Objective To investigate the current situation of hospitalization experience of ICU awake patients and explore the influencing factors. Methods Using Patient General Data Survey Form and Hospitalization Experience of Awake ICU Patients,292 awake ICU patients who met the inclusion criteria in 7 hospitals in Hubei Province were investigated. The current situation of hospitalization experience among awake ICU patients was analyzed,and multiple linear regression analysis was conducted to explore the influencing factors. Results 292 valid questionnaires were received,with an effective response rate was 98.6%. The top three items in the actual experience of hospitalization experience were：“The professional level of medical staff”（4.86±0.42） points,“Medical staff‘s friendly and polite language,clean and standardized dressing”（4.85±0.43） points,“Fresh air in the ward”（4.81±0.54） points. The last three items were：“Medical staff often communicate with me about my condition and treatment,and allow me and my families involved in treatment decision”（3.42±0.90） points,“Medical staff actively tell my family about the treatment expenses and reimbursement information,and I feel very comfortable”（3.46±1.01） points,“Rest and sleep is well protected”（3.67±0.87） points. Multiple linear regression analysis showed that length of stay more than 14 days and bedside visit of relatives were the factors affecting the hospitalization experience in the ICU awake patients（R2=0.128,F=3.676,P<0.001）. Conclusion ICU awake patients had good experience of medica staff‘s service attitude,professional level,and some parts of environments in ICU,but relatively poor experience of doctor-patient communication,participation in decision-making,financial pressure,and family companionship. The length of ICU stay and relative visit mode are the influencing factors of the hospitalization experience of ICU awake patients. It is suggested that we can optimize hospitalization experience from optimizing the way of visiting,reasonably shortening the ICU stay length.
LIU Yanping
,
XIONG Jie
,
HUANG Sufang
,
SHANG Weiwei
,
DENG Juan
,
ZOU Dengxiu
,
XIAO Qi
. Analysis of the current situation and influencing factors of hospitalization experience among ICU awake patients[J]. Chinese Journal of Emergency and Critical Care Nursing, 2024
, 5(6)
: 519
-524
.
DOI: 10.3761/j.issn.2096-7446.2024.06.006
[1] 祝丽珍,李冬芬,李施敏,等. 成人ICU清醒患者护理需求的访谈式调查研究[J]. 护理实践与研究,2013,10(22):8-12.
Zhu LZ,Li DF,Li SM,et al.An interview survey on the nursing needs of conscious adult icu patients[J]. Nurs Pract Res,2013,10(22):8-12.
[2] 马朋林,李秦,刘京涛,等. 镇静-镇痛策略与机械通气患者ICU不适经历关系的多中心调查研究[J]. 解放军医学杂志,2008,33(8):957-959.
Ma PL,Li Q,Liu JT,et al.A multicenter investigation of the relationship between sedation-analgesic strategies and the experience of ICU discomfort in mechanically ventilated patients[J]. J PLA Med,2008(8):957-959.
[3] Vincent JL,Shehabi Y,Walsh TS,et al.Comfort and patient-centred care without excessive sedation:the eCASH concept[J]. Intensive Care Med,2016,42(6):962-971.
[4] Kress JP,Hall JB.The changing landscape of ICU sedation[J]. JAMA,2012,308(19):2030.
[5] 熊杰,汪晖,邓娟,等. ICU清醒患者护理需求的研究进展[J]. 护理学杂志,2018,33(13):105-109.
Xiong J,Wang H,Deng J,et al.A review of care needs of conscious critically ill patients in ICU[J]. J Nurs Sci,2018,33(13):105-109.
[6] Tembo AC,Higgins I,Parker V.The experience of communication difficulties in critically ill patients in and beyond intensive care:findings from a larger phenomenological study[J]. Intensive Crit Care Nurs,2015,31(3):171-178.
[7] 王克芳. ICU机械通气病人重症监护体验研究[D]. 济南:山东大学,2009.
