| Objective:This study investigate medical quality satisfaction level of ICU patients' family members in Shanxi Province of China and the present situation of disease uncertainty,on the basis of the discussion on the mode of family-centered care in improving the quality of ICU patients' family members to care satisfaction and reduce the effectiveness of the application of uncertainty in illness.To analyze the feasibility and applicability of the ICU-PFCC nursing care in the family of ICU patients in China.Enhance the key role of family members as patient caregivers and social supporters,and provide research basis for actively constructing ICU-PFCC nursing culture and nursing model in line with the national conditions of our country.Method:This study belongs to the types of experimental research.The study subjects were selected the family members of 114 ICU patients in adult comprehensive ICU of a Grade3 A Hospital in shanxi province,for in February 2019 to December 2019.Because it is impossible to implement two intervention systems for ICU at the same time,select 2 ~ 6months the 57 cases of ICU patients' family members as the control group,7 ~ 11 months of 57 cases of ICU patients' family members for the intervention group.The control group received only routine health education.In addition to the conventional intervention measures in the control group,the intervention group also accepted the ICU-PFCC nursing intervention care,including family-centered visitation system,information sharing,family participation and psychological support.In this study,the general information questionnaire of ICU patients and their families,the family satisfaction scale of critically ill patients(C-CCFCC)and the Chinese version of the family satisfaction scale of severe critical patients(MUIS-FM)were used to analyze the effect of this model on improving family satisfaction of medical quality,and reducing the sense of disease uncertainty.Collect intervention group and control group respectively in patients within 48 hours of ICUadmission and out of the ICU within 72 hours after the follow-up data.SPSS23.0 software was used to analyze the data,including chi-square test,paired sample t test,two independent sample t test and pearson correlation analysis.Results:1.Two groups before intervention of ICU patients' family members generally demographic information,such as gender,age,marital status,educational background,relationship with patients,place of residence,family income and payment method,using chi-square analysis,showed no statistically significant difference(P > 0.05).Intervention in the first two group of ICU patients' general information,such as ICU hospitalization days,in the way,the patient's diagnosis,using chi-square test were analyzed,and the difference was not statistically significant(P>0.05).Intervention in the first two group of ICU patients' family members "C-CCFCC" score,by the two independent samples t-test analysis,two groups of the satisfaction level of total score and six points dimension is no statistical significance(P>0.05);Intervention in the first two group of ICU patients' family members "MUIS-FM" score,by the two independent samples t-test analysis,two groups of the disease uncertainty and the total score of 4 points dimension scores more had no statistical significance(P > 0.05).2.Comparison of the two groups after intervention "C-CCFCC" score,by the two independent samples t-test analysis,be accepted in satisfaction,support and comfort of three dimensions,two groups after intervention there was no statistically significant difference(P>0.05);But the satisfaction of the two groups after intervention and total score points dimension condition guarantee,information statistically significant difference(P<0.05).Comparison of the two groups after intervention "MUIS-FM" score,by the two independent samples t-test analysis,disease uncertainty dimension of complexity and unpredictability of 2 points difference has no statistical significance(P > 0.05),but the two groups after intervention of the disease uncertainty and the total score points within the dimension information ambiguity and lack of scoring differences statistically significant(P< 0.05).3.Comparison of the control group before and after the intervention "C-CCFCC" situation,the application of paired sample t test analysis,the control group before and after the intervention of the satisfaction score and the comparison of five points dimensions were no statistical significance(P>0.05).Comparison group "MUIS-FM" situation beforeand after the intervention,using paired sample t test analysis,the control group before and after the intervention of the disease uncertainty and the total score of 4 points dimension is no statistical significance(P > 0.05).4.Compare the difference between before and after the intervention group in the intervention of "C-CCFCC" situation,57 people before intervention,intervention group after the intervention of 52 people,paired sample t test analysis,the satisfaction degree of the intervention group accepted,support and comfort in three points dimension there was no statistically significant difference before and after intervention(P>0.05),while the intervention group in the total score before and after the intervention and scores dimensions condition guarantee,information differences statistically significant(P<0.05).Comparison before and after the intervention group in the intervention of "MUIS-FM" situation,57 People before intervention group intervention,for 52 after intervention,intervention group of disease uncertainty dimension of complexity and unpredictability of2 points difference before and after the intervention has no statistical significance(P>0.05),but the disease uncertainty and the total score of points before and after the intervention dimension information ambiguity and lack of scoring differences statistically significant(P < 0.05).5.Through to the families of ICU patients the disease uncertainty and the level of satisfaction of Pearson correlation analysis,correlation analysis results show that the disease uncertainty of ICU patients' families score before and after the intervention and intervention after satisfaction total score were significant correlation,the correlation coefficient of 0.227 and 0.643 respectively,p values were 0.018 and 0.001,shows that disease uncertainty,ICU patients' families before and after the intervention,there is a negative correlation relationship satisfaction ICU patients' families after intervention after the disease uncertainty and intervention satisfaction score there is a strong negative correlation relationship.The ICU patients' family members of the lower level of disease uncertainty,its family member satisfaction level is higher.Conclusion:1.In a certain region,Shanxi province,families of patients in the ICU satisfaction survey of medical quality is average,ICU patients' families have a high level of sense of uncertainty in illness.2.Implement family-centered nursing mode in the ICU effectively reduce diseaseuncertainty of ICU patients' family members,especially in the sense of uncertainty in illness scores,dimension information ambiguity and lack of the role of the more obvious.3.Implement family-centered nursing mode in the ICU can improve quality of ICU patients' family members to care satisfaction,especially during dimension condition to ensure satisfaction scores,and access to information.4.ICU patients family members of the disease uncertainty and the satisfaction level of quality of care,a negative correlation relationship between the family members of the diseases,the lower the level of uncertainty,the higher the satisfaction level of quality of care. |
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