چاپ صفحه |  صفحه نخست سامانه |  نویسندگان |  اطلاعات تفضیلی |  دانلود مقاله | دانشگاه علوم پزشکی تبریز |
| نویسنده | نفر چندم مقاله |
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| فریبا حیدری | اول |
| عنوان | متن |
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| خلاصه مقاله | Introduction: Admission to the intensive care unit (ICU) is a stressful experience both for the patients and their relatives. The estimations showed that half of ICU survivors suffer from long-term post-intensive care syndrome (PICS), which includes impairments of physical, cognitive, or mental nature. Moreover, a considerable proportion of their relatives, face PICS-Family (PICS-F) symptoms such as anxiety, depression, and posttraumatic stress disorder (PTSD) and poor quality of life, after the patient's ICU stay which may last for years. The involvement of families in essential care activities has been suggested to decrease PICS and PICS-Family. The family participation is not only passively presence of the family members but advancement to actively contribution to care. The inclusion of this approach into the patient are was more recognized and implemented in neonates and children. However, adults and older adults also may benefit. A previous systematic review was published about the family participation in elders admitted to ICU. The aim of this study was to review the current status this intervention in adults. Methods: To obtain the studies based on the objectives of this review the Medline, Embase, and Google Scholar were searched without having time limitation. Only English language studies were included. No criteria to assess the quality of the studies were used. Results: The number of studies about this intervention was augmented currently. The literature review ended in 68 relevant studies which 18 of them were of qualitative design, 36 were quantitative, and 14 were of both designs. The majority of studies were from developed countries and focused mainly on the relatives’ and patients’ satisfaction, and perceptions and the preferences stakeholders. The largest study conducted in 63 ICUs 34 states of USA reported statistically significant increases in overall family satisfaction. Conclusion: The implementation of family participation in ICU activities requires the empowerment of relative and clinicians in order to minimize the faults and increase the benefit. This intervention is complex and so, analysis of its different aspects including the direct and indirect costs, harms, long-term outcomes, ethical concern seems vital. An evidence-based guideline is needed to assure delivering a standardized cost-effectives intervention. |
| کلمات کلیدی | Keywords: Family participation, Intensive Care Unit, Quality improvement, Admission |
| نام فایل | تاریخ درج فایل | اندازه فایل | دانلود |
|---|---|---|---|
| 11.pdf | 1402/12/12 | 375132 | دانلود |
| unnamed.jpg | 1402/12/12 | 276361 | دانلود |
