Visita de Enfermagem e dúvidas manifestadas pela família em unidade de terapia intensiva

Abstract

Objective: Understanding the doubts expressed by relatives of patients hospitalized in the intensive care unit for more than 24 hours during nursing visits. Methods: A prospective cross-sectional study that included 115 family members of patients hospitalized for more than 24 hours in the intensive care unit. The research instrument was a questionnaire applied in three nursing visits. Results: The most frequent doubt was about the clinical status, and the average difference between the doubts of the first and the second visit was statistically significant (p = 0.047). The average number of doubts in the first visit was significant when compared with the third (p<0.001). Conclusion: The doubts expressed by family members were about the health status, medical conditions and the care provided. The average number of questions was lower in the third nursing visit. ResumoObjetivo: Conhecer as dúvidas dos familiares de pacientes internados na unidade de terapia intensiva, há mais de 24 horas, e manifestadas durante as visitas de enfermagem. Métodos: Estudo transversal prospectivo que incluiu 115 famíliares de pacientes internados há mais de 24 horas em unidade de terapia intensiva. O instrumento de pesquisa foi um questionário aplicado em três visitas de enfermagem. Resultados: A dúvida mais apresentada foi sobre o estado clínico e a diferença média entre as dúvidas da primeira e segunda visita foi estatisticamente significante (p=0,047). A média de dúvidas da primeira visita foi significante, quando comparada com a terceira (p<0,001). Conclusão: As dúvidas manifestadas por familiares foram sobre o estado de saúde, condições clínicas e sobre o cuidado realizado. O número médio de dúvidas foi menor na terceira visita de enfermagem.

Emotional support to the family of the critically ill patient: nursing interventions

“…Moreover, they feel the need to relive the critical incident that resulted in the hospitalization of the patient, as well as to be encouraged to express their feelings. Concerning the need to receive information, Pelazza, Simoni, Freitas, Silva, and Silva (2015) refer that family members feel the need to understand the diagnosis and prognosis of the hospitalized relative, as well as to know the care strategies. This information should be updated and clear.…”

“…The nursing interventions that meet the needs of family members of the critically ill person, identified in this review, are not surprising and reinforce the need to not forget some aspects of clinical practice, namely in the relational field, in an environment where the urgency and complexity of care justify so often the prioritization of their technological dimension. Pelazza et al (2015) and Rodríguez, Velandia, and Leiva (2016) stress the importance of establishing an empathetic relationship with the family, promoting hope and communicating in a clear and accessible manner, also adapted to their sociocultural level, thus emphasizing the promotion of a private and comfortable environment during the visit, focusing on their well-being. The use of resources is essential to include family members in the process of care provision, guiding them and referencing them where appropriate to other health care professionals.…”

“…In fact, the response to the patient's and his/ her family's right to have up-to-date, clear, and honest information, related to the clinical condition, prognosis, and care strategies, is part of the information obligation provided for in Article 84 of the Ethics Code of Nurses (Ordem dos Enfermeiros, 2009). The manifestation of empathy, respect, and sensitivity, as well as emotional and spiritual support to the family, are presented as major interventions, which meet the needs of family members (Gaeeni et al, 2015;Pelazza et al, 2015). Hashim and Hussin (2012), Gaeeni et al (2015), and Bandari et al (2015) acknowledge the emotional support through the promotion of expression of feelings and the realistic feeding of hope.…”

The Nursing Team Approach When Facing the Feelings of Relatives of Patients Undergoing Intensive Therapy / Atuação da Enfermagem Frente aos Sentimentos dos Familiares de Pacientes em Terapia Intensiva

“…The analyzed articles 13,15,18,28 brought feelings experienced by relatives during hospitalization. The intensive care environment commonly causes negative feelings in patients and relatives, as evidenced in Table 2; identifying them may favor individualized assistance to this clientele.…”

“…It is an environment of many sorrows and insecurities, unexpected and unusual situations, where there is a vital need to maintain emotional balance. 17 Studies 15,22,29,34 show that during the visitation period the relatives express doubts about the patient's health status, clinical conditions, care, and procedures, as well as discharge from the ICU. For some family members, the amount of information that the nurse provides for the family is small, leaving some clarification on account of other professionals in the team.…”