Determining the potential need for a bereavement follow-up program: how well are family and health care workers' needs currently being met?

J Kojlak, S P Keenan, D Plotkin, N Giles-Fysh, W J Sibbald
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Abstract

The purpose of the study was to determine the need for a bereavement follow-up program for either the families of patients dying in a critical care unit or the health care workers who care for these patients. Two questionnaires, the first a telephone administered questionnaire to all consenting family members of patients dying in the critical care unit, and the second a self-administered questionnaire administered to all health care workers in the critical care unit, were developed and piloted for content validity and clarity. The data was analyzed using descriptive statistics. Family members of 42 patients who died in the critical care unit were interviewed (54% response rate). During the critical care unit stay most family members obtained support from family and friends. While 70% listed health care workers as a source of support, 50% were satisfied with the support from staff. After a family member had died, 40% of those interviewed did not identify a specific source for support and 48% were interested in obtaining information on community resources available for aid in the bereavement process. The results from 117 (79% response rate) health care workers revealed that 30% were either uncomfortable or only somewhat comfortable with the dying process and the support available for them to deal with the death of their patients. The authors identified a need for bereavement follow-up programs for both the families of patients who die in the critical care unit and for the health care workers who care for these patients.

确定丧亲随访计划的潜在需求:目前家庭和卫生保健工作者的需求得到满足的程度如何?
本研究的目的是确定在重症监护病房死亡患者的家属或照顾这些患者的卫生保健工作者是否需要丧亲随访计划。为确保内容的有效性和清晰度,研究人员编制并试点了两份问卷,第一份是对重症监护病房中死亡患者的所有同意的家属进行电话管理的问卷,第二份是对重症监护病房的所有卫生保健工作者进行自我管理的问卷。采用描述性统计对数据进行分析。对42例在重症监护病房死亡的患者的家属进行了访谈(应答率54%)。在重症监护病房期间,大多数家庭成员得到了家人和朋友的支持。虽然70%的人将卫生保健工作者列为支持来源,但50%的人对工作人员的支持感到满意。在家庭成员去世后,40%的受访者没有确定具体的支持来源,48%的受访者有兴趣获得有关在丧亲过程中可用的社区资源的信息。117名卫生保健工作者(79%的回复率)的结果显示,30%的人对死亡过程感到不舒服,或者对他们处理病人死亡的可用支持感到不舒服。作者确定了在重症监护病房死亡的患者家属和照顾这些患者的卫生保健工作者都需要丧亲随访计划。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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