Intervention in family care tends to mitigate the stress-related symptoms of intensive care unit patient family members

2020 ◽  
pp. ebnurs-2019-103250
Author(s):  
Mohammad Khan ◽  
Shamima Easmin Nishi
2007 ◽  
Vol 15 (4) ◽  
pp. 598-604 ◽  
Author(s):  
Urizzi Fabiane ◽  
Adriana Katia Corrêa

This study aims at understanding the experience concerning family members of patients in the Intensive Care Unit (ICU), with the purpose of contributing to care humanization in this context. Considering the nature of the research object, this research was carried out to understand the phenomenon Being a family that experiences the hospitalization of a family member in ICU. Phenomenology was used as a methodological reference framework. Seventeen family members of adult patients in the Intensive Care Unit (ICU) at the Santa Casa in Londrina were interviewed from September to December 2004. Through analysis of these interviews, some theme categories emerged: difficult, painful, speechless experience; experiencing and recognizing somebody's life: approaching the patient's suffering; break-up of the family's daily routine; fear of having a family member die; ICU: a fearsome scene, but necessary; concern with family care. Some issues related to the family's attendance in the ICU were discussed, contributing to the establishment of humanized care delivery to critical patients and their families' uniqueness.


SCIENTIARVM ◽  
2015 ◽  
Vol 1 (1) ◽  
pp. 37-42
Author(s):  
Ángel Mamani Ruelas ◽  
◽  
Katherine Quispe Medina ◽  
Claudia Butrón Vargas ◽  
Felipe Apaza Huamán ◽  
...  

The appreciation of care by families is of great importance in the evaluation of the quality of care in an intensive care unit (ICU). This study used the adaptation of the Family Satisfaction with Care in the Intensive Care Unit questionnaire: FS-ICU (24). Our objective was to know the degree of satisfaction of family members for the care received from the patient admitted to the Emergency Intensive Care Unit (UCIE) as well as with the decision-making process for patient care. This is a cross-sectional, observational, descriptive and prospective study for 5 months. A sample of 69 main relatives of patients admitted to the unit with more than 24 hours of stay was studied, applying the FS-ICU (24) questionnaire. The following results were obtained: In relation to the care of the patient in the ICUE, 68.12% of relatives perceived an excellent or very good concern for the patient, a very good pain management in 49.28%, very good management of dyspnea in 40%, regarding family care, 43.48% considered it very good, with good emotional support in 46.38%. 47.83% considered the coordination of care as good, as well as the concern of the staff. When assessing professional care, the nurse's skills and competencies were considered very good at 43.48%, and communication as good at 43.48%; The doctor's skills and competencies were also very good at 43.48%. Regarding the environment of the UCIE, it was considered good in 44,935, the waiting room as sufficient in 47.83%, and the amount of care as very good in 43.48%. We conclude that most family members have a high degree of satisfaction, result that is similar to international studies; it also gives us aspects to improve such as the waiting room and the privacy of the patients. keywords: Satisfaction; Care; Quality; Intensive Care Unit; Emergency; FS-ICU.


2021 ◽  
Vol 41 (3) ◽  
pp. 55-64
Author(s):  
Bahman Aghaie ◽  
Monireh Anoosheh ◽  
Mahshid Foroughan ◽  
Esa Mohammadi ◽  
Anoshirvan Kazemnejad

Background Family members of patients admitted to the intensive care unit must tolerate high levels of stress, making them emotionally and physically vulnerable. However, little is known about the kinds of stress family members may experience. Objective To explore perceived stress in the families of patients admitted to the intensive care unit. Methods This qualitative content analysis study involved 23 family members of patients admitted to intensive care units. Participants were drawn from family members of patients hospitalized in intensive care units of 3 public and 2 private hospitals. Data were collected through semistructured interviews. Results Three themes emerged from the data: “distrust,” “repeated stress exposure,” and “a whirlpool of persistent negative emotional-physical state.” The first theme had 2 categories: “fearful mindset” and “negative beliefs about professional caregivers.” The second theme also had 2 categories: “fear of the future” and “sustained accumulation of tensions.” The third theme had 3 categories: “impaired mental health,” “impaired physical health,” and “impaired family function.” Conclusions The findings of this study may help critical care nurses better understand the nature and sources of family stresses during a patient’s intensive care unit stay. Supervisory nurses should alert their staff to these issues so that family care programs can address them, thereby reducing family members’ risk of posttraumatic stress disorder and post–intensive care syndrome-family.


2019 ◽  
Vol 2 (1) ◽  
pp. 53-56
Author(s):  
Gustavo Ferrer ◽  
Chi Chan Lee ◽  
Monica Egozcue ◽  
Hector Vazquez ◽  
Melissa Elizee ◽  
...  

Background: During the process of transition of care from the intensive care setting, clarity, and understanding are vital to a patient's outcome. A successful transition of care requires collaboration between health-care providers and the patient's family. The objective of this project was to assess the quality of continuity of care with regard to family perceptions, education provided, and psychological stress during the process. Methods: A prospective study conducted in a long-term acute care (LTAC) facility. On admission, family members of individuals admitted to the LTAC were asked to fill out a 15-item questionnaire with regard to their experiences from preceding intensive care unit (ICU) hospitalization. The setting was an LTAC facility. Patients were admitted to an LTAC after ICU admission. Results: Seventy-six participants completed the questionnaire: 38% expected a complete recovery, 61% expected improvement with disabilities, and 1.3% expected no recovery. With regard to the length of stay in the LTAC, 11% expected < 1 week, 26% expected 1 to 2 weeks, 21% expected 3 to 4 weeks, and 42% were not sure. Before ICU discharge, 33% of the participants expected the transfer to the LTAC. Also, 72% did not report a satisfactory level of knowledge regarding their family's clinical condition or medical services required; 21% did not receive help from family members; and 50% reported anxiety, 20% reported depression, and 29% reported insomnia. Conclusion: Families' perception of patients' prognosis and disposition can be different from what was communicated by the physician. Families' anxiety and emotional stress may precipitate this discrepancy. The establishment of optimal projects to eliminate communication barriers and educate family members will undoubtedly improve the quality of transition of care from the ICU.


2019 ◽  
Vol 2019 (10) ◽  
Author(s):  
Karishma Seomangal ◽  
Yasir Bashir ◽  
Michael Boland ◽  
Paul Neary

Abstract We present a case of an unexpected cause of bowel ischemia in an intensive care unit patient with herpes simplex virus encephalitis who required an operation. A 79-year-old lady was being worked up and treated for encephalitis with antibiotics and an antiviral. On Day 13, she developed abdominal pain, and an ultrasound showed cholelithiasis but no cholecystitis; thus conservative treatment was advocated. By Day 18, pain localized to the right iliac fossa, and she had an emergency laparotomy that showed bowel ischemia and perforation of the caecum with the cause being a terminal ileal adhesional band. An extended right hemicolectomy and ileostomy was performed. Patients with significant comorbidities who are intensive care unit-dependent may still have unexpected clinical challenges. We advocate an increased clinical vigilance in this cohort for unexpected life-threatening presentations such as bowel ischemia and more specifically the cause of the bowel ischemia.


2015 ◽  
Vol 29 (4) ◽  
pp. 1044-1050 ◽  
Author(s):  
Adam S. Evans ◽  
Leila Hosseinian ◽  
Tricia Mohabir ◽  
Samuel Kurtis ◽  
Jeffrey I. Mechanick

Sign in / Sign up

Export Citation Format

Share Document