家庭参与心血管重症监护病房巡回:试点随机对照试验
Vanessa Debay1, Sophie Hallot1, Alexander Calderone2
1McGill Faculty of Medicine, McGill University, Montreal, Quebec, Canada.
CJC open
|September 18, 2023
概括
家庭参与重症监护室 (ICU) 巡回是可行的,并提高了患者的家庭满意度. 这项试点研究为更大规模的ICU家庭中心护理试验提供了信息.
科学领域:
- 关键护理医学 关键护理医学
- 以患者为中心的护理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 观察性研究表明,家庭参与ICU轮治疗改善了以家庭为中心的结果.
- 目前缺乏关于这一主题的随机试验证据.
- 本试点研究解决了对可行性和初步有效性数据的需求.
研究的目的:
- 评估一项随机试验的可行性,调查家庭参与ICU轮的可能性.
- 获得家庭参与对家庭满意度影响的初步估计.
- 为未来大规模有效性试验的设计提供信息.
主要方法:
- 一项试点随机试验与心血管ICU患者的家庭成员进行.
- 参与者被随机分配到直接参与轮次或通常的护理.
- 用FS-ICU调查测量家庭满意度 ICU退院后.
主要成果:
- 该研究满足了招聘,吸收和跟进的可行性指标.
- 与通常护理组 (74.7) 相比,参加轮次的家庭成员报告的满意度显著更高 (87.3).
- 干预组观察到100%的吸收率,随访率为85%.
结论:
- 家庭参与ICU轮是可行的,并且在提高家庭满意度方面表现出有效性.
- 这些发现支持开展更大规模的多中心研究,以证实这些结果.
- 这种方法有望改善集中护理机构的以家庭为中心的护理.
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