scholarly journals Effect of Programmed Family Presence in Coronary Care Units on Patients’ and Families’ Anxiety

2020 ◽  
Vol 9 (2) ◽  
pp. 104-112
Author(s):  
Seyyedeh Halimeh Kamali ◽  
Masoomeh Imanipour ◽  
Hormat Sadat Emamzadeh Ghasemi ◽  
Zahra Razaghi
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Family Members ◽  
Control Group ◽  
Negative Consequences ◽  
Family Presence ◽  
Significant Difference ◽  
The Family ◽  
Coronary Care ◽  
Experimental Group

Introduction: Hospitalization of patients in the intensive care units always has negative consequences such as anxiety and concern for patients and their families. This study aimed to investigate the effect of programmed family presence in intensive care units on patients’ and families’ anxiety. Methods: This was a quasi-experimental study conducted in Iran. The eligible patients and a member of their families were assigned into two groups (N = 80) through convenience sampling. The family members in the experimental group were allowed to attend twice a day for 15 minutes in a planned way beside the patient and contribute to their clinical primary care. In the control group, the family members had a strict limitation to visit their patients based on the usual policy. Anxiety in both groups at the beginning and on the third day of patient’s admission was measured, using Spielberger’s questionnaire. The data were analyzed with SPSS version13. Results: The mean score of anxiety in the control group did not show significant difference in patients and in families, however it had decreased significantly in the experimental group after the intervention for both patients and families. The results showed that mean differences between the two groups was statistically significant in patients and families. Conclusion: The planned presence of the family of patients in coronary care unit (CCU) played a crucial role in reducing the anxiety of patients and their family. Furthermore, it is recommended that strategies of visiting policy in intensive care units (ICUs) should be revised and the possibility be provided for the families’ planned presence and participation in the patient care.

scholarly journals COVID-19: Lessons Learned About Communication Between Family Members and Healthcare Professionals—A Qualitative Study on How Close Family Members of Patients Hospitalized in Intensive Care Unit With COVID-19 Experienced Communication and Collaboration With Healthcare Professionals

2021 ◽  
Vol 58 ◽  
pp. 004695802110600
Author(s):  
Camilla Bernild ◽  
Malene Missel ◽  
Selina Berg
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Healthcare Professionals ◽  
Qualitative Interviews ◽  
Family Members ◽  
Theoretical Concept ◽  
Lessons Learned ◽  
The Family ◽  
General Experience ◽  
Close Family

Family members to patients admitted to intensive care units in general experience a psychological crisis with elevated levels of needs in support, information, assurance, and proximity. During COVID-19, this has been made more difficult as visiting restrictions prevent proximity and cause less access to communication with healthcare professionals. This study aims to explore and understand how communication with healthcare professionals was experienced by family members to patients admitted to intensive care units with COVID-19. To gain knowledge about this, 12 qualitative interviews with family members of patients hospitalized with COVID-19 were conducted. Adopting Reflexive Methodology, the interpretation is carried out following 4 levels, where the empirically grounded themes are analyzed and discussed using Habermas’s theoretical concept of communication. The analysis brought forward 2 interconnected themes about how family members experienced the communication with the healthcare professionals during their loved one’s hospitalization with COVID-19: The Structure and Form of the Communication and The Contents of the Communication. The study concludes that the family members experienced large variation in the ways that healthcare professionals communicated with them. This variation in communication goes for the when, how, what, and who—all adding to the level of uncertainty. The analyses show that the family members need more fixed patterns for the communication, more continuity in terms of who they speak to, and that they wish that the communication be conducted in a way that is true, right, and truthful.

scholarly journals Virtual Reality Hypnosis for Anxiety and Pain Management in Intensive Care Units. A Prospective Randomized Trial Among Cardiac Surgery Patients.

