在心血管重症监护病房直接观察家庭参与实践
Jillian Kifell1, Douglas Slobod2, Krystina B Lewis3,4
1Division of Experimental Medicine, McGill University, Montreal, QC, Canada.
Journal of patient experience
|March 31, 2025
概括
家庭在心血管重症监护室 (CVICU) 的存在与更好的患者结果有关. 家庭成员在场的患者在30天内再入院的可能性是三倍的.
科学领域:
- 心脏病学 心脏病学
- 关键护理医学 关键护理医学
- 以患者和家庭为中心的护理.
背景情况:
- 在医疗保健环境中,家庭参与越来越被认为是至关重要的.
- 了解家庭在心血管重症监护室 (CVICU) 的存在和参与对于改善患者护理至关重要.
- 关于家庭参与CVICU环境的观察数据有限.
研究的目的:
- 描述CVICU内部的家庭参与实践.
- 探索家庭参与与患者结果之间的关系,特别是医院再入院率.
- 为制定干预措施提供基础,以加强家庭在重症监护中的参与.
主要方法:
- 在CVICU中对104名患者进行了直接观察研究.
- 记录家庭成员在床边的存在,数量和持续时间.
- 分类家庭参与的形式:沟通,积极的存在和直接的护理贡献.
主要成果:
- 家庭成员参与了58%的观察,平均每名患者有1.3名家庭成员.
- 常见的参与形式包括沟通 (100%),积极存在 (59%) 和直接照顾 (57%).
- 与家人同在一起的患者的30天住院再接收率明显较低 (5%对16%,P=.05).
结论:
- 在CVICU设置中,家庭参与是普遍存在的,并采取各种形式.
- 家庭成员的存在与改善患者的治疗结果有关,包括减少再入院.
- 研究结果支持制定有针对性的干预措施,以优化家庭在重症监护中的参与.
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