Research Article
BibTex RIS Cite

YOĞUN BAKIM ÜNİTESİNDE HASTASI OLAN AİLE ÜYELERİNİN GEREKSİNİMLERİ VE ETKİLİ FAKTÖRLER

Year 2024, Volume: 12 Issue: 1, 149 - 163, 19.02.2024
https://doi.org/10.33715/inonusaglik.1383256

Abstract

ÖZ
Bu araştırmada, yoğun bakım ünitesinde (YBÜ) hastası olan aile üyelerinin gereksinimlerini ve bu gereksinimleri etkileyen faktörleri belirlemek amaçlandı. Kesitsel tipteki araştırma, bir üniversite hastanesinin ikinci basamak yoğun bakım ünitelerinde tedavi ve bakım uygulanan hastaların aile üyeleri (n:260) ile gerçekleştirildi. Veriler, Ocak 2019- Ocak 2020 tarihleri arasında kişisel bilgi formu ve “Kritik Bakım Aile Gereksinim Envanteri” ile toplandı. Aile üyelerinin yaş ortalaması 38.06±12.47 yıldı ve %60.8’i kadındı. Yarısından fazlası (%56.9) hastanın birinci derece yakını olup, Konya il merkezinde ikamet ediyordu (%56.9). Aile üyelerinin gereksinim puanının yüksek olduğu (3.31±0.38), güven ve bilgi gereksinimlerinin daha fazla olduğu saptandı. En önemli gereksinimlerinin sırasıyla, hastalarına en iyi bakımın verildiğinden emin olmak, günde bir kez olsun hastalarının durumuna ilişkin bilgi verilmesi ve hastalarına ne yapıldığını tam bilmek olduğu belirlendi. Aile üyelerinin yaş, cinsiyet, medeni durum, eğitim durumu ve yaşadığı yerin, gereksinim puanını anlamlı olarak etkilediği saptandı. Kadınların, 40 yaş altındakilerin, evli olanların, ilköğretim mezunu olanların ve Konya il merkezi dışında yaşayanların gereksinim puanının anlamlı olarak daha yüksek olduğu belirlendi. Araştırma bulguları, YBÜ’nde hastası olan aile üyelerinin çoğunluğunun hastasının bakımına katılamadığını ve hastasına en iyi bakımın verildiğinden emin olma gereksinimlerinin yüksek olduğunu ortaya koydu.