2020 ◽  
Author(s):  
Floriane Marie Rousseaux ◽  
Nadia Dardenne ◽  
Paul B Massion ◽  
Didier Ledoux ◽  
Marie-Elisabeth Faymonville ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Cardiac Surgery ◽  
Intensive Care ◽  
Intensive Care Units ◽  
University Hospital ◽  
Control Group ◽  
Controlled Clinical Trial ◽  
Significant Difference ◽  
Before And After ◽  
French Speaking

Abstract Background: Although non-pharmacological tools are nowadays commonly used in medical settings, virtual reality and hypnosis are little studied in complex contexts such as intensive care, where patients need significant physical and psychological assistance. The aim of the project is to evaluate the benefits of hypnosis, virtual reality (VR) and the combination of hypnosis and virtual reality (VRH) on anxiety and pain on patients before and after a cardiac surgery.Methods: This prospective randomized and controlled clinical trial was conducted in the University Hospital of Liege (Belgium). Participants are adults undergoing cardiac surgery, French speaking. Exclusion criteria are patients with psychiatric diseases, claustrophobia, acrophobia, heavy hearing impairment, visual impairment, extreme fatigue, verbal incoherence, surgery cancelled or postponed. The day before the surgery, patients were randomly assigned to four arms (control, hypnosis, VR and VRH) and had 20 minutes of one of the technique. They received the same intervention one day after surgery, in intensive care units. Anxiety, pain, fatigue, relaxation and physiological parameters were evaluated before and after each session.Results: 100 patients (66.38 ± 11.48 years; 76 men, 24 women) were included. Results showed that anxiety decreased from baseline to postoperative day in all groups. Relaxation increased in all groups in preoperative (p = .000) and postoperative period (p = 0.03). There were no significant results for pain and fatigue (p > 0.05). There was no significant difference between control group and hypnosis, VR or VRH.Conclusion: Anxiety decreased and relaxation increased in all groups, including control group. We cannot affirm that one technique is better than another is. Nevertheless, this study helps to expand the knowledge regarding application of virtual reality, hypnosis and virtual reality hypnosis in the specific contexts of cardiac surgery and intensive care units. Additional studies are required to compare and evaluate the costs-effectiveness of these techniques for critical care patients and caregivers (see Figure 1).Trial registration: ClinicalTrials.gov: NCT03820700. https://clinicaltrials.gov/ct2/show/NCT03820700. Registered on January 29 2019. Retrospectively registered.

scholarly journals The Influence of Humanistic Care on the Mental Health and Behavior of Family Members of Pediatric Patients

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Lijun Chang
Keyword(s):  
Mental Health ◽  
Pediatric Patients ◽  
Family Members ◽  
Control Group ◽  
Satisfaction Rate ◽  
Hospitalization Time ◽  
Total Satisfaction ◽  
The Family ◽  
And Behavior ◽  
Experimental Group

The purpose of this paper is to observe and analyze the impact of humanistic care on the mental health and behavior of family members of pediatric patients. The methods used are as follows. A total of 188 hospitalized children (188 cases of family members of children) admitted to the pediatrics department of this hospital (from April 2018 to April 2019) were selected. In accordance with random number table method, they were divided into the control group (using routine nursing methods) and the experimental group (using humanistic care nursing methods on the basis of the control group). There were 94 cases in each group. Statistics was used to analyze the total satisfaction rate, the incidence of nurse-patient disputes, the average hospitalization time of the patients and the anxiety scores of the family members of the children before and after nursing in the two groups. The results were as follows. The anxiety scores of the family members of the two groups of children before nursing were not statistically significant (P> 0.05). After nursing, the anxiety scores of the family members of the experimental group were significantly lower than that of the control group (P <0.05). The total satisfaction rate of the family members of the children in the experimental group was significantly higher than that in the control group (P <0.05). And the incidence of nurse-patient disputes in the experimental group was significantly lower than that in the control group (P <0.05). The average hospitalization time of the children in the experimental group was significantly shorter than that in the control group (P <0.05). The conclusion is that humanistic care has a significant effect on the mental health and behavior of the family members of pediatric patients.

scholarly journals Family perception of humane care provided by health care personnel

