Half the families of intensive care unit patients experience inadequate communication with physicians
Half the families of intensive care unit patients experience inadequate communication with physicians
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DOI：
10.1097/00003246-200008000-00061
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发表时间：
2000-08-01
影响因子：
8.8
通讯作者：
Schlemmer, B
中科院分区：
文献类型：
--
作者：
Azoulay, E;Chevret, S;Schlemmer, B
目的：向重症监护室（ICU）患者家属有效传达简单、明确的信息是优质护理的重要组成部分。本研究的目的是确定与家属对ICU患者状况理解不佳相关的因素。设计：前瞻性研究。设置：大学附属医疗重症监护室。患者和方法：共102例患者入住ICU>2天。干预：对76例患者的代表进行了访谈，这些患者在ICU住院期间至少有一个人进行了访问。结果：患者平均年龄为54 ± 17岁，入院时平均简化急性生理学评分II为40 ± 20。47例（62%）的代表是配偶。在代表中，25人（33%）是外国后裔，12人（16%）不会说法语。首次与医生会面的平均持续时间为10 +/- 6分钟。在34例（54%）中，代表未能理解患者的诊断、预后或治疗。与代表理解不佳相关的因素包括患者相关因素、家庭相关因素和医生相关因素。患者相关因素包括年龄
Objective: Effective communication of simple, clear information to families of intensive care unit (ICU) patients is a vital component of quality care. The purpose of this study was to identify factors associated with poor comprehension by family members of the status of ICU patients.Design: Prospective study.Setting: University-affiliated medical intensive care unit.Patients and Methods: A total of 102 patients admitted to an ICU for >2 days.Intervention: The representatives of 76 patients who were visited by at least one person during their ICU stay were interviewed.Results: Mean patient age was 54 +/- 17 yrs and mean Simplified Acute Physiology Score II at admission was 40 +/- 20. The representative was the spouse in 47 cases (62%). Among representatives, 25 (33%) were of foreign descent and 12 (16%) did not speak French. Mean duration of the first meeting with a physician was 10 +/- 6 mins. In 34 cases (54%), the representative failed to comprehend the diagnosis, prognosis, or treatment of the patient.Factors associated with poor comprehension by representatives included patient-related, family-related, and physician-related factors. Patient-related factors included age