جستجوی مقالات مرتبط با کلیدواژه « خانواده بیمار » در نشریات گروه « پزشکی »

One of the most stressful and anxiety-provoking cases for the patient and his family was hospitalization with a possible or definite diagnosis of Covid-19. This research was conducted with the aim of determining the effect of telenursing on the level of depression, anxiety and stress of patients’s family hospitalized due to covid-19 in Allameh Bahloul Gonabadi Hospital in 2020.

This study is a semi-experimental research with before and after design. The research population was hospitalized patients with a definite diagnosis of covid-19 and their families. The sampling method was purposeful and accessible. The research sample included 42 patients' family members, including 22 in the intervention group and 20 in the control group. The depression anxiety and stress scale 21 (DASS-21) questionnaire was completed by a member of the patient's family with COVID-19‎. In the intervention group before and at the end of the three days of the intervention. Three telephone training sessions were conducted by the nurse over the phone with the family member about the patient's condition and ensuring the necessary interventions for their patient. In the control group, routine ward and hospital interventions were performed. Data was analyzed using SPSS version 20 software and descriptive and inferential statistical methods including chi-square, independent t and paired t tests. P value less than 0.05 was considered significant.‎

The mean age of the research units was 39.21±11.44 years. Most of them were married (92.85%) and had university education (43.18%). In the intervention group, three days after the implementation of the telenursing program, the scores of anxiety, stress and depression in the patients' families decreased significantly compared to before the intervention (P=0.013), but in the control group, the difference No significance was observed in terms of anxiety, stress and depression scores before and after the intervention (P>0.05).

Considering the quarantine conditions and the impossibility of face-to-face visits for patients with covid-19, as well as the positive effects of telenursing, nurses can use this method in the field of caring for patients and providing necessary training to their families and reducing stress and anxiety of other family members through telenursing.

Following the hospitalization of patients in Intensive Care Units (ICUs), their family members are exposed to a series of physical, psychological, social, and spiritual reactions named Post Intensive Care Syndrome-Family (PICS-F) which can endanger their public health and requires attention to related factors. Therefore, this study aimed to investigate the correlation of PICS-F with quality of communication between nurses and families of patients hospitalized in ICUs of Zanjan University of Medical Sciences.

The current study was a cross-sectional study that was conducted in 2022 in hospitals affiliated to Zanjan University of Medical Sciences. The study population consisted of 193 family members of patients hospitalized in the ICUs, who were selected through available and purposeful sampling method. The research tools included PICS-F questionnaire and Quality of Communication (QOC) questionnaire between nurses and families.

In this study, the average score of PICS-F was 74.51 ± 6.16 and 73.90 ± 18.5 for quality of communication between nurses and patients' families. The analytical results showed a significant negative correlation (P<0.05) between these two variables. This means by decreasing the quality of communication, the PICS-F will increase.

The results of this study stated that critical care nurses should pay more attention to effective communication with the patients' families. Also, hospital managers and administrators should develop some strategies in order to improve the quality of communication between nurses and patients’ families. Furthermore, necessary measures should be taken to implement family-centered care in the ICUs to prevent and reduce the incidence of post-intensive care syndrome.

Due to the prevalence of Covid-19 in the world, as well as the deterioration of the patient's condition, increased damping and hospitalization in the intensive care unit, patient and companion satisfaction with the services provided becomes more important. Therefore, the present study was conducted to determine the family satisfaction of patients with Covid-19 hospitalized in the intensive care units of Razi Hospital in Ahvaz in 1401.

This study was a descriptive-analytical study. The study population included all family members of patients with Covid-19 admitted to the intensive care unit of Razi Hospital in Ahvaz who were included in the census by 100 people. In order to collect data, a standard questionnaire of family satisfaction of patients admitted to Highland Intensive Care Unit was used. The data of the questionnaires collected by SPSS software version 22 were analyzed at a significance level of less than 0.05.

Patients' family satisfaction was 79.74 ±13.26 and above average. The mean scores in the two areas of satisfaction including care measures and meeting information needs and participation in the decision-making process were 48.99 ±4.94 and 30.75 ± 5.08, respectively. There was a significant difference between the scope of life-based care measures with the patient (P<0.05). But there was no significant difference between the scope of meeting information needs and participation in the decision-making process based on life with the patient (P>0.05). Satisfaction was higher in companions who did not live with the patient and statistically, total satisfaction based on life with the patient showed a significant difference (P<0.05).

