Öz
Admission to intensive care units is a traumatic event for patient and their family members. Families who cannot cope with the admission of their loved ones to the intensive care unit may experience an emotional crisis and show negative reactions such as shock, anxiety, depression, and sleep disorders. For this reason, the review study was carried out to summarize the current studies to increase communication between patients and their families in intensive care units. Pubmed, Science Direct, Web of Science and national databases were searched as of 2012 until February 2022 and studies were determined. Searches were made in English (“communication”, “family”, “ICU”, “nursing”) and Turkish (“aile”, “hemşirelik” “iletişim”, “yoğun bakım ünitesi”) keywords and combinations. As a result of the scans made in accordance with the purpose of the compilation, 10 current articles were reached and their full texts were examined. It was determined that the majority (n=6) of the articles under review were aimed at increasing the communication of patients and their families with virtual technologies. When the study types are examined; it was observed that the most randomized controlled trial design (n:4). As an initiative of studies using this research design; It was determined that he used the model that facilitates communication, interactive mobile technology, web-based communication method and family support intervention. When the results of all studies included in the review are examined; It is reported that 70% of the study population showed improvement in psychological symptoms, and 30% of intensive care patients had shorter hospital stays. Nurses can provide guidance as a way of addressing potential gaps in communication, helping communication run smoothly and families feel their concerns addressed. There is a need for digital-supported studies that make the walls between patients and their families surmountable with today's technology.
Anahtar Kelimeler
Kaynakça
- Chowdhury D, Duggal AK. Intensive care unit models: Do you want them to be open or closed? A critical review. Neurology India, 2017;65(1):39-45
- Muretti AM, Al-Hindawi A, Nenadlova K, Green J, Edginton T, Vizcaychipi MP. Management of post-traumatic stress disorder (PTSD) in patients’ relatives and intensive care personnel in a teaching hospital. J Anesth Surg, 2017;4(3):55–64 doi: 10.15436/2377-1364.17.074
- Johansson M, Wåhlin I, Magnusson L, Runeson I, Hanson E. Family members’ experiences with intensive care unit diaries when the patient does not survive. Scand J Caring Sci, 2018;32(1):233–40
- Ong TL, Ruppert MM, Akbar M, Rashidi P, Ozrazgat-Baslanti T, Bihorac A, Suvajdzic M. Improving the Intensive Care Patient Experience With Virtual Reality-A Feasibility Study. Critical care explorations, 2020;2(6):1-7
- Salehi-Tali S, Ahmadi F, Zarea K, Fereidooni-Moghadam M. Commitment to care: the most important coping strategies among family caregivers of patients undergoing haemodialysis. Scand J Caring Sci. 2018;32(1):82–91.
- Davidson JE, Aslakson RA, Long AC, Puntillo KA, Kross EK, Hart J, et al. Guidelines for family-centered care in the neonatal, pediatric, and adult ICU. Crit Care Med, 2017;45(1): 103–128
- Bolosi M, Peritogiannis V, Tzimas P, Margaritis A, Milios K, Rizos DV. Depressive and anxiety symptoms in relatives of intensive care unit patients and the perceived need for support. J Neurosci Rural Pract, 2018;9(4):522–8
- Kamali SH, Imanipour M, Emamzadeh Ghasemi HS, Razaghi Z. Effect of Programmed Family Presence in Coronary Care Units on Patients' and Families' Anxiety. Journal of caring sciences, 2020;9(2):104–112
- Day A, Haj-Bakri S, Lubchansky S, Mehta S. Sleep, anxiety and fatigue in family members of patients admitted to the intensive care unit: a questionnaire study. Crit Care, 2013;17(3):1-8
- Rhoads S, Amass T. Communication at the End-of-Life in the Intensive Care Unit: A Review of Evidence-Based Best Practices. Rhode Island medical journal, 2019;102(10):30–33.
- Rosa RG, Tonietto TF, da Silva DB, Gutierres FA, Ascoli AM, Madeira L.C., et al. Effectiveness and safety of an extended ICU visitation model for delirium prevention: a before and after study. Crit Care Med, 2017;45(10):1660–7
- Rosa RG, Falavigna M, Robinson CC, da Silva DB, Kochhann R, de Moura RM. et al. Study protocol to assess the effectiveness and safety of a flexible family visitation model for delirium prevention in adult intensive care units: a cluster-randomised, crossover trial (The ICU Visits Study) BMJ Open. 2018;8(4):1-11
- Engström Å, Söderberg S. Close relatives in intensive care from the perspective of critical care nurses. J Clin Nurs, 2007;16:1651–9.
- Fateel EE, O'Neill CS. Family members’ involvement in the care of critically ill patients in two intensive care units in an acute hospital in Bahrain: the experiences and perspectives of family members’ and nurses’ - a qualitative study. Clin Nurs Stud, 2006;4: 57–69.
