以患者和家庭为中心的跨学科回合和患者满意度:一项受控干预研究
Brigitte S Cypress1, Rida Gharzeddine1
1Rutgers School of Nursing, Camden, NJ, USA.
Intensive & critical care nursing
|January 31, 2026
概括
让家庭成员参与重症监护室 (ICU) 跨学科巡回,显著提高了患者对护理的满意度. 这种由护理领导的策略增强了沟通和以患者为中心的护理服务.
科学领域:
- 关键护理医学 关键护理医学
- 护理护理的质量护理的质量
- 以患者为中心的护理
背景情况:
- 在ICU中,跨学科的会议对于沟通和决策至关重要.
- 建议进行以患者和家庭为中心的跨学科回合 (PFCC-IR),但对患者满意度的证据有限.
- 之前的研究主要集中在家庭的看法,而不是直接患者对护理的满意度.
研究的目的:
- 评估家庭参与在ICU跨学科巡回期间对患者对护理服务的满意度的影响.
- 评估将家庭成员纳入日常护理协调过程的有效性.
- 提供支持将家庭纳入ICU轮的证据,以改善患者的治疗结果.
主要方法:
- 在成年ICU中使用了一种准实验性的,两组前后设计.
- 招募了150名患者,其中75人在干预组 (家庭成员) 和75人在对照组 (标准护理) 中.
- 患者对护理的满意度是在干预前和干预后使用验证的问卷进行测量,并使用线性混合效应回归分析.
主要成果:
- 干预组的患者满意度得分显著改善 (平均差异 = -47.4,p < 0.001).
- 对照组对满意度得分的变化很小 (平均差异=0.76,p=0.20).
- 统计分析证实了显著的治疗效果,表明家庭参与对患者满意度产生了积极影响.
结论:
- 在ICU跨学科巡回期间,家庭参与与显著改善患者对护理服务的满意度直接相关.
- 这些发现与临床指南一致,该指南建议家庭出席和参与ICU轮.
- 结构化家庭参与是一种可行的,由护理主导的方法,以加强ICU中的沟通和以患者为中心的护理.
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