| 刘莹,徐燕,任学芳.NICU危重患者家属需求与护士对家属需求的认知差异调查[J].上海护理,2023,23(7): |
| NICU危重患者家属需求与护士对家属需求的认知差异调查 |
| The difference of Critical Care Family Needs between families and nurses in neurosurgical intensive care unit |
| 投稿时间：2022-07-19 修订日期：2023-07-10 |
| DOI： |
| 中文关键词: NICU 神经外科监护室 患者家属 需求 M-CCFNI 中文改良版危重患者家属需求量表 |
| 英文关键词:NICU Neurosurgical intensive care unit Family needs Modified critical care family needs inventory |
| 基金项目:上海周良辅发展基金会(XM00025-2020-4)；上海市护理学会科研项目(2020MS-B06);上海市护理学会2019青年人才育苗计划(2019QD033) |
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| 中文摘要: |
| 目的：调查神经外科重症监护病房（Neurosurgical Intensive CareUnit，NICU）护士对家属需求的认知与NICU危重患者家属实际需求之间的差异。方法：使用中文改良版危重患者家属需求量表(Modified critical care family needs inventory，M-CCFNI)对复旦大学附属华山医院神经外科监护室（NICU）2021年1～9月收治的危重患者家属323人以及在职护士62人进行调查分析。结果：(1)NICU危重患者家属需求平均分为（128.52±15.62）分，各条目均分为（3.43±0.44）分,呈高需求状态；护士认知的患者需求平均分为（118.05±15.46）分，各条目均分为（3.15±0.41）分，评分差异具有统计学意义（P<0.01）。(2)NICU危重患者家属需求5个维度的得分排序中NICU护士与患者家属一致认为最重要的需求是“病情保证”，但双方在“亲近患者的需求” 和“医护人员的支持”两个维度存在着明显差异（P<0.01）。(3)M-CCFNI量表共有37条需求，NICU危重患者家属认为最重要10条需求中，护士与其吻合的有7条，但家属认为极为重要的“希望每天和医生进行交流(IS)”，“医护人员能如实回答我的问题(AS)”，“每天都能得到有关患者病情的相关消息(PS)”3条需求，护士的认知远低于患者家属的需求。(4) NICU危重患者家属与护士在得分后10条的需求中，危重患者家属将自身心理、精神方面的需求列为其最不重要的需求项目；而NICU护士则低估了危重患者家属想要了解患者病情的信息以及探视的需求。结论：神经外科重症患者家属需求呈高需求状态,远高于护士的对家属需求的认知,且护士对家属需求侧重点的认识存在着偏差。 |
| 英文摘要: |
| Abstract Objective：To investigate the difference between the true family needs of neurosurgical intensive care patientsand the nurses’ understanding of thefamily needs.Methods:Using the Modified Critical Care Family Needs Inventory(M-CCFNI), A total of 323 family members of critically ill patients admitted in Neurosurgical Care Unit (NICU)of Huashan Hospital affiliated to Fudan University from January to September 2021 and 62 nurses inthe NICU were investigated and analyzed.Results:(1)The needs of critically ill NICU patients' family members were high, with 128.52±15.62points in total and3.43±0.44points of each need type on average, which were statistically different (P < 0.05) from thenurses’ survey results(118.05±15.46 points in total and 3.15±0.41points of each need type).(2)By sorting the five need types,it was found that the top need type was "need for assurance ", for both families and nurses. However, there was quite a big disagreementon the "need for proximity and accessibility" (P < 0.01). (3)There were 37 needs items in the M-CCFNI scale. Among the top 10 items considered by the families, 7itemswerealso in the nurses’ top 10 list, while the other 3items were statistically different , including "hope to communicate with doctors every day", and "medical staff can answer my questions truthfully".(4) Among the last 10 needs of critically ill patients and nurses, the critically ill patients' families listed their psychological and spiritual needs as their least important needs; Nicu nurses underestimated the needs of critically ill patients' families to learn about their condition and visits.Conclusion:Family needs of the neurosurgical critically ill patients’ family members were in a high level, which was far higher than that of nurses’ thought.And there was a deviation in nurses' understanding of the emphasis of family needs. |
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