- Bayraktar DT. Yoğun Bakım Hemşirelerinin İletişim Kurulamayan Hastaya Yaklaşımı. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 2019;8(2): 27-34.
- Płaszewska-Żywko L, Gazda D. Emotional reactions and needs of family members of ICU patients. Anaesthesiol Intensive Ther. 2012;44(3):145–9.
- Baykal D, Çavuşoğlu A, Erden SÖ. Hasta Ailesinin, Nöroloji Yoğun Bakım Hemşireleriyle İletişiminin Araştırılması. İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi, 2021;(13):88-105.
- Efil S, Kurucu NM, Eser O. Beyin Cerrahi Yoğun Bakımında Takip Edilen Hastaların Hasta Yakını Ziyaret Sıklığının ve Hemşire ile Olan İletişimin Hastanın İyileşmesine Etkisi. Kocatepe Tıp Dergisi, 2011;12(3):151-5.
- Negro A, Mucci M, Beccaria P, Borghi G, Capocasa T, Cardinali M, et al. Introducing the Video call to facilitate the communication between health care providers and families of patients in the intensive care unit during COVID-19 pandemia. Intensive & critical care nursing, 2020;60: 1-2.
- Rose L, Yu L, Casey J, Cook A, Metaxa V, Pattison N, et al. Communication and Virtual Visiting for Families of Patients in Intensive Care during the COVID-19 Pandemic: A UK National Survey. Annals of the American Thoracic Society, 2021;18(10):1685–1692
- Kennedy NR, Steinberg A, Arnold RM, Doshi AA, White B, DeLair W, et al. Perspectives on Telephone and Video Communication in the Intensive Care Unit during COVID-19. Annals of the American Thoracic Society, 2021;18(5):838–847
- Ludmir J, Netzer G. Family-Centered Care in the Intensive CareUnit-What Does Best Practice Tell Us?. Seminars in respiratory and critical care medicine, 2019;40(5): 648–654
- White DB, Angus DC, Shields AM, Buddadhumaruk P, Pidro C, Paner C, et al. A Randomized Trial of a Family-Support Intervention in Intensive Care Units. The New England journal of medicine, 2018;378(25):2365–2375
- Torke AM, Wocial LD, Johns SA, Sachs GA, Callahan C. M., Bosslet, G. T., et al. The Family Navigator: A Pilot Intervention to Support Intensive Care Unit Family Surrogates. American journal of critical care : an official publication, American Association of Critical-Care Nurses, 2016;25(6):498–507
- Shin JW, Happ MB, Tate JA. VidaTalk™ patient communication application "opened up" communication between nonvocal ICU patients and their family. Intensive & critical care nursing, 2021;66: 1-10.
- Shariati E, Dadgari A, Talebi SS, Mahmoodi Shan GR, Ebrahimi H. The Effect of the Web-Based Communication between a Nurse and a Family Member on the Perceived Stress of the Family Member of Patients with Suspected or Confirmed COVID-19: A Parallel Randomized Clinical Trial. Clinical nursing research, 2021;30(7): 1098–1106.
- Chiang V, Lee R, Ho MF, Leung CK, Tang PY, Wong SW, et al. Fulfilling the psychological and information need of the family members of critically ill patients using interactive mobile technology: A randomised controlled trial. Intensive & critical care nursing, 2017;41(2017):77–83.
- Curtis JR, Treece PD, Nielsen, EL, Gold, J, Ciechanowski, PS, Shannon, SE, et al. Randomized Trial of Communication Facilitators to Reduce Family Distress and Intensity of End-of-Life Care. American journal of respiratory and critical care medicine, 2016;193(2):154–162
- Lupiáñez-Villanueva F, Hardey M, Torrent J, Ficapal P. The integration of Information and Communication Technology into nursing. International journal of medical informatics, 2011;80(2): 133-140.
