{"title":"内科病房与ICU家庭成员需求的比较","authors":"Tatyana Lupyan, Revital Zelker, Shadi Abomokh, Adena Brickman, Sigal Shafran-Tikva, Rely Alon, Muriel Cohen, Julie Benbenishty","doi":"10.1111/jep.70239","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Rationale</h3>\n \n <p>Families of patients being mechanically ventilated in hospital ward or ICU settings, may experience significant morbidities. A comparison of the needs in these two populations is necessary to address the challenges they experience.</p>\n </section>\n \n <section>\n \n <h3> Aim</h3>\n \n <p>Explore the needs of families of ventilated patients located in the ICU compared to those whose family member is being ventilated in an internal medicine ward.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>This was a cross-sectional secondary analysis of data collected between 2013 and 2019 in ICU and internal medicine departments. Participants in both settings were aged over 18 years, gave their consent to participate in the questionnaire-based study, and were either family or legal relatives of a hospitalised patient. Inclusion criteria required a hospital length of stay of more than 2 days.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>A total of 221 family members were recruited: 89 from the ICU and 132 from internal medicine departments. The results indicated that families of a patient in an internal medicine ward required significantly more support and proximity than those with a family member in the ICU. In contrast, the ICU associated families demonstrated significantly higher needs for information than those with a family member in an internal medicine ward.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Families of ventilated patients in internal medicine wards and ICUs have unfulfilled needs that should be considered. Different clinical settings present diverse challenges, which clinicians need to know how to address. The climate and nature of the clinical ward or unit influence the family's needs.</p>\n </section>\n </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 5","pages":""},"PeriodicalIF":2.1000,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70239","citationCount":"0","resultStr":"{\"title\":\"Family Members' Needs in Internal Medicine Wards and the ICU: A Comparison\",\"authors\":\"Tatyana Lupyan, Revital Zelker, Shadi Abomokh, Adena Brickman, Sigal Shafran-Tikva, Rely Alon, Muriel Cohen, Julie Benbenishty\",\"doi\":\"10.1111/jep.70239\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Rationale</h3>\\n \\n <p>Families of patients being mechanically ventilated in hospital ward or ICU settings, may experience significant morbidities. A comparison of the needs in these two populations is necessary to address the challenges they experience.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Aim</h3>\\n \\n <p>Explore the needs of families of ventilated patients located in the ICU compared to those whose family member is being ventilated in an internal medicine ward.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>This was a cross-sectional secondary analysis of data collected between 2013 and 2019 in ICU and internal medicine departments. Participants in both settings were aged over 18 years, gave their consent to participate in the questionnaire-based study, and were either family or legal relatives of a hospitalised patient. Inclusion criteria required a hospital length of stay of more than 2 days.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>A total of 221 family members were recruited: 89 from the ICU and 132 from internal medicine departments. The results indicated that families of a patient in an internal medicine ward required significantly more support and proximity than those with a family member in the ICU. In contrast, the ICU associated families demonstrated significantly higher needs for information than those with a family member in an internal medicine ward.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>Families of ventilated patients in internal medicine wards and ICUs have unfulfilled needs that should be considered. Different clinical settings present diverse challenges, which clinicians need to know how to address. The climate and nature of the clinical ward or unit influence the family's needs.</p>\\n </section>\\n </div>\",\"PeriodicalId\":15997,\"journal\":{\"name\":\"Journal of evaluation in clinical practice\",\"volume\":\"31 5\",\"pages\":\"\"},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2025-08-19\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70239\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of evaluation in clinical practice\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/jep.70239\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of evaluation in clinical practice","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/jep.70239","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
Family Members' Needs in Internal Medicine Wards and the ICU: A Comparison
Rationale
Families of patients being mechanically ventilated in hospital ward or ICU settings, may experience significant morbidities. A comparison of the needs in these two populations is necessary to address the challenges they experience.
Aim
Explore the needs of families of ventilated patients located in the ICU compared to those whose family member is being ventilated in an internal medicine ward.
Methods
This was a cross-sectional secondary analysis of data collected between 2013 and 2019 in ICU and internal medicine departments. Participants in both settings were aged over 18 years, gave their consent to participate in the questionnaire-based study, and were either family or legal relatives of a hospitalised patient. Inclusion criteria required a hospital length of stay of more than 2 days.
Results
A total of 221 family members were recruited: 89 from the ICU and 132 from internal medicine departments. The results indicated that families of a patient in an internal medicine ward required significantly more support and proximity than those with a family member in the ICU. In contrast, the ICU associated families demonstrated significantly higher needs for information than those with a family member in an internal medicine ward.
Conclusion
Families of ventilated patients in internal medicine wards and ICUs have unfulfilled needs that should be considered. Different clinical settings present diverse challenges, which clinicians need to know how to address. The climate and nature of the clinical ward or unit influence the family's needs.
期刊介绍：
The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.
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