Öz

Giriş ve Amaç: Bu çalışmanın amacı yoğun bakımda hastası olan aile üyelerinin gereksinimlerini, psikolojik sıkıntı ve sosyal destek düzeylerini ve aile gereksinimleri ile ilişkili faktörleri araştırmaktır.

Yöntem ve Gereçler: Tanımlayıcı ve kesitsel tipteki bu çalışma, Şubat-Ağustos 2023 tarihlerinde bir hastanenin yoğun bakım servisine ziyarete gelen aile üyeleri ile gerçekleştirildi. Araştırmaya 166 kişi alındı. Araştırmada anket formu, Yoğun Bakım Ünitesindeki Hastaların Yakınları için Gereksinim Ölçeği, Kessler Psikolojik Sıkıntı Ölçeği ve Çok Boyutlu Algılanan Sosya Destek Ölçeği kullanıldı.

Bulgular: Araştırmada aile üyelerinin en çok gereksinim duyduğu alanlar bilgi (38.45±5.23) ve destek altboyutu (32.04±7.05) olmuştur. Eğitim düzeyi düşük olanlarda eğitim düzeyi yüksek olanlara kıyasla; hastasını haftada bir kereden fazla ziyaret edenlerde haftada bir kereden daha az sıklıkta ziyaret edenlere göre bilgi, güvenlik/yakınlık, destek konfor puanı eğitim düzeyi yüksek olanlara kıyasla daha yüksek düzeyde bulunmuştur (p < 0.001). Aile üyelerinin psikolojik sıkıntı puanı (25.77±9.99) ve sosyal destek puanı (68.62±15.54) yüksek düzeyde saptanmıştır. CCFNI ile MSPSS arasında pozitif yönde bir ilişki olduğu (r = 0.40, p < 0.001) belirlenmiştir.

Tartışma ve Sonuç: Araştırmada ailelerin gereksinimleri ve psikolojik distresss düzeyleri yüksek düzeyde saptanmıştır. Ailelere düzenli olarak eğitimler verilmesi gerektiği ve ruhsal yönden sıkıntı düzeyi yüksek olanların uzman desteğine yönlendirilmesi gerektiği düşünülmektedir. Türkiye’de yoğun bakım ünitesinde yatan hastaların aile üyelerine yönelik kapsamlı bakım programları geliştirilmelidir.

Anahtar Kelimeler: yoğun bakım, aile ihtiyaçları, psikolojik sıkıntı, sosyal destek

