基于需求的教育干预对ICU患者家属焦虑、恢复力和满意度的影响：一项随机对照试验

IF 1 Q3 NURSING

Enfermeria Intensiva Pub Date : 2025-09-24 DOI:10.1016/j.enfi.2025.500569

Lale Monjezi MSN , Reza Moshfeghinia MD , Fereshteh Dehghanrad MSN

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引用次数: 0

摘要

重症监护病房（icu）患者的亲属通常会经历高度焦虑，这可能会影响他们的适应能力和对护理的满意度。本随机对照试验旨在探讨以需求为基础的教育干预在降低ICU患者家属焦虑、增强恢复力和满意度方面的有效性，旨在为改善重症监护环境中的支持和护理提供证据。方法在伊朗Namazi医院进行一项随机对照试验，纳入ICU患者家属。根据具体标准，将参与者分为干预组（n = 20）和对照组（n = 20）。干预包括个性化教育课程和七天的电话支持。采用SPSS-26软件对数据进行分析，重点关注Beck焦虑量表- ii （BAI）、Connor-Davidson弹性量表（CD-RISC）和重症监护病房（FS-ICU）的家庭满意度。结果该研究涉及40名参与者，其中1人退出病例组。基线特征显示干预组（平均年龄39.3岁）与对照组（平均年龄37.9岁）之间无显著年龄差异。然而，在干预后第7天，干预组的焦虑评分与对照组相比显著降低（p < 0.001）。虽然弹性得分没有显著差异，但干预组表现出逐渐增加的趋势。此外，干预组的满意度在第7天显著提高（p = 0.004）。结论基于需求的教育干预显著降低了ICU患者家属的焦虑，提高了他们的满意度，突出了他们的潜在益处，但心理韧性水平没有显著变化；建议进一步研究。

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Impact of need-based educational interventions on anxiety, resilience, and satisfaction among relatives of ICU patients: A randomized controlled trial

Background

Relatives of intensive care units (ICUs) patients often experience high levels of anxiety, which can impact their resilience and satisfaction with care. This randomized controlled trial investigates the effectiveness of need-based educational interventions on reducing anxiety and enhancing resilience and satisfaction among relatives of ICU patients, aiming to provide evidence for improved support and care in critical care settings.

Methods

A randomized controlled trial was conducted at Namazi Hospital, Iran, involving family members of ICU patients. Participants were assigned to intervention (n = 20) and control groups (n = 20) based on specific criteria. The intervention included personalized educational sessions and telephone support for seven days. Data analyzed with SPSS-26 software, focusing on Beck's Anxiety Inventory-II (BAI), the Connor-Davidson Resilience Scale (CD-RISC), and the Family Satisfaction in the Intensive Care Unit (FS-ICU).

Results

The study involved 40 participants, with one withdrawal from the case group. Baseline characteristics revealed no significant age differences between the intervention group (mean age 39.3 years) and control group (mean age 37.9 years). However, by day seven post-intervention, anxiety scores significantly decreased in the intervention group compared to the control group (p < 0.001). While resilience scores did not differ significantly, the intervention group showed a gradual increase. Additionally, satisfaction levels were significantly higher in the intervention group by day seven (p = 0.004).

Conclusion

Need-based educational interventions significantly reduced anxiety and increased satisfaction among ICU patients’ relatives, highlighting their potential benefits, though resilience levels showed no significant change; further research is recommended.

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来源期刊

Enfermeria Intensiva NURSING-

CiteScore

2.50

自引率

23.10%

发文量

期刊介绍： Enfermería Intensiva es el medio de comunicación por antonomasia para todos los profesionales de enfermería españoles que desarrollan su actividad profesional en las unidades de cuidados intensivos o en cualquier otro lugar donde se atiende al paciente crítico. Enfermería Intensiva publica cuatro números al año, cuyos temas son específicos para la enfermería de cuidados intensivos. Es la única publicación en español con carácter nacional y está indexada en prestigiosas bases de datos como International Nursing Index, MEDLINE, Índice de Enfermería, Cuiden, Índice Médico Español, Toxline, etc.