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首页> 外文学位 >The relationship between triage acuity level, age, education, and socioeconomic status and the physical and psychosocial needs of family members accompanying the adult emergency department patient.
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The relationship between triage acuity level, age, education, and socioeconomic status and the physical and psychosocial needs of family members accompanying the adult emergency department patient.

机译：分诊视力水平，年龄，教育程度和社会经济状况与陪同成年急诊科患者的家庭成员的身体和心理社会需求之间的关系。

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摘要

Family members play important roles in the care and support of patients when they arrive and are admitted to the emergency department. The purpose of this study was to assess the needs of family members who accompany patients to the emergency department (ED) and describe the relationship between characteristics of the patient's visit and characteristics of family members. Specifically, the study focused on the patient's triage acuity level and length of stay, and the family members' age, education level, socioeconomic status, and physical and psychosocial needs. This study also sought to validate family members' experiences by defining common themes related to their ED experience. The study was a descriptive, correlational design, using quantitative and qualitative methods. Seventy family members as designated by ED patients participated in the quantitative phase and a subset of 10 family members participated in the quantitative phase.; Six instruments were used in the study: (1) personal profile forms for the patient and family; (2) a five-level triage acuity scale; (3) Hollingshead's Two Factor Index of Social Position; (4) an adapted version of the Critical Care Family Needs Inventory (CCFNI) for ED families; and (5) a semi-structured interview guide. Factor analysis on the adapted CCFNI identified the five dimensions of family needs present in the original instrument: information, comfort, proximity, assurance, and support.; In the analysis of the data, the needs that family members ranked as having most priority were related to the dimensions of information and proximity. Family members noted the following needs as most important: knowledge of how the patient is being treated medically; assurance that the patient is receiving the best possible care; and clear explanations from health care providers. No significant correlations were identified between the dimensions of needs and triage acuity level, family member's education level, and length of stay. Results showed a significant correlation between the dimension of proximity and family member age (p = .05). A significant relationship was also identified between the family member's social position and the dimensions of support (p = .02) and comfort (p = .02). Qualitative data reinforced the order of importance of the five dimensions of family needs identified in the quantitative phase and provided additional details related to family needs.; The results of this study identified the most important needs of family members who accompanied their loved ones to the emergency department. Since it is often the family who is responsible for the discharge care of the patient, policy development related to patient care should take a family-centered approach.
机译：家庭成员在患者到达并被送往急诊室时，在患者的护理和支持方面起着重要作用。这项研究的目的是评估陪同患者到急诊室（ED）的家庭成员的需求，并描述患者就诊特征与家庭成员特征之间的关系。具体来说，该研究关注患者的分诊视力等级和住院时间，以及家庭成员的年龄，受教育程度，社会经济状况以及身体和心理社会需求。这项研究还试图通过定义与他们的ED经历相关的共同主题来验证家庭成员的经历。该研究是描述性，相关性设计，使用了定量和定性方法。 ED患者指定的70名家庭成员参加了定量阶段，而10名家庭成员的一部分参加了定量阶段。该研究使用了六种工具：（1）患者和家人的个人资料表格； （2）五级分流视力量表； （3）Hollingshead的社会地位两因素指数； （4）急诊科家庭的重症监护家庭需求清单（CCFNI）的改编版； （5）半结构化面试指南。对调整后的CCFNI进行的因素分析确定了原始工具中存在的家庭需求的五个方面：信息，舒适度，亲和力，保证和支持。在数据分析中，家庭成员被列为最优先的需求与信息和亲近度有关。家庭成员指出以下最重要的需求：了解如何对患者进行药物治疗；确保患者得到最好的护理；以及医疗保健提供者的明确解释。在需求和分流视力水平，家庭成员的受教育水平和住院时间之间没有发现明显的相关性。结果显示，亲近程度与家庭成员年龄之间存在显着相关性（p = .05）。还确定了家庭成员的社会地位与支持的维度（p = .02）和舒适度（p = .02）之间的重要关系。定性数据加强了在量化阶段确定的家庭需求的五个方面的重要性的顺序，并提供了有关家庭需求的更多细节。这项研究的结果确定了陪同亲人到急诊室的家庭成员的最重要需求。由于通常由家庭来负责患者的出院护理，因此与患者护理有关的政策制定应采取以家庭为中心的方法。

著录项

  • 作者

    DuBrueler, Janice Salyan.;

  • 作者单位

    The Catholic University of America.;

  • 授予单位 The Catholic University of America.;
  • 学科 Health Sciences Nursing.
  • 学位 D.N.Sc.
  • 年度 2005
  • 页码 157 p.
  • 总页数 157
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 预防医学、卫生学;
  • 关键词

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