References

  • Almagharbeh, W., Alhassan, M., AlMotlaq, M., Taher, R. (2019). Family needs of critically ill patients in Central Jordan: A family perspective. American Journal of Biomedical Science & Research, 1(5), 217–221. https://doi.org/10.34297/AJBSR.2019.01.000546
  • Alsharari, A. F. (2019). The needs of family members of patients admitted to the intensive care unit. Patient Preference and Adherence, 13, 465–473. https://doi.org/10.2147/PPA.S197769
  • Bandari, R., Heravi-Karimooi, M., Rejeh, N., Mirmohammadkhani, M., Vaismoradi, M., Snelgrove, S. (2015). Information and support needs of adult family members of patients in intensive care units: an Iranian perspective. Journal of Research in Nursing, 20(5), 401–422. https://doi.org/10.1177/1744987115591868
  • Büyükçoban, S., Bal, Z. M., Oner, O., Kilicaslan, N., Gökmen, N., & Ciçeklioğlu, M. (2021). Needs of family members of patients admitted to a university hospital critical care unit, Izmir Turkey: Comparison of nurse and family perceptions. PeerJ, 9. https://doi.org/10.7717/peerj.11125
  • Coelho, A. C., Lopes, C. T., Lopes, J. de L., Santos, V. B., Barros, A. L. B. L. de. (2022). Needs of family members of patients in a coronary care unit. Einstein (Sao Paulo, Brazil), 20, eAO6258. https://doi.org/10.31744/einstein_journal/2022AO6258
  • Coşkun, H., & Kol, E. (2021). Yoğun bakım ünitesinde hastası yatan aile üyelerinin gereksinimlerinin belirlenmesi. Journal of Education and Research in Nursing, 18(1), 44-51. https://doi.org/10.5152/jern.2021.77775
  • Dijkstra, B. M., Felten-Barentsz, K. M., van der Valk, M. J. M., van der Hoeven, J. G., Schoonhoven, L., & Vloet, L. C. M. (2023). Exploring patients’ and relatives’ needs and perceptions regarding family participation in essential care in the intensive care unit: A qualitative study. Intensive and Critical Care Nursing, 79. https://doi.org/10.1016/j.iccn.2023.103525
  • Erol Ö, Tekin Yanık Y, Yacan L. (2022). Yoğun bakım ünitesinde yatan hastaların ailelerinin gereksinimleri. Balkan Sağlık Bilimleri Dergisi, 1(1), 11–20.
  • Gundo, R., Feggie Bodole, F., Lengu, E., & Alfred Maluwa, A. (2014). Comparison of nurses’ and families’ perception of family needs in critical care unit at referral hospitals in Malawi. Open Journal of Nursing, 04(04), 312–320. https://doi.org/10.4236/ojn.2014.44036
  • Karahan E, Akın N, Çelik S. (2020). Yoğun bakımda yatan hastaların deneyimleri ve aile gereksinimlerinin incelenmesi. Adıyaman Üniversitesi Sağlık Bilimleri Dergisi, 6(2), 140–149.
  • Khatri Chhetri, I., & Thulung, B. (2018). Perception of nurses on needs of family members of patient admitted to critical care units of teaching hospital, Chitwan Nepal: A Cross-Sectional Institutional Based Study. Nursing Research and Practice, 1–7. https://doi.org/10.1155/2018/1369164
  • Kynoch, K., Ramis, M. A., & McArdle, A. (2021). Experiences and needs of families with a relative admitted to an adult intensive care unit: A systematic review of qualitative studies. JBI Evidence Synthesis, 19(7), 1499–1554).. https://doi.org/10.11124/JBIES-20-00136
  • Mitchell, M., Dwan, T., Takashima, M., Beard, K., Birgan, S., Wetzig, K., & Tonge, A. (2019). The needs of families of trauma intensive care patients: A mixed methods study. Intensive and Critical Care Nursing, 50, 11–20. https://doi.org/10.1016/j.iccn.2018.08.009
  • Molter NC. (1979). Needs of relatives of critically ill patients: a descriptive study. Heart Lung, 8: 332-9.
  • Öztürk, E., Cerit, B. (2021). Yoğun bakımda hastası olan aile bireylerinin gereksinimlerinin karşılanması ile memnuniyet düzeyleri arasındaki ilişki. İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi, 9(1), 55–70. https://doi.org/10.33715/inonusaglik.815585
  • Salameh, B. S. S., Basha, S. S. S., Eddy, L. L., Judeh, H. S., Toqan, D. R. (2020). Essential care needs for patients’ family members at the intensive care units in Palestine. Iranian Journal of Nursing and Midwifery Research, 25(2), 154–159. https://doi.org/10.4103/ijnmr.IJNMR_9_19
  • Terzi, B., Polat, Ş., Banu Katran, H., Kıraner, E., Kol, E. (2022). Determination of patients’ family members’ needs and related factors in the intensive care unit with visiting restrictions during the COVID-19 pandemic. Intensive and Critical Care Nursing, 73. https://doi.org/10.1016/j.iccn.2022.103295
  • Ulutaşdemir, N., Arık, M., Tuna, H. (2018). Yoğun bakim ünitesinde yatan hastaların aile üyelerinin gereksinimlerinin değerlendirilmesi International Refereed Academic Journal of Sports, 29, 100-114. https://doi.org/10.17363/sstb.2018.29.14
  • Ünver V. (2003). Yoğun bakım ünitesinde hastası olan ailelerin gereksinimlerinin saptanması. Yoğun Bakım Hemşireliği Dergisi, 7(2): 75-81.
  • World Medical Association Declaration of Helsinki Ethical Principles for Medical Research Involving Human Subjects. 64th WMA General Assembly, Fortaleza, Brazil, October 2013. https://www.wma.net/wp-content/uploads/2016/11/DoH-Oct2013-JAMA.pdf

