NÖROŞİRURJİ YOĞUN BAKIM ÜNİTESİNDE HASTA AİLESİNİN GEREKSİNİMLERİ

Öz

Nöroşirürji yoğun bakım ünitesi ani ve beklenmedik şekilde ortaya çıkan yaralanma/hastalıklar ile planlı ameliyatlar sonrası hastaların tedavi ve bakımlarının yapıldığı özellikli alanlardır. Nöroşirürji yoğun bakım ünitesine hastaların yatışları sadece hastalar için değil aileleri için de stresli ve zorlayıcı bir durumdur. Yoğun bakım ünitesinde hastası yatan ailelerin birçok gereksinimi olmakla birlikte bu gereksinimler karşılanamamaktadır. Hasta ailelerinin güven ve bilgi başta olmak üzere yakınlık, destek ve konfor gereksinimleri bulunmaktadır. Yoğun bakım ünitesinde hastası yatan ailelerin gereksinimlerinin karşılanmasında; aile merkezli bakımın benimsenmesi, açık ziyaret politikalarının oluşturulması ve yoğun bakım ünitesi ekibi ile iletişimin sağlanması ve sürdürülmesi etkili yaklaşımlardır. Yoğun bakım hemşireleri; aile üyelerini hastalarının bakımına ve hastasıyla ilgili kararlara aktif katılımını sağlayarak, hastalarının ziyaret olanaklarını planlayarak, yoğun bakım ünitesi ekibiyle sürekli iletişim yollarını açık tutarak, güven ilişkisini geliştirebilir ve ailelerin bilgi gereksinimini karşılayabilir. Bu derlemenin amacı, nöroşirürji yoğun bakım ünitesinde hastası olan ailelerin gereksinimlerini ve bunları karşılamaya yönelik yaklaşımları güncel literatür doğrultusunda aktarmaktır.

Anahtar Kelimeler

• Hasta ailesi gereksinimleri
• Hemşire
• Nöroşirürji
• Yoğun bakım ünitesi

Destekleyen Kurum

Bulunmamaktadır

Needs of the Patient's Family in the Neurosurgical Intensive Care Unit

Öz

Neurosurgical intensive care units are specialised areas where patients are treated and cared for after sudden and unexpected injuries/illnesses and planned surgeries. Hospitalisation of patients in the neurosurgical intensive care unit is a stressful and challenging situation not only for patients but also for their families. Although families whose patients are hospitalised in the intensive care unit have many needs, these needs cannot be met. Patient families have needs for closeness, support and comfort, especially trust and information. Adopting family-centred care, establishing open visit policies, and ensuring and maintaining communication with the intensive care unit team are effective approaches to meet the needs of families with patients in the intensive care unit. Intensive care nurses can improve the relationship of trust and meet the information needs of families by ensuring the active participation of family members in the care of their patients and decisions related to their patients, planning the visiting opportunities of their patients, and keeping open the ways of continuous communication with the intensive care unit team. The aim of this review is to present the needs of families with patients in the neurosurgical intensive care unit and approaches to meet these needs in line with the current literature.

Anahtar Kelimeler

• Patient family needs
• nurse
• neurosurgery
• intensive care unit

Kaynakça

1. Abdel-Aziz, A. L., Ahmed, S .E. S., Younis, G. A. E.H. (2017). Family needs of critically Ill patients admitted to the intensive care unit, comparison of nurses and family perception. American Journal of Nursing Science, 6(4), 333. doi: 10.11648/j.ajns.20170604.18
2. Adams, A., Mannix, T., Harrington, A. (2015). Nurses’ communication with families in the intensive care unit – a literature review. British Association of Critical Care Nurses, 22(2), 70-80. doi: 10.1111/nicc.12141
3. Almagharbeh, W. T., Alhassan, M. A., Motlaq, M. A., Almagarbeh, R. N. E. T. (2019). Family needs of critically ill patients in central jordan: a family perspective. American Journal of Biomedical Science & Research, 1(5), 217-221. doi: 10.34297/AJBSR.2019.01.000546
4. Al-Mutair, A. S., Plummer, V., O’Brien, A., Clerehan, R. (2013). Family needs and involvement in the intensive care unit: A literature review. Journal of Clinical Nursing, 22(13-14), 1805-1817. doi: 10.1111/jocn.12065
5. Alsharari, A. F. (2019). The needs of family members of patients admitted to the intensive care unit. Patient Preference and Adherence, 13, 465-473. doi: 10.2147/PPA.S197769
6. Bambi, S., Iozzo, P., Rasero, L., Lucchini, A. (2020). COVID-19 in critical care units: rethinking the humanization of nursing care. Dimensions of Critical Care Nursing: DCCN, 39(5), 239–241. doi: 10.1097/DCC.0000000000000438
7. Baykal, D., Koç Tütüncü, S. (2017). Yoğun bakımdaki sağlık çalışanlarının hasta yakınlarıyla olan iletişiminin araştırılması. İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi, 1, 33-47.
8. Bharadwaj, S., Umamaheswara Rao, G. S., Hegde, A., Chakrabarti, D. (2022). Survey of family satisfaction with patient care and decision making in neuro-ıntensive care unit- a prospective single center cross sectional study from an ındian ınstitute of neurosciences. Neurology India, 70(1), 135–147. doi: 10.4103/0028-3886.338671

