Needs of family members of patients in a coronary care unit

Coelho, Alue Constantino; Lopes, Camila Takáo; Lopes, Juliana de Lima; Santos, Vinicius Batista; Barros, Alba Lucia Bottura Leite de

doi:10.31744/einstein_journal/2022AO6258

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Original Article • Einstein (São Paulo) 20 • 2022 • https://doi.org/10.31744/einstein_journal/2022AO6258 copy

Needs of family members of patients in a coronary care unit

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To identify the need of family members of patients hospitalized in a coronary intensive care unit and their degree of satisfaction with the care provided.

Methods:

An observational and cross-sectional study including family members of patients hospitalized in the coronary intensive care unit for acute coronary syndrome in Killip I or II. After the second visit of the same family member to the patient in the unit, a 43-item inventory of needs and stressors of family members was applied. Family members assessed each need for its importance and satisfaction using a four-point Likert scale. The scores in each dimension of importance and satisfaction were compared using the Wilcoxon test, considering a value of p<0.05 as significant.

Results:

One hundred family members were interviewed. The most important needs were related to assurance and information. Family members had satisfaction scores corresponding to be very satisfied or totally satisfied, but with lower scores when compared to the needs scores (p<0.01).

Conclusion:

The most important needs of family members of patients hospitalized in the coronary intensive care unit were related to assurance and information. Multiprofessional interventions involving better communication of patient information to family members should be incorporated into the coronary intensive care unit.

Keywords:
Family; Inpatients; Patient-centered care; Critical care; Nursing; Humanization of assistance; Acute coronary syndrome; Intensive care units

Sociodemographic variables		n (%)
Gender
	Women	71 (71)
	Male	29 (29)
Age range, years
	18-30	28 (28)
	31-40	24 (24)
	41-50	17 (17)
	51-60	22 (22)
	61-70	7 (7)
	>70	2 (2)
Relationship with patient
	Son/Daughter	53 (53)
	Partner	36 (36)
	Others	5 (5)
	Brother	4 (4)
	Boyfriend	1 (1)
	Mother	1 (1)
Marital status
	Married	46 (46)
	Single	32 (32)
	Stable union	15 (15)
	Divorced	6 (6)
	Widow and Widowed	1 (1)
Religion
	Catholic	47 (47)
	Evangelical	24 (24)
	Spiritualist	10 (10)
	Christian	9 (9)
	None	6 (6)
	Other	4 (4)