The Needs of Family Members with Patients in the Intensive Care Unit and Effective Factors

Year 2024, Volume: 12 Issue: 1, 149 - 163, 19.02.2024
https://doi.org/10.33715/inonusaglik.1383256

Abstract

In this study, it was aimed to determine the needs of family members with patients in the intensive care unit and the factors affecting these needs. The cross-sectional study was conducted with the family members (n: 260) of patients who received treatment and care in the secondary intensive care units of a university hospital. Data were collected between January 2019- January 2020 using a personal information form and a Critical Care Family Needs Inventory. The average age of family members was 38.06±12.47 years and 60.8% of them were women. More than half (56.9%) were first-degree relatives of the patient and lived in Konya city center (56.9%). It was found that family members had higher need scores (3.31±0.38), and their needs for trust and information were higher. It was determined that the most important needs were to be sure that the best care was given to their patients, to be informed about the condition of their patients once a day, and to know exactly what was done to their patients, respectively. It was found that age, gender, marital status, educational status and place of residence of family members significantly affected the need score. It was determined that women, those under the age of 40 years, married, primary school graduates, and those living outside the city center of Konya had significantly higher need scores.The research results revealed that the majority of family members with patients in ICU were unable to participate in their patient's care and had a high need to ensure that their patient was received the best care.