The level of satisfaction of the patient's family and the patient admitted to the intensive care unit requires more attention of health care providers to their needs.

Following the hospitalization of a patient in intensive care unit, his/her family is exposed to a series of physical, psychological, social and spiritual reactions. At this stage, one of the factors that help families to deal with the crisis is communication with staff working in critical care units. Therefore, this study was conducted aimed investigating the quality of communication between the staff and the families of patients admitted to the intensive care units.

This review study was conducted in 2022 through searching related articles in scientific databases including Science Direct, Web of Science, PubMed, Irandoc, Magiran, SID. All articles in Persian and English that were published during 2005-2022, reviewed. After screening process, fourteen articles were analyzed.

According to the studies, the quality of communication between patients' families and ICU staff has been reported to be weak and undesirable. Several factors that have a role in this condition dividing in personal and occupational-environmental factors and cause weakness of communication.

All ICU staff including doctors and nurses, as the main members of medical team, should pay special attention to families as effective elements of patients’ treatment process. They must try to implement some approaches such as family-centered care and try to boost quality of communication that is considered as the core element of patients’ families support.

Millions of people undergo surgery worldwide each year. Families experience the highest levels of anxiety while waiting for a relative undergoing a surgical procedure. Communication between families and health care professionals reduces their anxiety at this time. The aim of this study was to determine the effect of Short Message Service (SMS) on the level of anxiety and satisfaction of patient companions during surgery.

This clinical trial was performed in 128 family members of patients undergoing surgery in Chalous Taleghani Hospital, 2020-2021. The participants were divided into an intervention group (n=64) and a control group (n=64). In intervention group, text messages were sent to companions and they were informed about their patient’s condition, while the control group received routine information about their patient. Anxiety levels were measured by Spielberger overt and covert questionnaire at two stages and satisfaction was measured by asking the level of satisfaction at the time of operating room discharge. Statistical analysis was performed using Chi-square, t-test, and Mann-Whitney test.

Demographic characteristics, including sex, educational level, and type of surgery were similar between the two groups. After the intervention, the mean scores for overt and covert anxiety were significantly lower in intervention group than the control group (P<0.001). Also, the mean score for satisfaction with the information provided about patient's condition was significantly higher in intervention group compared to the control group (P<0.001).

Using SMS is effective in reducing the anxiety level and increasing families’ satisfaction during the wait for a relative undergoing low-risk surgery, therefore, allocating facilities to support and care for families is recommended.

Accompanying the patients' family members in hospital creates feeling of empathy, safety of and help with fulfilling their expectations. Because both the patients and careers suffer from high stress due to lack of awareness about medical condition and treatment process. It is important for health system to understsand the expectations of patients and family members to be responsive and fullfill it correctly. This study was conducted to discover the patients carers (family members) experiences and expectation of patients undergoing surgery.

This qualitative phenomenological study was performed on 15 family members of patients undergoing surgery by purposive sampling until complete saturation of information. Data were collected through semi-structured interviews and recorded using word software. Items were extracted and qualitative content analysis method was used to analyze the data.

By analyzing the data, the main theme is "anxious minutes" and 5 main categories including "associated internal conflicts, behavioral changes while waiting, concerns about the prognosis of surgery, concerns about the outcome of the treatment process, and doubts about Hospital components" were extracted.

While waiting for the end of the surgery, families experience many anxieties and worries about the patient's health and the treatment process. Considering the concerns of the patient's companions with principled planning, appropriate and practical interventions can improve the mental health of families and improve the quality of patient care.

Family members of patients hospitalized in the intensive care unit have significant anxiety. Strengthening the hospital's relationship with the home after discharge can be helpful in providing the necessary information and skills in the presence of the liaison nurse to provide and maintain care. The aim of this study was to determine the effect of the role of the liaison nurse on the family anxiety level of patients discharged from the intensive care unit.