2018 ◽  
Vol 15 (2) ◽  
pp. 8-23
Author(s):  
Luz Marina Bautista Rodríguez ◽  
Yari Paola García Calderón ◽  
Lessly Johana Medina Chaves ◽  
Karley Ginary Cruz Hernández
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Family Members ◽  
Nursing Program ◽  
Cross Sectional ◽  
A Value ◽  
The Family ◽  
The University ◽  
Care Perception

Objective: To determine the perception the family has about the humane care in the Intensive Care Units of three Health Service Institutions in the city of Cucuta (Colombia). Materials and Methods: A quantitative cross-sectional descriptive study was performed with a sample of 220 family members that met the requirements of inclusion; for the recollection of the information, the instrument used was denominated Family perception about humanization in the intensive care units, designed and validated in Cucuta by students and teachers of VIII semester from the Nursing Program at the University Francisco de Paula Santander in 2016. To determine the liability the Cronbach’s Alpha was used, obtaining a value of 0.89. Results: The humane care perception by family members was moderate in 63% of the participants. The communication and information, emotional support and family participation were the highest rating categories, while coping and visits had the lowest ratings. Conclusions: The participants of the study perceive as moderate the humane care, since they relate this to the quality of the care provided, considering the evaluated categories in the research. On the other hand, the family members point out that they receive the necessary information and support to involve themselves in the care activities, allowing them for more interaction with the hospitalized familiar and the personnel.

scholarly journals The Effectiveness of the Native Training Model Designed Based on Lazarus Theory and Behavioral Planning Theory in the Consolidation of Family Functioning: A case study

2020 ◽  
Author(s):  
Jallal Iranizadeh ◽  
Hassan Zarei Mahmoodabadi ◽  
Saeed Vaziri ◽  
Seyed Alireza Afshani
Keyword(s):  
Family Functioning ◽  
Analysis Of Covariance ◽  
Planning Theory ◽  
Training Intervention ◽  
Control Group ◽  
Control Groups ◽  
Significant Difference ◽  
The Family ◽  
And Control ◽  
Experimental Group

Introduction: Recently, consolidation of family functioning is considered as one of the most important solutions for elevating and strengthening marital life. Therefore, benefiting from family strengthening approaches is so truly significant. This research aims at investigating the effectiveness of the native model based on Lazarus theory and behavioral planning theory on the consolidation of family functioning. Method: This research is a quasi-experimental study with a pretest-posttest design and control group. The population includes all the couples referring to counseling and psychotherapy centers of Yazd Province, in Iran, 2019. Purposive sampling was used to select 34 couples who have the inclusion criteria, and they were randomly assigned to experimental and control groups. The couples answered the family consolidation questionnaire designed by Movahed et al. The experimental group received 11 sessions of interventions extracted from the localized Lazarus model and behavioral planning theory. Finally, data analysis was done by SPSS version 16 and an analysis of covariance (ANCOVA). The significance level of research was considered to be α=0.05 Findings: The results showed that there is a significant difference between the estimated mean score of the family consolidation in the experimental and control groups. Also, the findings suggest that compared with the control group, the posttest scores of the performance, problem-solving, relationship, emotional involvement, emotional support, role play, behavioral control, media, and superstition have been improved in the experimental group. This significant difference results from the training intervention. However, the variable of religious beliefs has not changed significantly. Conclusion: The training intervention done by the model has developed based on Lazarus theory and behavioral planning theory which can consolidate the family functioning.

Half the family members of intensive care unit patients do not want to share in the decision-making process: A study in 78 French intensive care units*

2004 ◽  
Vol 32 (9) ◽  
pp. 1832-1838 ◽  
Author(s):  
Élie Azoulay ◽  
Frédéric Pochard ◽  
Sylvie Chevret ◽  
Christophe Adrie ◽  
Djilali Annane ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Decision Making ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Family Members ◽  
Decision Making Process ◽  
The Family

scholarly journals Family Members’ Informal Roles in End-of-Life Decision Making in Adult Intensive Care Units

