Abstract
ABSTRACTObjective:To identify the need of family members of patients hospitalized in a coronary intensive care unit and their degree of satisfaction with the care provided.Methods:An observational and cross-sectional study including family members of patients hospitalized in the coronary intensive care unit for acute coronary syndrome in Killip I or II. After the second visit of the same family member to the patient in the unit, a 43-item inventory of needs and stressors of family members was applied. Family members assessed each need for its importance and satisfaction using a four-point Likert scale. The scores in each dimension of importance and satisfaction were compared using the Wilcoxon test, considering a value of p<0.05 as significant.Results:One hundred family members were interviewed. The most important needs were related to assurance and information. Family members had satisfaction scores corresponding to be very satisfied or totally satisfied, but with lower scores when compared to the needs scores (p<0.01).Conclusion:The most important needs of family members of patients hospitalized in the coronary intensive care unit were related to assurance and information. Multiprofessional interventions involving better communication of patient information to family members should be incorporated into the coronary intensive care unit.
Highlights
Members of patients hospitalized in intensive care units (ICU) frequently have negative emotional reactions, such as stress, anxiety, depression, fear, guilt, anger, insecurity, anguish, acute stress disorder, and post-traumatic stress disorder
Studies indicate that the main needs of family members of patients in the ICU are those related to assurance, information, and proximity.[4,5] To reduce the occurrence of negative emotional symptoms of family members, meet their needs and increase their level of satisfaction with the care provide, a series of interventions that meet the principles of the Patient and Family Centered Care (PFCC) model may be carried out.[6]
The instrument has been applied in various types of ICU, there is a gap regarding the needs of family members of patients in the coronary ICU, because these patients are often not in critical condition, but they are admitted to this environment for surveillance and cardiovascular clinical stabilization
Summary
Members of patients hospitalized in intensive care units (ICU) frequently have negative emotional reactions, such as stress, anxiety, depression, fear, guilt, anger, insecurity, anguish, acute stress disorder, and post-traumatic stress disorder. In 1991, a construct validation study of the CCFNI was carried out with 677 family members of patients in the ICU, in which the items were grouped in five dimensions: support, comfort, information, proximity, and assurance.[9]. This instrument has undergone several types of validation and cross-cultural adaptation in different languages, and in the last 5 years it was translated and adapted into Spanish.[10]. In this sense, identifying the needs of these family members and their level of satisfaction with care delivery may support the establishment of institutional routines, especially, nursing interventions aimed at relieving the discomfort and suffering of family members
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