 This clinical trial study was performed on 53 patients discharged from intensive care units in two groups of intervention and control. Patients in the intervention group were followed up for two weeks by a trained nurse as a liaison nurse and the control group did not receive any follow up care. The level of anxiety of the patients' family was completed and assessed by the 14-item Hospital Anxiety Questionnaire at discharge, at the end of the first week and the second week after discharge by the primary caregiver.

The mean score of anxiety in the family intervention group was 10.34 ± 4.01 immediately after discharge and in two weeks after discharge it was 9.10 ± 2.85. In the control group, the mean score of family anxiety immediately after discharge was 9.33± 3.59 and two weeks after discharge was 9.87 ± 4.1. There was no statistically significant differences between the anxiety levels of the control and intervention group immediately after discharge, and one week later and two weeks later (P> 0.05).

Although the results of the present study did not show a significant difference in the anxiety score of family members between the two groups with and without a liaison nurse, the anxiety scores in the liaison nurse group had decreased compared to before discharge. Also, it is worth mentioning that training the primary caregivers of patients discharged from intensive care units can reduce the level of family anxiety after discharge.

During hospitalization patients in the ICU, many family members are at risk for a mixture of negative psychological reactions. This study aimed to review the symptoms and challenges of these families and to give caring strategies for ICU family members.

This review study was done through a library literature review in the scientific data bases including Google Scholar, Science Direct, Scopus, PubMed, SID, Magiran, and Iran Medex. All articles in English and Persianpublished between 2002 and 2019 were studied. After screeing the articles according to the inclusion criteria, 27 articles were analyzed.

The family members of critically ill patients admitted to the ICU often experience a cluster of adverse psychological reactions in response to conditions that is out of their control. These experiences have been recognized as “intensive care syndrome-family”. Family-centered care and effective communication were mentioned as the most important and effective strategies to reduce the complications of this syndrome.

As a key member of the health care team in the ICU, nurses  not only are responsible for the patients, but are responsible for the family members. They should help families to cope with the crisis of ICU admission and help prevent or control the family intensive care syndrome in them through family-centered care measures.

Old-aged people are vulnerable with different health problems and refer to hospitals once or even several times in their lives. Therefore, considering the importance of aging and the need of elderly patients to hospital services, the current study aimed to explore the elderly and their families’ perceptions of provided service quality using SERVQUAL model.
The population of this descriptive, cross-sectional study consisted of 248 hospitalized elderly and their families in 7-E Tir and Firouzabadi hospitals during January and February 2016. A SERVQUAL questionnaire was used to collect data which were then analyzed using multivariate analysis of variation at a significant level of less than 0. 01 in SPSS 20.
The discrepancies between the patients and their families’ expectations and perceived services, indicated a gap in all five dimensions of service quality.
The highest and lowest negative mean scores, among the patients, were related to tangibles (-4. 09) and empathy (-1. 99) while the highest and lowest negative mean scores, among their families, were related to tangibles (-3. 56) and empathy (-2.14).
The study attempted to measure hospitalized elderly patients’ perceptions of provided service quality. The results can help decision makers make efficient and effective decisions to consider and remove the problems through effective planning.

Intimacy is a kind of communication in which people need to have mutual trust and emotional closeness, and be able to detect each other's thoughts and feelings. Nurses need to establish a meaningful relationship with the child and his/her family. This study aimed to explain the quality of intimacy between nurses and patients in pediatric ward.
This phenomenological study was done in two university medical centers affiliated to Mazandaran and Golestan universities of medical sciences in Iran during the year 2016. 12 nurses were chosen in pediatric wards via purposive sampling method. To collect the data, semi-structured interviews were performed with at least one common question "When I say intimacy with the patient, what comes to your mind? Tell me about it"; probing questions such as why, how, and for example, frequently were used to deepen interviews. Interviews were recorded and transcribed immediately, and then were analyzed using a 7-step Collaizzi method.
A central theme of "intimacy as the key of successful relationship" with three subthemes "interaction for patient education", "interaction for qualified care", and "care for humanitarian interaction" were extracted.
Nurse's perception of intimacy with the patient and his/her family was nothing but professional communication for qualified care. Using the art of intimacy, nurses interact with patients and make a bridge to educate, take care, follow up, and treat the patient and family based on humanitarian behaviors.