2012 ◽  
Vol 21 (1) ◽  
pp. 43-51 ◽  
Author(s):  
Jill R. Quinn ◽  
Madeline Schmitt ◽  
Judith Gedney Baggs ◽  
Sally A. Norton ◽  
Mary T. Dombeck ◽  
...  
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Intensive Care ◽  
End Of Life ◽  
Intensive Care Units ◽  
Family Members ◽  
The Family ◽  
Decision Making Processes ◽  
End Of Life Decision ◽  
Life Decision

Background To support the process of effective family decision making, it is important to recognize and understand informal roles that various family members may play in the end-of-life decision-making process. Objective To describe some informal roles consistently enacted by family members involved in the process of end-of-life decision making in intensive care units. Methods Ethnographic study. Data were collected via participant observation with field notes and semistructured interviews on 4 intensive care units in an academic health center in the mid-Atlantic United States from 2001 to 2004. The units studied were a medical, a surgical, a burn and trauma, and a cardiovascular intensive care unit. Participants Health care clinicians, patients, and family members. Results Informal roles for family members consistently observed were primary caregiver, primary decision maker, family spokesperson, out-of-towner, patient’s wishes expert, protector, vulnerable member, and health care expert. The identified informal roles were part of families’ decision-making processes, and each role was part of a potentially complicated family dynamic for end-of-life decision making within the family system and between the family and health care domains. Conclusions These informal roles reflect the diverse responses to demands for family decision making in what is usually a novel and stressful situation. Identification and description of these informal roles of family members can help clinicians recognize and understand the functions of these roles in families’ decision making at the end of life and guide development of strategies to support and facilitate increased effectiveness of family discussions and decision-making processes.

scholarly journals DOES THE USE OF DEXMEDETOMIDINE AFFECT THE OUTCOMES IN PATIENTS WITH SEVERE COVID-19?

2021 ◽  
Author(s):  
Kubilay İşsever ◽  
Ahmed Cihad Genç ◽  
Deniz Çekiç ◽  
Ahmed Bilal Genc ◽  
Selcuk Yaylaci ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Patient Group ◽  
Ivig Therapy ◽  
Daily Practice ◽  
Mortality Rates ◽  
Control Group ◽  
Significant Difference ◽  
Patients With Diabetes ◽  
The Difference

Objective: Dexmedetomidine (DEX) is a highly selective α2-adrenoceptor agonist that is increasingly used in the daily practice of intensive care units (ICUs) with its sedative, analgesic, anxiolytic, and immunoprotective effects. In this study, we aimed to analyze whether Dexmedetomidine improves the outcomes in patients treated in ICU. Design: A retrospective study Place and Duration of Study: Intensive care units (ICU) of Sakarya University Training and Research Hospital, Sakarya, Turkey, from October 2020 to February 2021 Methodology: The medical records of the patients were analyzed retrospectively. We included 134 patients in the study, in 45 of whom the treatment regimen included dexmedetomidine and 89 of whom were not treated with dexmedetomidine. Patients treated with DEX were defined as the “patient group”, whereas patients not treated with DEX were defined as “control group” and the parameters were compared between these groups. Obtained data were analyzed in the biostatistical program. Results: The median age of all patients was 64 and 62.7% of them were male. No significant difference was found between the groups in terms of median ages (p>0.05). The patients with diabetes mellitus (DM), congestive heart failure (CHF), and undergoing insulin treatment were significantly less treated with DEX (p=0.04, p=0.03, and p=0.016 respectively) whereas intravenous immunoglobulin (IVIG) therapy was found to be more frequently applied to the patient group (p=0.043). The median duration between ICU admission and the time of intubation was 4 days for the control group whereas it was 1 day for the patient group and the difference was strongly significant (p=0.000, p<0.001). The other analyses concerning lab parameters, mortality rates, intubation rates and durations, applied treatments, and comorbidities revealed no significant difference between the groups. Conclusion: Our study revealed that DEX therapy can help us to gain time before intubation however can not reduce mortality rates in severe COVID-19.

scholarly journals Effect of Yoga on the Quality of Life of Nurses Working in Intensive Care Units. Randomized Controlled Clinical Trial