9. Creutzfeldt, C. J., Schutz, R. E. C., Zahuranec, D. B., Lutz, B. J., Curtis, J. R., Engelberg, R. A. (2021). Family Presence for patients with severe acute brain injury and the influence of the covıd-19 pandemic. Journal of Palliative Medicine, 24(5), 743–746. doi: 10.1089/jpm.2020.0520
10. Dharmalingam, T. K., Kamaluddin, M. R., Hassan, S. K., Zaini, R. H. (2016). The needs of malaysian family members of critically ill patients treated in intensive care unit, hospital universiti sains malaysia. Malaysian Journal of Medicine and Health Sciences, 12(2).
11. Frontera, J. A., Curtis, J. R., Nelson, J. E., Campbell, M., Gabriel, M., Hays, R. M., … Weissman, D. E. (2015). Integrating palliative care into the care of neurocritically ill patients: a report from the ipal-icu (ımproving palliative care in the ıntensive care unit) project advisory board and the center to advance palliative care. Critical Care Medicine, 43(9), 1964-1977. doi: 10.1097/CCM.0000000000001131
12. Gaeeni, M., Farahani, M. A., Seyedfatemi, N., Mohammadi, N. (2015). Informational support to family members of ıntensive care unit patients: the perspectives of families and nurses. Global Journal of Health Science, 7(2), 8-19. doi: 10.5539/gjhs.v7n2p8
13. Galazzi, A., Binda, F., Gambazza, S., Cantù, F., Colombo, E., Adamini, I., … Rasero, L. (2023). The end of life of patients with covıd-19 in intensive care unit and the stress level on their family members: a cross-sectional study. Nursing in Critical Care, 28(1), 133–140. doi: 10.1111/nicc.12783
14. Greenberg, J. A., Basapur, S., Quinn, T. V., Bulger, J. L., Schwartz, N. H., Oh, S. K., … Glover, C. M. (2022). Challenges faced by families of critically ill patients during the first wave of the COVID-19 pandemic. Patient Education and Counseling, 105(2), 297–303. doi: 10.1016/j.pec.2021.08.029
15. Gündoğan, R., Neşe, A. (2022). Yoğun bakım hastası olan hasta yakınlarının hemşirelerden beklentilerinin belirlenmesi. Yoğun Bakım Hemşireliği Dergisi, 26(1), 9-17.
16. Harlan, E. A., Miller, J., Costa, D. K., Fagerlin, A., Iwashyna, T. J., Chen, E. P., … Valley, T. S. (2020). Emotional experiences and coping strategies of family members of critically Ill patients. Chest, 158(4), 1464–1472. doi: 10.1016/j.chest.2020.05.535
17. Hirshberg, E. L., Butler, J., Francis, M., Davis, F. A., Lee, D., Tavake-Pasi, F., … Hopkins, R. O. (2020). Persistence of patient and family experiences of critical illness. BMJ Open, 10(4), e035213. doi: 10.1136/bmjopen-2019-035213
18. Hwang, D. Y., Yagoda, D., Perrey, H. M., Tehan, T. M., Guanci, M., Ananian, L, … Rosand, J. (2014). Assessment of satisfaction with care among family members of survivors in a neuroscience ıntensive care unit. The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses, 46(2), 106-116. doi: 10.1097/JNN.0000000000000038
19. Imanipour, M., Kiwanuka, F., Akhavan Rad, S., Masaba, R., Alemayehu, Y. H. (2019). Family members’ experiences in adult intensive care units: A systematic review. Scandinavian Journal of Caring Sciences, 33(3), 569-581. doi: 10.1111/scs.12675
20. Jacob, M., Horton, C., Rance-Ashley, S., Field, T., Patterson, R., Johnson, C…, Frobos, C. (2016). Needs of patients' family members in an ıntensive care unit with continuous visitation. american journal of critical care : an official publication, American Association of Critical-Care Nurses, 25(2), 118–125. doi: 10.4037/ajcc2016258