Aim: This study was designed to determine complications experienced by family members of patient admitted to intensive care units and to identify related factors.
Family is the most fundamental social community and has a basic role in human health. An acute illness of a family member and admission in critical care unit is considered as a stressful event resulting in some problems and undesirable outcomes for other family members.
This review study was done in a systematized manner and based on library literatures. To do this, the articles published on family of critical patients during 2004-2016, searched out in different Farsi and English databases using keywords of "patient's family", "critically ill patient", "and family need". After screening articles according to inclusion criteria, 20 related articles were reviewed and analyzed.
Findings: Admission of  patients in critical care unit cause some negative reactions and complications in their family in the form of physical and psychosocial disorders. These undesirable outcomes are related to different reasons usually related to patient’s caring method and the manner of interaction with family members.
In general, following admission of one of family member in critical care unit, the family encounters a crisis, loses its functions and experiences some problems. Based on this, nurses, as the main pillar of care delivery system, should be responsible about patients’ family, pay attention to their needs and support the family though developing a family-center care plan.

Fulfilling the needs of ICU patient's families plays a significant role in their satisfaction. Since having information is one of the most important needs, we aimed to investigate the effectiveness of family-center support in satisfaction of information among families of patients undergone open heart surgery. In this clinical trial, 64 family member caregivers of patients undergone open heart surgery in Amiralmomenin hospital, Golestan province, were selected via convenience sampling and divided into intervention and control groups. In intervention group, the informational support including ICU orientation tours, educational sessions and educational pamphlets was given while in control group just routine information. The satisfaction of information in caregivers was measured by a researcher-made questionnaire in the day of discharge from ICU and data was analyzed using independent T-test. The mean satisfaction in intervention and control groups was 82. 3±8.66 and 53.2±11.13, respectively. The difference was statistically meaningful (P<0.0001). Informational support could increase satisfaction of information in the families of the patients undergoing open heart surgery.

Establishing an effective communication with patients is an essential aspect of nursing care. However, most studies have described the nurse-patients’ family relationship as weak. Recognition of the content of effective care team-patient’s family communication will facilitate a more affective relationship between the care team and family members of patients in intensive care units. The present study aimed to determine the content of effective communication between the care team and family members of patients in the intensive care unit from the perspective of nurses and patients’ families. This study was performed with a qualitative approach and content analysis method. Participants included 8 Iranian registered nurses and 4 physicians working in intensive care units (ICU) of hospitals affiliated to Kerman University of Medical Sciences, Iran, and 10 first-degree relatives of patients. Data were collected using interviews and observations. Unstructured interviews were used in the present study. We used observation in order to gain a deeper understanding and verify data from interviews. The observations focused on the interactions between the care team and patients’ families during mutual communications. The data analysis of the handwritten account of the communication of the participants resulted in five categories of spiritual care (subcategories: giving hope, considering Allah, and performing religious practices) emotional reaction (subcategories: empathy, mutual understanding, promoting comfort, and trust), encouraging participation (subcategories: participation in decision making, and participation in physical care), interactive learning (subcategories: identification of the information requirements of the family, responding to the needs of the patient’s family, and training the patients), and consultation and guidance (subcategories: consultation in selecting treatment, and selecting the best care method). The findings resulted in the recognition of important aspects in communication between the ICU team and the family of the patients. By identification of the content of communication, establishing new rules, and application of creative methods in educating the care team on establishing communication, implementation of rules, and application of the patient-based approach in clinical environments we can communicate more effectively.

This study was conducted to examine the effect of supportive nursing program on depression، anxiety and stress of family members of patients during coronary artery bypass graft surgery. patient’s family members experience high levels of depression، anxiety and stress during coronary artery bypass graft surgery. Informational and emotional support of family members during surgery may have significant effect on reducing their psychological distress and enabling them to better support of the patient. This semi-experimental study was conducted on 104 relatives of patients. They were recruited in the study with regard to the inclusion criteria and assigned to either experimental (n=52) or control (n=52) group. The experimental group received supportive nursing program including informational and emotional support. The control group only received routine interventions. Data were collected by demographic form and modified Depression Anxiety and Stress Scale (DASS). The data were analyzed by Chi-squire and T-test using SPSS software، version 21. There were no statistically significant differences between control and intervention group regarding the mean scores of depression، anxiety and stress before surgery. After intervention (at the end of surgery) experimental group reported significantly lower levels of depression، anxiety and stress (P<0. 0001). According to the finding، supportive nursing program could reduce depression، anxiety and stress of family members of patients during coronary artery bypass graft surgery; so، we suggest this program as an effective intervention to support family members during coronary artery bypass graft surgery.

