成人の集中治療室での仮想家族参加:多センターのパイロット可行性コホート研究

Sarah A Beydoun¹, Sahar Bahrami², Karen E A Burns³

¹Division of Experimental Medicine, McGill University, Montreal, QC, Canada.

Journal of critical care

|August 24, 2025

まとめ

ICUラウンドの仮想参加は実現可能で,家族の関与と満足度を高めます. このアプローチは,個人的出席の障壁を克服し,より良い家族中心のケアをサポートします. 追加試験が推奨されています.

科学分野:

クリティカルケア医療
医療サービス研究
患者と家族の関係

背景:

家族がICUのラウンドに参加することは推奨されますが,しばしば障壁によって妨げられます.
仮想参加は集中治療の意思決定に家族の関与を向上させるための解決策です
ICUのラウンドでの仮想家族の参加の実現可能性を評価することは極めて重要です.

研究の目的:

多分野ICUラウンドにおける仮想家族参加の実現可能性を評価する.
仮想参加に伴う家族の関与,満足度,精神的健康の結果を測定する.
仮想ICUラウンドでのより大きな試験の可能性を決定します.

主な方法:

ICU患者の家族を含む多センター前向きなコホート研究.
参加者は5つの成人のICUでビデオ会議を通じて毎日の多学科ラウンドに参加しました.
採用,採用率,技術的な問題,フォローアップ率で評価された可行性.検証されたスケールを用いて測定された結果.

主要な成果:

高い利用率 (85.7%) と,技術的な問題なく成功した仮想ラウンド (85.7%) が観察されました.
家族との関わり度 (FAME) は介入後,著しく増加した (p=0. 045).
高い家族満足度 (75. 8 ± 17. 2) が報告され,不安 (42. 8%) とうつ病 (23. 2%) の症状が報告されました.

結論:

ICUのラウンドでの仮想家族の参加は実現可能であり,歓迎されています.
この介入は,家族との関わりの改善と高い満足度に関連しています.
結果は,仮想ICUラウンドの有効性を確認するための多センター試験を支持します.

キーワード:

集中治療家族中心のケア ICUラウンドテレヘルス仮想家族参加

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