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Vol. 43. Issue 4.
Pages 217-224 (May 2019)
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Vol. 43. Issue 4.
Pages 217-224 (May 2019)
Original
DOI: 10.1016/j.medine.2019.03.007
Analysis of the difference between importance and satisfaction of the needs of family members of critical patients
Análisis de la diferencia entre importancia y satisfacción de las necesidades de los familiares de pacientes críticos
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C. Padilla-Fortunattia, N. Rojas-Silvab,
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nprojas@uc.cl

Corresponding author.
, M.C. Arechabala-Mantulizb
a Escuela de Enfermería, Pontificia Universidad Católica de Chile, Unidad de Paciente Crítico, Hospital Clínico UC-CHRISTUS, Santiago, Chile
b Escuela de Enfermería, Pontificia Universidad Católica de Chile, Santiago, Chile
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Tables (3)
Table 1. Socio-demographic characteristics of the family members.
Table 2. Gap between the degrees of satisfaction and importance of communication needs.
Table 3. Gap between the degrees of satisfaction and importance of support needs.
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Abstract
Objective

To analyze the difference between the degree of importance and satisfaction of the needs of family members of patients in an Intensive Care Unit (ICU).

Design

A descriptive, cross-sectional analytical study was carried out.

Setting

Medical – surgical ICU of a university hospital in Chile.

Participants

Family members of critical patients with a length of stay of ≥48h, over 18 years of age, and with at least one visit to the patient.

Variables of interest

The Critical Care Family Needs Inventory questionnaire was used to determine the difference between the degree of importance and satisfaction of the needs of the family members. In addition, the needs were classified according to the categories proposed by importance – performance analysis (IPA).

Results

A total of 253 family members were recruited, observing a negative gap (satisfaction<importance) in 100% of communication needs and in 51.9% of support needs. In turn, 8.9% of the needs were priority needs according to the IPA, including assistance with financial problems, contact in case of changes in the patient condition, talk about the possibility of death, and the reception of guidance at the patient bedside.

Conclusions

A high level of importance, compared to low levels of satisfaction, determines a negative gap in most of the needs of the family of the critical patient, particularly those referred to communication. Despite this, a low proportion of the needs should be addressed on a priority basis.

Keywords:
Intensive Care Units
Family
Needs assessment
Quality of health care
Resumen
Objetivo

Analizar la diferencia entre el grado de importancia y satisfacción de las necesidades de los familiares de pacientes en una unidad de cuidados intensivos (UCI).

Diseño

Estudio descriptivo de corte transversal, analítico.

Ámbito

UCI médico-quirúrgica de un hospital universitario en Chile.

Participantes

Familiares de pacientes críticos con estancia igual o superior a 48 horas, mayores de 18 años y con al menos una visita al paciente.

Variables de interés

Se utilizó el cuestionario Critical Care Family Needs Inventory para determinar la diferencia entre el grado de importancia y satisfacción de las necesidades de los familiares. Además, se clasificaron las necesidades según las categorías propuestas por el análisis de importancia-rendimiento (AIR).

Resultados

Un total de 253 familiares fueron reclutados, observándose una diferencia negativa (satisfacción<importancia) en el 100% de las necesidades de comunicación y en un 51,9% de las de apoyo. Un 8,9% de las necesidades resultaron prioritarias según el AIR, incluyendo la ayuda con problemas financieros, el contacto en caso de cambios en la condición del paciente, hablar sobre la posibilidad de fallecimiento y orientaciones al lado de la cama del paciente.

Conclusiones

Un alto nivel de importancia, en comparación con bajos niveles de satisfacción, determina una diferencia negativa en la mayoría de las necesidades de la familia del paciente crítico, particularmente en las de comunicación. A pesar de esto, una baja proporción de las necesidades deberían ser atendidas de manera prioritaria.

Palabras clave:
Unidades de Cuidados Intensivos
Familia
Evaluación de necesidades
Calidad en salud

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