References

  • Almagharbeh, W., Alhassan, M., AlMotlaq, M., Taher, R. (2019). Family needs of critically ill patients in Central Jordan: A family perspective. American Journal of Biomedical Science & Research, 1(5), 217–221. https://doi.org/10.34297/AJBSR.2019.01.000546
  • Alsharari, A. F. (2019). The needs of family members of patients admitted to the intensive care unit. Patient Preference and Adherence, 13, 465–473. https://doi.org/10.2147/PPA.S197769
  • Bandari, R., Heravi-Karimooi, M., Rejeh, N., Mirmohammadkhani, M., Vaismoradi, M., Snelgrove, S. (2015). Information and support needs of adult family members of patients in intensive care units: an Iranian perspective. Journal of Research in Nursing, 20(5), 401–422. https://doi.org/10.1177/1744987115591868
  • Büyükçoban, S., Bal, Z. M., Oner, O., Kilicaslan, N., Gökmen, N., & Ciçeklioğlu, M. (2021). Needs of family members of patients admitted to a university hospital critical care unit, Izmir Turkey: Comparison of nurse and family perceptions. PeerJ, 9. https://doi.org/10.7717/peerj.11125
  • Coelho, A. C., Lopes, C. T., Lopes, J. de L., Santos, V. B., Barros, A. L. B. L. de. (2022). Needs of family members of patients in a coronary care unit. Einstein (Sao Paulo, Brazil), 20, eAO6258. https://doi.org/10.31744/einstein_journal/2022AO6258
  • Coşkun, H., & Kol, E. (2021). Yoğun bakım ünitesinde hastası yatan aile üyelerinin gereksinimlerinin belirlenmesi. Journal of Education and Research in Nursing, 18(1), 44-51. https://doi.org/10.5152/jern.2021.77775
  • Dijkstra, B. M., Felten-Barentsz, K. M., van der Valk, M. J. M., van der Hoeven, J. G., Schoonhoven, L., & Vloet, L. C. M. (2023). Exploring patients’ and relatives’ needs and perceptions regarding family participation in essential care in the intensive care unit: A qualitative study. Intensive and Critical Care Nursing, 79. https://doi.org/10.1016/j.iccn.2023.103525
  • Erol Ö, Tekin Yanık Y, Yacan L. (2022). Yoğun bakım ünitesinde yatan hastaların ailelerinin gereksinimleri. Balkan Sağlık Bilimleri Dergisi, 1(1), 11–20.
  • Gundo, R., Feggie Bodole, F., Lengu, E., & Alfred Maluwa, A. (2014). Comparison of nurses’ and families’ perception of family needs in critical care unit at referral hospitals in Malawi. Open Journal of Nursing, 04(04), 312–320. https://doi.org/10.4236/ojn.2014.44036
  • Karahan E, Akın N, Çelik S. (2020). Yoğun bakımda yatan hastaların deneyimleri ve aile gereksinimlerinin incelenmesi. Adıyaman Üniversitesi Sağlık Bilimleri Dergisi, 6(2), 140–149.
  • Khatri Chhetri, I., & Thulung, B. (2018). Perception of nurses on needs of family members of patient admitted to critical care units of teaching hospital, Chitwan Nepal: A Cross-Sectional Institutional Based Study. Nursing Research and Practice, 1–7. https://doi.org/10.1155/2018/1369164
  • Kynoch, K., Ramis, M. A., & McArdle, A. (2021). Experiences and needs of families with a relative admitted to an adult intensive care unit: A systematic review of qualitative studies. JBI Evidence Synthesis, 19(7), 1499–1554).. https://doi.org/10.11124/JBIES-20-00136
  • Mitchell, M., Dwan, T., Takashima, M., Beard, K., Birgan, S., Wetzig, K., & Tonge, A. (2019). The needs of families of trauma intensive care patients: A mixed methods study. Intensive and Critical Care Nursing, 50, 11–20. https://doi.org/10.1016/j.iccn.2018.08.009
  • Molter NC. (1979). Needs of relatives of critically ill patients: a descriptive study. Heart Lung, 8: 332-9.
  • Öztürk, E., Cerit, B. (2021). Yoğun bakımda hastası olan aile bireylerinin gereksinimlerinin karşılanması ile memnuniyet düzeyleri arasındaki ilişki. İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi, 9(1), 55–70. https://doi.org/10.33715/inonusaglik.815585
  • Salameh, B. S. S., Basha, S. S. S., Eddy, L. L., Judeh, H. S., Toqan, D. R. (2020). Essential care needs for patients’ family members at the intensive care units in Palestine. Iranian Journal of Nursing and Midwifery Research, 25(2), 154–159. https://doi.org/10.4103/ijnmr.IJNMR_9_19
  • Terzi, B., Polat, Ş., Banu Katran, H., Kıraner, E., Kol, E. (2022). Determination of patients’ family members’ needs and related factors in the intensive care unit with visiting restrictions during the COVID-19 pandemic. Intensive and Critical Care Nursing, 73. https://doi.org/10.1016/j.iccn.2022.103295
  • Ulutaşdemir, N., Arık, M., Tuna, H. (2018). Yoğun bakim ünitesinde yatan hastaların aile üyelerinin gereksinimlerinin değerlendirilmesi International Refereed Academic Journal of Sports, 29, 100-114. https://doi.org/10.17363/sstb.2018.29.14
  • Ünver V. (2003). Yoğun bakım ünitesinde hastası olan ailelerin gereksinimlerinin saptanması. Yoğun Bakım Hemşireliği Dergisi, 7(2): 75-81.
  • World Medical Association Declaration of Helsinki Ethical Principles for Medical Research Involving Human Subjects. 64th WMA General Assembly, Fortaleza, Brazil, October 2013. https://www.wma.net/wp-content/uploads/2016/11/DoH-Oct2013-JAMA.pdf
There are 20 citations in total.

Details

Primary Language Turkish
Subjects Nursing (Other)
Journal Section Araştırma Makalesi
Authors

Maide Yeşilyurt 0000-0003-3365-7829

Serpil Yüksel 0000-0001-6881-8288

Gülay Altun Uğraş 0000-0001-6804-5035

Early Pub Date February 11, 2024
Publication Date February 19, 2024
Submission Date October 30, 2023
Acceptance Date January 3, 2024
Published in Issue Year 2024 Volume: 12 Issue: 1

Cite

APA Yeşilyurt, M., Yüksel, S., & Altun Uğraş, G. (2024). YOĞUN BAKIM ÜNİTESİNDE HASTASI OLAN AİLE ÜYELERİNİN GEREKSİNİMLERİ VE ETKİLİ FAKTÖRLER. İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi, 12(1), 149-163. https://doi.org/10.33715/inonusaglik.1383256