Needs Status Of Critical Patients' Families In Emergency Department

Objective: To investigate the needs of family of critical patients' arrive in the emergency department and the state of needs satisfaction in the third-grade hosptials, Hunan; to explore the factors influencing needs of emergent critical ill patients' families and the extent to the needs satisfaction; to provide scientific evidence for nursing emergent critical patients' families and nursing management.Methods: The survey were designed by stratified cluster sampling. Xiangya hosPital, the first hospital of Chenzhou, the first hospital of Huaihua and Loudi central hospital, respectively from different area of hunan, were the sampling hospitals. Critical ill patients' family members from these hospitals' emergency department were recruited to paticipate in the survey. Collected data were analyzed with software SPSS 11.5 for Windows, concluding descriptive analysis, independent-samples t-test and one-way ANOVA.Results1 .There were 289 family members participated the study. A total of 289 questionnaires were sent out, and 258 valid ones were retrieved with the efficient response rate of 89.3%.2.The mean score of needs was 130.29±17.93 (83.00～173.00).The most important need of family members was the "assurance" dimention, followed by proximity, information, comfort and support. Needs scores were significant different from marital status, unmarried family members of the group was higher than the needs of the married group. There was no difference between the needs and the familiy members' gender,age, occupation, religious beliefs and other factors.3.The mean score of needs satisfaction was 96.51±16.17 (59.00～132.00) . The extent of needs satisfaction was related with families' understanding of needs importance. The extent of needs satisfaction was significant different from families' health status, poor health group to meet the needs was less.4.We aslo found other needs by open questionnare, such as good service attitude, lower medical expenture, good environment and to increase the amount of heath care resources.Conclusion1.Emergent family members of critically ill patients, the most important needs is the "assurance", "to have questions answered honestly" is on top of the list. The extent to meet the needs of families and family members on the importance of understanding the needs are basically the same.2.The level of needs satisfaction was low. That meant emergency nurses should pay more attention to families' needs and provide more care to satisfy families' needs actively in order to improve the service quality and increase the families' satisfaction to emergency nursing service.3.Comfort was considered by families more important than support. So, the findings suggest that the hospital administrators should improve the hospital environment and equip the hospital with enough manpower and material resources to form humanlity management and service.