虚拟家庭参与成人重症监护室:多中心试点可行性队列研究
Sarah A Beydoun1, Sahar Bahrami2, Karen E A Burns3
1Division of Experimental Medicine, McGill University, Montreal, QC, Canada.
虚拟参与ICU可以提高家庭参与度和满意度. 这种方法克服了亲自出席的障碍,支持更好的以家庭为中心的护理. 建议进行进一步的试验.
科学领域:
- 危急护理医学
- 医疗服务研究
- 患者和家庭的参与
背景情况:
- 建议家人参与ICU巡回, 但往往受到障碍.
- 虚拟参与为改善家庭参与重症监护决策提供了解决方案.
- 评估虚拟家庭参与ICU轮的可行性至关重要.
研究的目的:
- 评估虚拟家庭参与多学科ICU轮的可行性.
- 测量与虚拟参与相关的家庭参与,满意度和心理健康结果.
- 为了确定虚拟ICU轮的更大试验的可能性.
主要方法:
- 一个多中心前性队列研究,涉及ICU患者的家庭成员.
- 参与者通过视频会议参加了五个成年人重症监护室的每日多学科会议.
- 通过招聘,采用,技术问题和后续率来评估可行性;使用验证的尺度来衡量结果.
主要成果:
- 观察到高吸收率 (85.7%) 和成功的虚拟回合 (85.7%没有技术问题).
- 在干预后,家庭参与度 (FAME) 显著增加 (p=0. 045).
- 报告的家庭满意度高 (75. 8±17. 2),出现焦虑 (42. 8%) 和抑郁 (23. 2%) 症状.
结论:
- 虚拟家庭参与ICU是可行的,
- 这种干预与家庭参与度的提高和高满意度有关.
- 结果支持多中心试验,以证实虚拟ICU的有效性.
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