Öz
Yoğun bakım ünitelerine yatış, hasta ve aile üyeleri için travmatik bir olaydır. Sevdiklerinin yoğun bakım ünitesine yatırılmasıyla baş edemeyen aileler duygusal bir kriz yaşayabilir; şok, kaygı, depresyon, uyku bozuklukları gibi olumsuz tepkiler gösterebilir. Bakımın iyileştirilmesinde hasta ve hasta yakınları ayrılmaz bir bütündür ve yoğun bakımların yapısı gereği bu ailevi bütün ayrılmak zorunda kalmaktadır. Bu derlemede, yoğun bakım ünitelerinde hasta ve yakınlarında iletişimi arttırmaya yönelik yapılan güncel çalışma sonuçlarının özetlenmesi amaçlanmıştır. Pubmed, Science Direct, Web of Science ve ulusal veri tabanları 2012- 2022 yılı Şubat ayı dahil olacak şekilde taranmıştır. Taramalar İngilizce (“communication”, “family”, “ICU”, “nursing”) ve Türkçe dilinde (“aile”, “hemşirelik” “iletişim”, “yoğun bakım ünitesi”) anahtar kelimeleri ve kombinasyonlar ile yapılmıştır. Derleme amacına uygun olarak yapılan taramaların sonucunda 10 güncel makaleye ulaşılmış ve tam metinleri incelenmiştir İnceleme altındaki makalelerin çoğunluğunun (n=6) sanal teknolojiler ile hasta ve ailesinin iletişimini arttırmaya yönelik olduğu belirlenmiştir. Çalışma türleri incelendiğinde ise; en çok randomize kontrollü araştırma deseninin (n:4) olduğu gözlenmiştir. Bu araştırma desenini kullanan çalışmaların girişim olarak; iletişimi kolaylaştıran model, etkileşimli mobil teknoloji, web tabanlı iletişim yöntemi ve aile desteği müdahalesini kullandığı saptanmıştır. Derleme kapsamına alınan tüm çalışmaların sonuçları incelendiğinde; %70’inde çalışma popülasyonunda psikolojik semptomlarda iyileşme görüldüğü, %30’unda ise yoğun bakım hastalarının hastanede yatış sürelerinin kısaldığı bildirilmektedir. İletişim, hastalar ve aileleri için kaliteli bakımın önemli bir bileşenidir. İletişimin sorunsuz bir şekilde yürütülmesinde ve ailelerin endişelerinin giderilmesinde hemşireler yardımcı ve yol gösterici olabilir. Hasta ve hasta yakınlarının arasındaki duvarları, günümüz teknolojisiyle aşılabilir kılan dijital destekli yeni çalışmalarla desteklenmesi önerilir.
Anahtar Kelimeler
Kaynakça
- Chowdhury D, Duggal AK. Intensive care unit models: Do you want them to be open or closed? A critical review. Neurology India, 2017;65(1):39-45
- Muretti AM, Al-Hindawi A, Nenadlova K, Green J, Edginton T, Vizcaychipi MP. Management of post-traumatic stress disorder (PTSD) in patients’ relatives and intensive care personnel in a teaching hospital. J Anesth Surg, 2017;4(3):55–64 doi: 10.15436/2377-1364.17.074
- Johansson M, Wåhlin I, Magnusson L, Runeson I, Hanson E. Family members’ experiences with intensive care unit diaries when the patient does not survive. Scand J Caring Sci, 2018;32(1):233–40
- Ong TL, Ruppert MM, Akbar M, Rashidi P, Ozrazgat-Baslanti T, Bihorac A, Suvajdzic M. Improving the Intensive Care Patient Experience With Virtual Reality-A Feasibility Study. Critical care explorations, 2020;2(6):1-7
- Salehi-Tali S, Ahmadi F, Zarea K, Fereidooni-Moghadam M. Commitment to care: the most important coping strategies among family caregivers of patients undergoing haemodialysis. Scand J Caring Sci. 2018;32(1):82–91.
- Davidson JE, Aslakson RA, Long AC, Puntillo KA, Kross EK, Hart J, et al. Guidelines for family-centered care in the neonatal, pediatric, and adult ICU. Crit Care Med, 2017;45(1): 103–128
- Bolosi M, Peritogiannis V, Tzimas P, Margaritis A, Milios K, Rizos DV. Depressive and anxiety symptoms in relatives of intensive care unit patients and the perceived need for support. J Neurosci Rural Pract, 2018;9(4):522–8
- Kamali SH, Imanipour M, Emamzadeh Ghasemi HS, Razaghi Z. Effect of Programmed Family Presence in Coronary Care Units on Patients' and Families' Anxiety. Journal of caring sciences, 2020;9(2):104–112
- Day A, Haj-Bakri S, Lubchansky S, Mehta S. Sleep, anxiety and fatigue in family members of patients admitted to the intensive care unit: a questionnaire study. Crit Care, 2013;17(3):1-8
- Rhoads S, Amass T. Communication at the End-of-Life in the Intensive Care Unit: A Review of Evidence-Based Best Practices. Rhode Island medical journal, 2019;102(10):30–33.
- Rosa RG, Tonietto TF, da Silva DB, Gutierres FA, Ascoli AM, Madeira L.C., et al. Effectiveness and safety of an extended ICU visitation model for delirium prevention: a before and after study. Crit Care Med, 2017;45(10):1660–7
- Rosa RG, Falavigna M, Robinson CC, da Silva DB, Kochhann R, de Moura RM. et al. Study protocol to assess the effectiveness and safety of a flexible family visitation model for delirium prevention in adult intensive care units: a cluster-randomised, crossover trial (The ICU Visits Study) BMJ Open. 2018;8(4):1-11
- Engström Å, Söderberg S. Close relatives in intensive care from the perspective of critical care nurses. J Clin Nurs, 2007;16:1651–9.