21. Kamali, S. H., Imanipour, M., Emamzadeh Ghasemi, H. S., Razaghi, Z. (2020). Effect of programmed family presence in coronary care units on patients' and families' anxiety. Journal of Caring Sciences, 9(2), 104–112. doi: 10.34172/JCS.2020.016
22. Kang, J., Cho, Y. J., Choi, S. (2020). State anxiety, uncertainty in illness, and needs of family members of critically ill patients and their experiences with family-centered multidisciplinary rounds: A mixed model study. PloS One, 15(6), e0234296. doi: 10.1371/journal.pone.0234296
23. 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. doi: 10.30569.adiyamansaglik.710495
24. 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. doi: 10.1155/2018/1369164
25. Kentish-Barnes, N., Morin, L., Cohen-Solal, Z., Cariou, A., Demoule, A., Azoulay, E. (2021). The lived experience of ICU clinicians during the coronavirus disease 2019 outbreak: A qualitative study. Critical Care Medicine, 49(6), e585-e597.
26. Kennedy, N. R., Steinberg, A., Arnold, R. M., Doshi, A. A., White, D. B., DeLair, W., … Elmer, J. (2021). Perspectives on telephone and video communication in the intensive care unit during COVID-19. Annals of the American Thoracic Society, 18(5), 838–847. doi: 10.1513/AnnalsATS.202006-729OC
27. Lawson, T.N., Strohm, T.A. (2021). Neurosurgery. In B. Boling, K. Hatton, T. Hartjes (Eds.), Concepts in surgical critical care (pp. 566-603). Jones & Bartlett Learning; United States of America.
28. Marshall, J. C., Bosco, L., Adhikari, N. K., Connolly, B., Diaz, J. V., Dorman, T., Zimmerman, J. (2017). What is an intensive care unit? A report of the task force of the world federation of societies of ıntensive and critical care medicine. Journal of Critical Care, 37, 270-276. doi: 10.1016/j.jcrc.2016.07.015
29. Meneguin, S., de Souza Matos, T. D., Miot, H. A., Pollo, C. F. (2019). Association between comfort and needs of ICU patients' family members: A cross-sectional study. Journal of Clinical Nursing, 28(3-4), 538–544. doi: 10.1111/jocn.14644
30. Molter, N. C. (1979). Needs of relatives of critically ill patients: a descriptive study. Heart & Lung : The Journal of Critical Care, 8(2), 332–339.
31. Naef, R., Massarotto, P., Petry, H. (2020). Family and health professional experience with a nurse-led family support intervention in ICU: A qualitative evaluation study. Intensive & Critical Care Nursing, 61, 102916. doi: 10.1016/j.iccn.2020.102916
32. Nixon, A. V., Narayanasamy, A., Penny, V. (2013). An investigation into the spiritual needs of neuro-oncology patients from a nurse perspective. BMC Nursing, 12, 2. doi: 10.1186/1472-6955-12-2
33. O'Connor, S., Brenner, M., Coyne, I. (2019). Family-centred care of children and young people in the acute hospital setting: A concept analysis. Journal of Clinical Nursing, 28(17-18), 3353–3367. doi: 10.1111/jocn.14913.
34. Ölçüm, H. İ., Özşen, K., Diken, A. İ., Yazla, E., Karadere, M. E. (2018). Kardiyovasküler cerrahi yoğun bakım birimlerinde hasta yakınının gereksinimleri: Anksiyete ve depresyon ile ilişkisi. Yoğun Bakım Dergisi, 9(3): 63-7.
35. Ören, B. (2018). Yoğun bakımda hastası olan aile üyelerinin hemşirelerinden beklentileri ve etkileyen faktörler. Sağlık Bilimleri ve Meslekleri Dergisi, 5(2), 217-226. doi: 10.17681/hsp.401525
