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[Family involvement in the critically ill patient basic care].

María del Carmen Rodríguez Martínez1, Felipe Rodríguez Morilla, Angeles Roncero del Pino

  • 1Escuela Universitaria de Enfermería. Sevilla. Unidad de Cuidados Intensivos. Hospital Universitario Virgen de Valme. Sevilla. Spain. jbellinchonc@hotmail.com

Enfermeria Intensiva
|September 23, 2003
PubMed
Summary

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Implementing family participation in critical care significantly reduced family anxiety levels. While patient cognitive state remained unchanged, nursing staff reported improved emotional support and family relationships.

Area of Science:

  • Critical Care Medicine
  • Nursing Research
  • Family Psychology

Background:

  • Family involvement in critical care is increasingly recognized for its potential benefits.
  • Limited research exists on the multifaceted impact of structured family participation programs on patients, caregivers, and nursing staff.

Purpose of the Study:

  • To implement and evaluate a family member participation program in the care of critically ill patients.
  • To assess the program's impact on patient cognitive state, family caregiver anxiety, and nursing staff perceptions.

Main Methods:

  • A prospective, longitudinal experimental study with a randomized control group.
  • Utilized the Mini-Mental State Examination for cognitive assessment and the STAI test for anxiety.
  • Assessed nursing staff beliefs using an attitude Likert scale.

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Main Results:

  • The experimental group showed significantly lower anxiety levels (STAI: 23.57 vs. 31.22, p < .005).
  • No significant difference in patient cognitive state (Mini-Mental: 24.61 vs. 23.43).
  • Nursing staff reported increased emotional support (p = .005), improved relationships (p = .021), and higher family satisfaction (p = .026).

Conclusions:

  • Family participation programs can significantly decrease anxiety in family caregivers of critically ill patients.
  • While patient cognitive function is not directly improved, nursing staff perceptions of care and family interaction are positively influenced.
  • The study supports the integration of family-centered care models in intensive care units.