Wang KF.Study on intensive care experience of ICU patients with mechanical ventilation[D]. Jinan:Shandong University,2009.
[8] 刘艳平,何梅,黄素芳,等. 基于战略体验模块理论的ICU清醒患者住院体验的质性研究[J]. 中国临床护理,2023,15(6):335-341.
Liu YP,He M,Huang SF,et al.A qualitative study on the hospitalization experience of conscious ICU patients based on strategic experience module[J]. Chin Clin Nurs,2023,15(6):335-341.
[9] 谭玉兰. 住院手术患者对手术室服务体验的调查研究[D]. 重庆:重庆医科大学,2014.
Tan YL.Investigation and study on the service experience of inpatients in operating room[D]. Chongqing:Chongqing Medical University,2014.
[10] 伍松柏,吕爱莲. “共同决策模式”在ICU医患沟通中的应用价值[J]. 医学与哲学,2019,40(6):25-27,77.
Wu SB,Lü AL.Application value of shared decision-making on doctor-patient communication in ICU[J]. Med Philos,2019,40(6):25-27,77.
[11] Altman MT,Knauert MP,Pisani MA.Sleep disturbance after hospitalization and critical illness:a systematic review[J]. Annals ATS,2017,14(9):1457-1468.
[12] Kamdar BB,Needham DM,Collop NA.Sleep deprivation in critical illness:its role in physical and psychological recovery[J]. J Intensive Care Med,2012,27(2):97-111.
[13] 刘飞跃,张馨尹,邓德贵,等. ICU病人环境压力源感知现状及干预措施研究进展[J]. 护理研究,2022,36(15):2736-2739.
Liu FY,Zhang XY,Deng DG,et al.Research progress on the current situation and intervention measures of environmental stressor perception in ICU patients[J]. Chin Nurs Res,2022,36(15):2736-2739.
[14] 王莉,陈香萍,何雪花,等. 眼罩、耳塞在ICU病人睡眠障碍护理干预中的应用研究进展[J]. 护理研究,2019,33(8):1351-1354.
Wang L,Chen XP,He XH,et al.Research process on application of eye mask and earplugs in nursing intervention for sleep disorders in ICU patients[J]. Chin Nurs Res,2019,33(8):1351-1354.
[15] Danielle G,Sherley J,Katie M,et al.Quiet time:a noise reduction initiative in a neurosurgical intensive care unit[J]. Crit Care Nurse,2018,38(4):38-44.
[16] 杨霞,于红静,潘泽林,等. ICU获得性肌无力风险预测模型的构建及应用[J]. 护理研究,2023,37(15):2673-2683.
Yang X,Yu HJ,Pan ZL,et al.Construction and application of risk prediction model of intensive care unit-acquired weakness[J]. Chin Nurs Res,2023,37(15):2673-2683.
[17] 冯建华. 病人对探视陪护需求的调查与分析[J]. 护理学杂志,2001,16(4):245-246.
Feng JH.Investigation and analysis of the needs for inviting and accompanying in the In-patients[J]. J Nurs Sci,2001,16(4):245-246.
[18] 张丛丛. ICU以患者-家庭为中心探视方案的构建及应用研究[D]. 青岛:青岛大学,2022.
Zhang CC.Research on the construction and application of patient-family-centered visiting scheme in ICU[D]. Qingdao:Qingdao University,2022.
[19] Nassar Junior AP,Besen BAMP,Robinson CC,et al.Flexible versus restrictive visiting policies in ICUs:a systematic review and meta-analysis[J]. Crit Care Med,2018,46(7):1175-1180.
[20] 陈鲁玉,冯素萍,孙爱英,等. 基于质量反馈理论联合人文关怀护理对肺减容术患者心理状态的影响[J]. 中华现代护理杂志,2021,27(22):3038-3041.
Chen LY,Feng SP,Sun AY,et al.Effects of quality feedback theory combined with humanistic care on psychological status of patients undergoing lung volume reduction surgery[J]. Chin J Mod Nurs,2021,27(22):3038-3041.
