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Basic needs and their predictors for intubated patients in surgical intensive care units
Jin-Jen Liu1, Fan-Hao Chou, Shu-Hui Yeh
1Shu-Zen College of Medicine and Management, Luju Kaohsiung Hsien, Taiwan.
Heart & Lung : the Journal of Critical Care
|June 3, 2009
Summary
Intubated surgical intensive care unit (ICU) patients experience moderate communication challenges and unmet basic needs. Improving nurse communication and reducing physical restraints can significantly address these needs, particularly for those with lower education levels.
Area of Science:
- Medical-Surgical Nursing
- Critical Care Medicine
- Patient Communication
Background:
- Intubated patients in surgical intensive care units (ICUs) face significant challenges related to basic needs and communication.
- Understanding these challenges is crucial for improving patient care and outcomes in critical care settings.
Purpose of the Study:
- To investigate the basic needs and communication difficulties of intubated patients in surgical ICUs.
- To identify predictors of basic needs, including patient characteristics and communication challenges.
Main Methods:
- A descriptive correlational study involving 80 surgical ICU patients.
- Data collected through structured questionnaires on demographics, basic needs, and communication difficulties.
Main Results:
- Patients reported moderate communication difficulties and a high need for love and belonging (56%).
- Communication difficulties and length of stay positively correlated with basic needs.
- Predictors of basic needs included communication difficulties, physical restraints, lack of intubation history, and lower educational level, accounting for 47% of the variance.
Conclusions:
- Intubated patients in surgical ICUs experience significant basic needs and communication issues.
- Communication difficulties, physical restraint use, and educational level are key predictors of basic needs.
- Nurses should enhance communication skills and minimize physical restraints, especially for patients with lower educational attainment.
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