615

pii

S0883-9441(10)00072-9

journal_volume

25

pub_type

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