Referanslar

  1. Boerenbeker P, Brandén AS, Chaboyer W, Hilli Y, Johansson L. Family member’s experiences with and evaluation of an ICU Liaison Nurse Service: a qualitative study. Nurs Crit Care. 2023;28:854-62. https://doi.org/10.1111/nicc.12775
  2. Abdul Halain A, Tang LY, Chong MC, Ibrahim NA, Abdullah KL. Psychological distress among the family members of Intensive Care Unit (ICU) patients: a scoping review. J Clin Nurs. 2022;31:497-507. https://doi.org/10.1111/jocn.15962
  3. Leong EL, Chew CC, Ang JY, Lojikip SL, Devesahayam PR, Foong KW. The needs and experiences of critically ill patients and family members in intensive care unit of a tertiary hospital in Malaysia: a qualitative study. BMC Health Serv Res. 2023;23:627. https://doi.org/10.1186/s12913-023-09660-9
  4. Björk K, Lindahl B, Fridh I. Family members’ experiences of waiting in intensive care: a concept analysis. Scand J Caring Sci. 2019;33:522-39. https://doi.org/10.1111/scs.12660
  5. Tronstad O, Flaws D, Lye I, Fraser JF, Patterson S. Doing time in an Australian ICU; the experience and environment from the perspective of patients and family members. Aust Crit Care. 2021;34:254-62. https://doi.org/10.1016/j.aucc.2020.06.006
  6. Blok AC, Valley TS, Weston LE, Miller J, Lipman K, Krein SL. Factors affecting psychological distress in family caregivers of critically ill patients: a qualitative study. Am J Crit Care. 2023;32:21-30. https://doi.org/10.4037/ajcc2023593
  7. Yanmaz BM, Yüce Aktepe M, Erdoğan A, Çakin Ö. Depression, anxiety, hopelessness, and suicide in first-degree relatives of patients hospitalized in intensive care units in Turkey. Int J Psychiatry Med. 2025;60:119-30. https://doi.org/10.1177/00912174241244812
  8. Saeid Y, Salaree MM, Ebadi A, Moradian ST. Family intensive care unit syndrome: an integrative review. Iran J Nurs Midwifery Res. 2020;25:361-8. https://doi.org/10.4103/ijnmr.IJNMR_243_19
  9. Naef R, Brysiewicz P, Mc Andrew NS, et al. Intensive care nurse-family engagement from a global perspective: a qualitative multi-site exploration. Intensive Crit Care Nurs. 2021;66:103081. https://doi.org/10.1016/j.iccn.2021.103081
  10. Xyrichis A, Fletcher S, Philippou J, Brearley S, Terblanche M, Rafferty AM. Interventions to promote family member involvement in adult critical care settings: a systematic review. BMJ Open. 2021;11:e042556. https://doi.org/10.1136/bmjopen-2020-042556
  11. Fernández-Martínez E, Mapango EA, Martínez-Fernández MC, Valle-Barrio V. Family-centred care of patients admitted to the intensive care unit in times of COVID-19: a systematic review. Intensive Crit Care Nurs. 2022;70:103223. https://doi.org/10.1016/j.iccn.2022.103223
  12. Salameh BS, Basha SS, Eddy LL, Judeh HS, Toqan DR. Essential care needs for patients’ family members at the intensive care units in Palestine. Iran J Nurs Midwifery Res. 2020;25:154-9. https://doi.org/10.4103/ijnmr.IJNMR_9_19
  13. Shaibu M, Khatereh S, Maryam E, Jawulam SW. Comparison of Intensive Care Units (ICUs) nurses’ and families’ perception of compliance with patient and family centered care principles in ICUs in Ghana. Int J Caring Sci. 2019;12:1616-25.
  14. Imanipour M, Kiwanuka F, Akhavan Rad S, Masaba R, Alemayehu YH. Family members’ experiences in adult intensive care units: a systematic review. Scand J Caring Sci. 2019;33:569-81. https://doi.org/10.1111/scs.12675
  15. Ågård AS, Hofhuis JG, Koopmans M, et al. Identifying improvement opportunities for patient- and family-centered care in the ICU: using qualitative methods to understand family perspectives. J Crit Care. 2019;49:33-7. https://doi.org/10.1016/j.jcrc.2018.10.008
  16. Frivold G, Slettebø Å, Heyland DK, Dale B. Family members’ satisfaction with care and decision-making in intensive care units and post-stay follow-up needs-a cross-sectional survey study. Nurs Open. 2017;5:6-14. https://doi.org/10.1002/nop2.97
  17. Kiwanuka F, Sak-Dankosky N, Alemayehu YH, Nanyonga RC, Kvist T. The evidence base of nurse-led family interventions for improving family outcomes in adult critical care settings: a mixed method systematic review. Int J Nurs Stud. 2022;125:104100. https://doi.org/10.1016/j.ijnurstu.2021.104100
  18. Alsharari AF. The needs of family members of patients admitted to the intensive care unit. Patient Prefer Adherence. 2019;13:465-73. https://doi.org/10.2147/PPA.S197769
  19. Iglesias J, Martín J, Alcañiz M, Ezquiaga E, Vega G. The psychological impact on relatives of critically ill patients: the influence of visiting hours. Crit Care Explor. 2022;4:e0625. https://doi.org/10.1097/CCE.0000000000000625
  20. Felten-Barentsz KM, van de Wetering-van Dongen VA, Vloet L, Koenders N, Nijhuis-van der Sanden MW, Hoogeboom TJ. Family participation during physical activity in the intensive care unit: a longitudinal qualitative study. J Crit Care. 2021;65:42-8. https://doi.org/10.1016/j.jcrc.2021.05.004