- Fateel EE, O'Neill CS. Family members’ involvement in the care of critically ill patients in two intensive care units in an acute hospital in Bahrain: the experiences and perspectives of family members’ and nurses’ - a qualitative study. Clin Nurs Stud, 2006;4: 57–69.
- Bayraktar DT. Yoğun Bakım Hemşirelerinin İletişim Kurulamayan Hastaya Yaklaşımı. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 2019;8(2): 27-34.
- Płaszewska-Żywko L, Gazda D. Emotional reactions and needs of family members of ICU patients. Anaesthesiol Intensive Ther. 2012;44(3):145–9.
- Baykal D, Çavuşoğlu A, Erden SÖ. Hasta Ailesinin, Nöroloji Yoğun Bakım Hemşireleriyle İletişiminin Araştırılması. İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi, 2021;(13):88-105.
- Efil S, Kurucu NM, Eser O. Beyin Cerrahi Yoğun Bakımında Takip Edilen Hastaların Hasta Yakını Ziyaret Sıklığının ve Hemşire ile Olan İletişimin Hastanın İyileşmesine Etkisi. Kocatepe Tıp Dergisi, 2011;12(3):151-5.
- Negro A, Mucci M, Beccaria P, Borghi G, Capocasa T, Cardinali M, et al. Introducing the Video call to facilitate the communication between health care providers and families of patients in the intensive care unit during COVID-19 pandemia. Intensive & critical care nursing, 2020;60: 1-2.
- Rose L, Yu L, Casey J, Cook A, Metaxa V, Pattison N, et al. Communication and Virtual Visiting for Families of Patients in Intensive Care during the COVID-19 Pandemic: A UK National Survey. Annals of the American Thoracic Society, 2021;18(10):1685–1692
- Kennedy NR, Steinberg A, Arnold RM, Doshi AA, White B, DeLair W, et al. Perspectives on Telephone and Video Communication in the Intensive Care Unit during COVID-19. Annals of the American Thoracic Society, 2021;18(5):838–847
- Ludmir J, Netzer G. Family-Centered Care in the Intensive CareUnit-What Does Best Practice Tell Us?. Seminars in respiratory and critical care medicine, 2019;40(5): 648–654
- White DB, Angus DC, Shields AM, Buddadhumaruk P, Pidro C, Paner C, et al. A Randomized Trial of a Family-Support Intervention in Intensive Care Units. The New England journal of medicine, 2018;378(25):2365–2375
- Torke AM, Wocial LD, Johns SA, Sachs GA, Callahan C. M., Bosslet, G. T., et al. The Family Navigator: A Pilot Intervention to Support Intensive Care Unit Family Surrogates. American journal of critical care : an official publication, American Association of Critical-Care Nurses, 2016;25(6):498–507
- Shin JW, Happ MB, Tate JA. VidaTalk™ patient communication application "opened up" communication between nonvocal ICU patients and their family. Intensive & critical care nursing, 2021;66: 1-10.
- Shariati E, Dadgari A, Talebi SS, Mahmoodi Shan GR, Ebrahimi H. The Effect of the Web-Based Communication between a Nurse and a Family Member on the Perceived Stress of the Family Member of Patients with Suspected or Confirmed COVID-19: A Parallel Randomized Clinical Trial. Clinical nursing research, 2021;30(7): 1098–1106.
- Chiang V, Lee R, Ho MF, Leung CK, Tang PY, Wong SW, et al. Fulfilling the psychological and information need of the family members of critically ill patients using interactive mobile technology: A randomised controlled trial. Intensive & critical care nursing, 2017;41(2017):77–83.
- Curtis JR, Treece PD, Nielsen, EL, Gold, J, Ciechanowski, PS, Shannon, SE, et al. Randomized Trial of Communication Facilitators to Reduce Family Distress and Intensity of End-of-Life Care. American journal of respiratory and critical care medicine, 2016;193(2):154–162
- Lupiáñez-Villanueva F, Hardey M, Torrent J, Ficapal P. The integration of Information and Communication Technology into nursing. International journal of medical informatics, 2011;80(2): 133-140.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Hemşirelik |
| Bölüm | Derlemeler |
| Yazarlar | |
| Yayımlanma Tarihi | 28 Aralık 2022 |
| Gönderilme Tarihi | 23 Mart 2022 |
| Yayımlandığı Sayı | Yıl 2022 Cilt: 1 Sayı: 2 |