36. Perrin, K. (2018a). What is critical care?. In K. Perrin, C. Edgerly MacLeo (Eds.), Understanding the essentials of critical care nursing (pp. 1-15). Pearson Education.
37. Perrin, K. (2018b). Care of the critically ıll patients what is critical care?. In K. Perrin, C. Edgerly MacLeo (Eds.), Understanding the essentials of critical care nursing (pp. 23-50). Pearson Education.
38. Poi, C. H., Koh, M. Y. H., Koh, T. L.-Y., Wong, Y.-L., Mei Ong, W. Y., Gu, C., … Tan, H. L. (2022). Integrating palliative care ınto a neurosurgical intensive care unit (ns-ıcu): a quality ımprovement (qı) project. American Journal of Hospice and Palliative Medicine, 39(6), 667-677. doi: 10.1177/10499091211045616
39. Riahi, S., Goudarzi, F., Hasanvand, S., Abdollahzadeh, H., Ebrahimzadeh, F., Dadvari, Z. (2018). Assessing the effect of spiritual ıntelligence training on spiritual care competency in critical care nurses. Journal of Medicine and Life, 11(4), 346–354. doi: 10.25122/jml-2018-0056
40. Sağlık Bakanlığı. (2016). Hasta hakları yönetmeliği. https://www.mevzuat.gov.tr/mevzuat?MevzuatNo=4847&MevzuatTur=7&MevzuatTertip=5
41. Scott, P., Thomson, P., Shepherd, A. (2019). Families of patients in ICU: A scoping review of their needs and satisfaction with care. Nursing Open, 6(3), 698-712. doi: 10.1002/nop2.287
42. Selman, L. E., Chao, D., Sowden, R., Marshall, S., Chamberlain, C., Koffman, J. (2020). Bereavement support on the frontline of COVID-19: recommendations for hospital clinicians. Journal of Pain and Symptom Management, 60(2), e81–e86. doi: 10.1016/j.jpainsymman.2020.04.024
43. Shorofi, S. A., Jannati, Y., Moghaddam, H. R., Yazdani-Charati, J. (2016). Psychosocial needs of families of intensive care patients: Perceptions of nurses and families. Nigerian Medical Journal : Journal of the Nigeria Medical Association, 57(1), 10-18. doi: 10.4103/0300-1652.180557
44. Şeren, H. (2022). Yoğun bakım ünitesinde covıd-19 tanısıyla yatan hastaların yakınlarının gereksinimlerinin belirlenmesi. (Yayımlanmamış Yüksek Lisans Tezi). Mersin Üniversitesi, Sağlık Bilimleri Enstitüsü, Hemşirelik Anabilim Dalı, Mersin.
45. Terzi, B., Polat, Ş., Katran B., 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 & Critical Care Nursing, 73, 103295. doi: 10.1016/j.iccn.2022.103295
46. Tosi, U., Chidambaram, S., Schwarz, J., Diaz, S. M., Singh, S., Norman, S., … Pannullo, S. C. (2021). The world of neurosurgery reimagined post COVID-19: Crisis ↔ Opportunities. World Neurosurgery, 148, 251-255. doi: 10.1016/j.wneu.2020.11.167
47. Van Mol, M. M., Boeter, T. G., Verharen, L., Kompanje, E. J., Bakker, J., Nijkamp, M. D. (2017). Patient- and family-centred care in the intensive care unit: A challenge in the daily practice of healthcare professionals. Journal of Clinical Nursing, 26(19-20), 3212-3223. doi: 10.1111/jocn.13669
48. Wetzig, K., Mitchell, M. (2017). The needs of families of ICU trauma patients: An integrative review. Intensive and Critical Care Nursing, 41, 63-70. doi: 10.1016/j.iccn.2017.02.006
49. Yeh, T. C., Huang, H. C., Yeh, T. Y., Huang, W. T., Huang, H. C., Chang, Y. M., … Chen, W. (2020). Family members' concerns about relatives in long-term care facilities: Acceptance of visiting restriction policy amid the COVID-19 pandemic. Geriatrics & Gerontology International, 20(10), 938–942. doi: 10.1111/ggi.14022