Needs and experiences of intensive care patients' families: a Saudi qualitative study
Needs and experiences of intensive care patients' families: a Saudi qualitative study
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DOI：
10.1111/nicc.12040
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发表时间：
2014-05-01
影响因子：
3
通讯作者：
O'Brien, Anthony
中科院分区：
文献类型：
--
作者：
Al-Mutair, Abbas S.;Plummer, Virginia;O'Brien, Anthony
目的：为了确定沙特家庭的重症监护患者的感知需求与他们的文化和宗教背景：接纳家庭成员到重症监护室（ICU）是一个非常痛苦的，往往是意想不到的生活事件的家庭。重症患者家属的需求应该得到ICU团队的承认和满足。文学几乎是沉默的问题，认识到ICU的家庭需求的影响，他们的文化价值观和宗教信仰.Design：一个描述性的探索性qualitative study.Method：个人，半结构化访谈的目的性样本的12个家庭成员进行了2011年11月和2012年2月之间。最亲密的家庭成员被招募参加面试，平均年龄为44.25岁，在八个混合的医疗外科ICU的八个主要的创伤hospitalin Saudi Arabia.Results：家庭的需求和经验，通过六个主要主题：寻找信息，保持放心，精神治疗，保持密切的联系，参与护理和支持不被促进。结果表明，家庭成员寻求访问信息容易减少他们的焦虑。他们还需要得到保证，他们所爱的人得到了最好的照顾，并在这一关键时刻得到支持。沙特家庭有文化和精神治疗信仰和做法，包括对上帝的信仰，上帝是最终的治疗者，阅读古兰经，祈祷和慈善。这些减轻了他们的压力，并将他们与希望联系起来。此外，与生病的家庭成员保持密切联系被认为对家庭来说最重要。结论：该研究深入了解了家庭成员在重症监护室有亲戚的经历，并重点关注了一系列未满足的需求，特别是那些与文化和宗教相关的需求。ICU团队需要与家庭成员合作，以改善他们的经验。与实践的相关性：对家庭需求，经验和情况的认识可以提高重症监护团队为患者和家庭提供的护理。
Aim: To identify the perceived needs of Saudi families of patients in Intensive Care in relation to their culture and religion.Background: Admission of a family member to an intensive care unit (ICU) is a deeply distressing and often unexpected life event to the family. Families of critically ill patients have needs that should be acknowledged and met by the ICU team. Literature is virtually silent on the issue of recognizing the ICU family needs in relation to the influence of their cultural values and religious beliefs.Design: A descriptive exploratory qualitative study.Method: Individual, semi-structured interviews of a purposive sample of 12 family members were carried out between November 2011 and February 2012. The closest family members were recruited to participate in the interviews with a mean age of 44.25 years in eight mixed medical-surgical ICUs of eight major trauma hospitals in Saudi Arabia.Results: The family needs and experiences are described via six major themes: looking for information, maintaining reassurance, spiritual healing, maintaining close proximity, involvement in care and support not being facilitated. The results indicated that family members sought to access information readily to diminish their anxiety. They also needed to be reassured that the best care was being delivered to their loved one and to feel supported during this critical time. Saudi families have cultural and spiritual healing beliefs and practices including faith in God and that God is the ultimate healer, reading of the Qur'an, prayer and charity. These lessen their stress and connect them to hold on to hope. In addition, maintaining proximity to their ill family member was considered of the greatest importance to the families.Conclusion: The study provided an in-depth understanding of the family members' experience of having a relative in Intensive Care and focussed on a range of unmet needs, particularly those related to culture and religion. The ICU team need to work collaboratively with family members to improve their experience.Relevance to practice: The recognition of family needs, experiences and situations can enhance the care provided by the critical care team to patients and families.