2019 ◽  
Vol 37 (3) ◽  
Author(s):  
Khatereh Rostami ◽  
Fariba Ghodsbin
Keyword(s):  
Quality Of Life ◽  
Clinical Trial ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Control Group ◽  
Controlled Clinical Trial ◽  
Randomized Controlled Clinical Trial ◽  
Randomized Controlled ◽  
Experimental Group

Objective. The work, herein, sought to determine the effect of yoga on the quality of life of nurses working in intensive care units (ICU). Methods. This was a randomized controlled clinical trial of a preventive intervention of three weekly sessions of yoga exercises, which included aspects of meditation, breathing control, and slow body movements. The study selected 70 nurses working in ICU and assigned them to two groups: experimental (n = 35) and control (n = 35). The World Health Organization Quality of Life brief questionnaire (WHOQoL-Bref) was used to evaluate on four moments (baseline, one, two, six months after the start of the study); this scale has 26 items with Likert-type response options ranging from 1 to 5; higher total score indicates better quality of life. Results. The baseline score of quality of life in the experimental group was 62.3, which increased to 70.7 on the first month and continued improving in the evaluations on the second month (72.8) and sixth month (74.1), with this change being statistically significant. Instead, the control group showed no differences in scores of the different moments of evaluation (baseline = 62, first month = 61.9, second month = 62.4, and sixth month = 60.4). In the four domains of the WHOQoL-Bref (physical, psychological, social relationships, and environment), it was also noted that the experimental group obtained better scores over time compared with the control group. Conclusion. The intervention of yoga exercises was effective in improving the quality of life of nurses working in ICU.Descriptors: yoga; exercise; meditation; nurses; quality of life; intensive care units; randomized controlled trial; surveys and questionnaires; encuestas y cuestionarios.How to cite this article: Rostami K, Ghodsbin F. Effect of Yoga on the Quality of Life of Nurses Working in Intensive Care Units. Randomized Controlled Clinical Trial. Invest. Educ. Enferm. 2019; 37(3):e06.

scholarly journals Effect of Family Presence on Pain and Anxiety Levels among Patients during Invasive Nursing Procedures in an Emergency Department

2020 ◽  
Author(s):  
Parvin Abdi Gheshlaghi ◽  
Ziba Barzabadi Farahani ◽  
Sima Zohari Anboohi ◽  
Malihe Nasiri ◽  
Arash Ziapour ◽  
...  
Keyword(s):  
Emergency Department ◽  
Intervention Group ◽  
Invasive Procedure ◽  
Pharmacological Intervention ◽  
Control Group ◽  
Family Presence ◽  
Presence Data ◽  
Significant Difference ◽  
The Family ◽  
The Mean

Abstract Background: It is widely accepted that pain is the most common complaint during invasive nursing procedures, which causes anxiety in patients. The purpose of this study was to determine the effect of family presence on the level of pain and anxiety of patients during invasive nursing procedures in emergency department.Methods: The present non-randomized controlled clinical trial was conducted on 70 patients referred to emergency department at selected hospital affiliated to Kermanshah University of Medical Sciences, Iran, in 2018, who were selected by convenience sampling method and then randomly assigned into two groups of intervention (even days) and control (odd days). The invasive nursing procedure was performed for the intervention group in the family presence for physical and psychological support and for the control group without the family presence. Data collection tools were the Spielberger State-Trait Anxiety Inventory (STAI) and the Visual Analogue Scale (VAS). SPSS version 23 software was used to compare the mean scores of pain and anxiety using independent t-test.Results: The mean pain score after the invasive procedure had no significant difference between the intervention group (3.9±1.5) and the control group (4.7±1.9) (P=0.073). In the intervention group, the mean score of anxiety after invasive procedure was significantly lower than before the invasive procedure (P=0.028), whereas the control group showed no change (P=0.556).Conclusion: The family presence during the invasive nursing procedures reduced the anxiety of patients but had no effect on their pain. Emergency nurses can take advantage of family presence during invasive procedures as a non-pharmacological intervention to reduce patients' anxiety.

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