A family-centered approach is an important part of the care process for surgical patients and their families. Nursing care is effective only when the family is taken into consideration. Understanding of family members’ experiences could helps nurses for better care services. Thus, this study aimed to explain the experience of waiting in families of patients undergoing surgery.

In this qualitative study, 17 family members of patients undergoing surgery were selected by purposive and theoretical sampling until data saturation. Semi structured interviews were held for data collection. For transcription and analysis of interviews, Microsoft Word and One Note software was used and date were analyzed using content analysis approach.

According to the findings, “Stressful waiting” was the main theme of study which was consisted of four categories, i.e. “mental and intellectual concerns”, “fear and worry”, “psychological reactions” and “psychosomatic reactions”.

Finding of this study can help healthcare professionals especially nurses to get a better understanding of the family emotions and concerns in this situation and as a result could be planning for decreasing such concerns.

Hospitalization of patients in ICU can be stressful for both patients and their families. This study aimed to assess the effect of family participation in ICU patients care on family’s anxiety level.

This is a quasi-experimental before-after study. Family members of patients hospitalized in ICU of Ayatollah Mousavi Hospital, Zanjan were randomly divided into two experimental and control groups. Family members of the experimental group patients collaborated with the nurses in their patients care two hours a day from the 3rd day to the 7th day of the hospitalization. The control group patients were treated according to the ICU routine. Participants in both groups filled out the DASS-21 questionnaire before and after the intervention. Data were analyzed using the t-test in the SPSS-16.

There was a significant difference in the anxiety score among the participants in the intervention group before (21.6±8.4) and after the intervention (12.6±7) (p<0.001).

The result of the study indicated that the participation of the family members of patients hospitalized in the ICU in patients care can be effective in decreasing their stress and anxiety.

Hospitalization of patients in the intensive care unit of open heart surgery (ICUOH) is often stressful for patients'' family carers. This study aimed to investigate the effectiveness of the informational support on anxiety among families of patients undergone open heart surgery. Methods & Materials: In this double-group randomized clinical trial، 64 family carers of patients undergone open heart surgery were selected using convenience sampling method and were randomly allocated into two intervention or control groups. The informational support consistedof holding the ICU orientation tours and educational sessions، and providing educational pamphlets and booklets. The members of the control group received routin information. The anxiety of the family carers was measured using the trait Spielberger anxiety questionnaire before surgery and in the day of discharge from the ICU. Independent and paired t-tests were used to analyze the data. According to the findings، there were no significant difference between the two groups regarding demographic charachteristics. At the baseline، the mean of anxiety scores were 47. 9±11. 5 and 49. 2±11. 5 in the control and intervetion groups، respectively. The anxiety scores diminished in both groups after the surgery، however، the difference was not statistically significant between the two groups (P=0. 18). For effective control of anxiety among family members of patients، both informational support and other supportive techniques such as psychological support and meeting other family needs should be considered.

Cardiovascular disease is one of the important mortality causes in developed country of the world and so in Iran. Coronary Artery bypass graft surgery as a lifesaving intervention in cardiac patients may presents a number of challenges for patients and theire family caregivers. Little is known about the experience of caring for this patients. The purpose of this study was to describe the lived experiences of family caregivers of coronary artery bypass graft. This is a qualitative study with phenomenology method. Using phenomenological methods, 14 family caregiver were interviewed at clinic or home during one year post discharge period. Five them emerge from participant experiences encompass pressure of role, exposure to tension, resistance against vulnerability, functioning, and need. The research finding showed that the patient,s family faced with many stressor agents duration their caregivering period that this stress agents provoke somatic and mental reaction. Inappropriate interaction of medical team exacerbated this problems. In other hand, the devout belives, appropriate information and provided needs had important effect on protect them. Having a appropriate communication with patients and family caregivers should hold in nursing plans.