		Importance		Satisfaction
		Mean ± SD	Score ≥3 n (%)	Mean ± SD	Score ≥3 n (%)
Assurance Dimension
	1. To Know the expected outcomes	3.79±0.43	99 (99)	3.43±0.71	91 (91)
	5. To have questions answered honestly	3.69±0.56	97 (97)	3.50±0.64	95 (95)
	14. To feel that there is hope for improvement of the patient	3.64±0.50	100 (100)	3.52±0.62	97 (97)
	17. To be assured that the best care possible is being given to the patient	3.74±0.44	100 (100)	3.50±0.68	95 (95)
	33. To have explanations given that are understandable	3.64±0.50	99 (99)	3.44±0.68	93 (93)
	40. To feel that the hospital personnel care about the patient	3.69±0.48	99 (99)	3.51±0.67	96 (96)
	41. To know specific facts concerning the patient's progress	3.73±0.46	99 (99)	3.46±0.74	91 (91)
Support Dimension
	2. To have explanations of the environment before going into the critical care unit for the first time	3.63±0.52	98 (98)	3.33±0.84	86 (86)
	7. Talking about negative feelings about what has happened	2.99±0.99	76 (76)	3.05±0.94	74 (74)
	9. To have directions as to what to do at the bedside	3.52±0.64	94 (94)	3.11±0.93	76 (76)
	12. To have friends nearby for support	3.04±0.72	90 (90)	3.19±0.80	86 (86)
	18. To have a place to be alone while in the hospital	2.56±1.04	52 (52)	3.00±0.91	77 (77)
	22. To have someone to help with financial problems	3.02±0.90	71 (71)	2.85±1.11	60 (60)
	24. To have someone from the religion I belong to visit	2.48±1.13	49 (49)	2.81±1.06	61 (61)
	25. To talk about the possibility of the patient's death	3.42±0.80	90 (90)	3.18±0.93	82 (82)
	26. To be accompanied by a professional, friend or family member during the visit	3.33±0.75	91 (91)	3.35±0.70	93 (93)
	27. To have someone be concerned with your health	3.42±0.68	91 (91)	2.99±1.13	68 (68)
	30. To feel it's alright to demonstrate feelings and emotions	3.07±0.93	80 (80)	3.09±0.94	76 (76)
	31. Knowing what other professionals can help me	3.39±0.69	90 (90)	2.85±1.00	63 (63)
	35. To be informed about religious services	2.56±1.02	56 (56)	2.67±1.10	58 (58)
Information Dimension
	3. To talk to the doctor every day	3.67±0.55	96 (96)	3.51±0.62	95 (95)
	4. To have a person who can give information over the telephone	3.42±0.84	89 (89)	2.23±1.16	39 (39)
	11. To know who can give the information I need	3.54±0.59	95 (95)	3.24±0.88	82 (82)
	13. To know why things were done for the patient	3.72±0.47	99 (99)	3.47±0.75	92 (92)
	15. To know about the types of staff members taking care of the patient	3.64±0.50	99 (99)	3.43±0.71	93 (93)
	16. To know how the patient is being treated medically	3.73±0.44	100 (100)	3.47±0.73	92 (92)
	19. To know exactly what is being done for the patient	3.70±0.46	100 (100)	3.36±0.67	93 (93)
	36. To help to care for the patient in the ICU	2.97±1.03	71 (71)	3.17±0.85	58 (58)
Proximity Dimension
	6. To have visiting hours changed for special conditions	3.16±0.91	79 (79)	2.96±1.00	70 (70)
	10. To visit at any time	2.68±1.10	58 (58)	2.79±0.99	62 (62)
	29. To talk to the same nurse every day	2.99±0.88	73 (73)	3.24±0.80	85 (85)
	34. To have visiting hours start on time	3.58±0.57	96 (96)	3.39±0.81	87 (87)
	37. To be informed about possible transfers	3.70±0.48	99 (99)	3.31±0.86	88 (88)
	38. To be called at home about changes in the patient's condition	3.70±0.55	97 (97)	2.93±1.13	67 (67)
	39. To receive information about the patient at least once a day	3.53±0.68	95 (95)	3.12±0.87	79 (79)
	42. To see the patient frequently	3.49±0.73	90 (90)	3.31±0.80	87 (87)
	43. To have the waiting room near the patient	3.33±0.80	89 (89)	3.39±0.77	90 (90)
Comfort Dimension		3.18±0.57		3.10±0.59
	8. To have good food available in the hospital	2.84±1.02	67 (67)	2.86±0.93	65 (65)
	20. To have comfortable furniture in the waiting room	3.02±0.92	73 (73)	3.27±0.77	88 (88)
	21. To feel accepted by the hospital staff	3.38±0.78	87 (87)	3.38±0.70	91 (91)
	23. To have a telephone near the waiting room	2.88±0.99	64 (64)	2.67±1.05	55 (55)
	28. To be assured it is alright to leave the hospital for a while	3.67±0.49	99 (99)	3.46±0.68	95 (95)
	32. To have a bathroom near the waiting room	3.33±0.69	89 (89)	2.96±0.98	74 (74)
Global score		3.37±0.37		3.25±0.53

Dimension	Importance	Satisfaction	p value^* SD: standard deviation.
Dimension	Mean±SD	Mean±SD	p value^* SD: standard deviation.
Assurance	3.70±0.36	3.40±0.48	<0.001
Support	3.13±0.49	3.38±0.64	0.669
Information	3.51±0.38	3.23±0.59	<0.001
Proximity	3.35±0.47	3.16±0.62	0.004
Comfort	3.18±0.57	3.10±0.59	<0.001
Global score	3.37±0.37	3.25±0.53	0.07

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[1] Corresponding author: Alba Lucia Bottura Leite de Barros Rua Napoleão de Barros, 754, 2^nd floor, room 2.016 - Vila Clementino Zip code: 04024-002 - São Paulo, SP, Brazil Phone: (55 11) 5576-4430 - branch line 1649 E-mail: barros.alba@unifesp.br