The relationship between needs and anxiety level in family members of patients of neurosurgical intensive care unit
Date Issued
2012
Date
2012
Author(s)
Ho, Li-Chuan
Abstract
Abstract
Background: The intensive care unit nurses tend to ignore or undervalue the needs and feeling of the patients’ families as they usually focus on taking care of the patients in unstable condition. This further affects the relationship between nurses and patients’ families. The families of the patients at the neurosurgery intensive care unit have anxious feeling to a certain degree.
Purpose: Discuss the relationship between the needs and anxiety level of the neurosurgery intensive care unit patients’ families.
Method: Through purposive sampling method, a cross-sectional descriptive study was conducted by targeting on families of 122 neurosurgery intensive care unit patients. The content of the constructive survey includes “the patient’s basic attribute”, “the attribute of the patients’ families”, “the scale of the needs required by the families of the neurosurgery patients” and “the scale of the anxiety scenario of the patients’ families” etc..The descriptive and inferential statistical analyses were conducted to analyze the data.
Results: The needs that the neurosurgery patients’ families believe necessary but can’t be satisfied are listed from the most important to the least important: “someone can provide them with long-term care information”, “they will get a chance to talk to doctor on a daily basis”, “someone can teach them how do communicate with patients who have communication problems”, “the staffs who have specialized experience in taking care of the patients”, and “someone can concern about their health”. The overall level of the needs of the patients’ families is positively correlated with the anxiety level. The satisfaction level of the needs of the patients’ families is not significantly correlated with the anxiety level. The Barthel Index refers to the key factors of the satisfaction level of the needs of the patient’s families, the guaranteed level of satisfaction of the needs, and the supported satisfaction level of the needs. The important factors of the anxiety prediction are the guaranteed level of satisfaction of needs, approaching patient’s level of needs and the Glasgow Coma Scale, which can explain 17% of the variance.
Conclusion: The nurses should spend time in guiding the families to understand the patient’s real situation and focus on patient’s recovery in the future when facing patient with low Glasgow Coma Scale, low Barthel Index and slow recovery after surgery. This will allow the patients’ families effectively adjusting their feelings and having the ability to cope with the illness and crisis, and reduce the families’ anxiety.
Subjects
the neurosurgery intensive care unit
important level of needs
satisfaction level of needs
anxiety level.
Type
thesis
File(s)![Thumbnail Image]()
Loading...
Name
ntu-101-R94426032-1.pdf
Size
23.32 KB
Format
Adobe PDF
Checksum
(MD5):0aee32490318e1f42103e151516ddb05