  21. Pretorius RL, Heyns T, Filmalter CJ, Botma Y. Stakeholders’ perceptions of family-centred care in the intensive care unit: an associative group analysis. Intensive Crit Care Nurs. 2021;67:103113. https://doi.org/10.1016/j.iccn.2021.103113
  22. Segers E, Ockhuijsen H, Baarendse P, van Eerden I, van den Hoogen A. The impact of family centred care interventions in a neonatal or paediatric intensive care unit on parents’ satisfaction and length of stay: a systematic review. Intensive Crit Care Nurs. 2019;50:63-70. https://doi.org/10.1016/j.iccn.2018.08.008
  23. Institute for Patient- and Family-Centered Care. What is PFCC? Institute for Patient- and Family-Centered Care; 2023. Available at: https://www.ipfcc.org/about/pfcc.html
  24. Bohart S, Lamprecht C, Andreasen AS, Waldau T, Møller AM, Thomsen T. Perspectives and wishes for patient and family centred care as expressed by adult intensive care survivors and family-members: a qualitative interview study. Intensive Crit Care Nurs. 2023;75:103346. https://doi.org/10.1016/j.iccn.2022.103346
  25. Wong P, Redley B, Digby R, Correya A, Bucknall T. Families’ perspectives of participation in patient care in an adult intensive care unit: a qualitative study. Aust Crit Care. 2020;33:317-25. https://doi.org/10.1016/j.aucc.2019.06.002
  26. Büyükçoban S, Mermi Bal Z, Oner O, Kilicaslan N, Gökmen N, Ciçeklioğlu M. Needs of family members of patients admitted to a university hospital critical care unit, Izmir Turkey: comparison of nurse and family perceptions. PeerJ. 2021;9:e11125. https://doi.org/10.7717/peerj.11125
  27. Haave RO, Bakke HH, Schröder A. Family satisfaction in the intensive care unit, a cross-sectional study from Norway. BMC Emerg Med. 2021;21:20. https://doi.org/10.1186/s12873-021-00412-8
  28. Rodríguez-Huerta MD, Álvarez-Pol M, Fernández-Catalán ML, et al. An informative nursing intervention for families of patients admitted to the intensive care unit regarding the satisfaction of their needs: the INFOUCI study. Intensive Crit Care Nurs. 2019;55:102755. https://doi.org/10.1016/j.iccn.2019.102755
  29. Avcı M, Ayaz-Alkaya S. Anxiety, social support and satisfaction of patients’ families in intensive care units: a descriptive-correlational study. J Clin Nurs. 2022;31:2765-73. https://doi.org/10.1111/jocn.16094
  30. Rückholdt M, Tofler GH, Randall S, Buckley T. Coping by family members of critically ill hospitalised patients: an integrative review. Int J Nurs Stud. 2019;97:40-54. https://doi.org/10.1016/j.ijnurstu.2019.04.016
  31. Chang PY, Chang TH, Yu JM. Perceived stress and social support needs among primary family caregivers of ICU Patients in Taiwan. Heart Lung. 2021;50:491-8. https://doi.org/10.1016/j.hrtlng.2021.03.001
  32. Padilla-Fortunatti C, Munro CL, Gattamorta K. Psychological distress, social support, and family satisfaction among family members of non-COVID-19 critical care patients: a cross-sectional study. J Nurs Scholarsh. 2023;55:33-44. https://doi.org/10.1111/jnu.12812
  33. Meneguin S, de Souza Matos TD, Miot HA, Pollo CF. Association between comfort and needs of ICU patients’ family members: a cross-sectional study. J Clin Nurs. 2019;28:538-44. https://doi.org/10.1111/jocn.14644
  34. Kynoch K, Chang A, Coyer F, McArdle A. Developing a model of factors that influence meeting the needs of family with a relative in ICU. Int J Nurs Pract. 2019;25:e12693. https://doi.org/10.1111/ijn.12693
  35. Uzar H, Karadoğan E, Çakir B. Descriptive epidemiology. Journal of Uludağ University Medical Faculty. 2024;50:339-46. https://doi.org/10.32708/uutfd.1463926
  36. Garip S. A theoretical study on the quantitative research tradition in social sciences. International Journal of Social Science Research. 2023;12:1-19.
  37. Soikkeli-Jalonen A, Mishina K, Virtanen H, Charalambous A, Haavisto E. Supportive interventions for family members of very seriously ill patients in inpatient care: a systematic review. J Clin Nurs. 2021;30:2179-201. https://doi.org/10.1111/jocn.15725
  38. Kılıç S. Sample size, power concepts and sample size calculation. J Mood Disord. 2012;2:140. https://doi.org/10.5455/jmood.20120921043306
  39. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. New York: Lawrence Erlbaum Associates; 1988.
  40. Molter N. Needs of relatives of critically ill patients: a descriptive study. Hear LungLung. 1979;8:332-9. https://doi.org/10.1111/j.1365-2702.2005.01520.x
  41. Büyükçoban S, Çiçeklioğlu M, Demiral Yılmaz N, Civaner MM. Adaptation of the critical care family need inventory to the Turkish population and its psychometric properties. PeerJ. 2015;3:e1208. https://doi.org/10.7717/peerj.1208
  42. Kessler RC, Andrews G, Colpe LJ, et al. Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med. 2002;32:959-76. https://doi.org/10.1017/s0033291702006074
  43. Altun Y, Özen M, Kuloğlu MM. Turkish adaptation of kessler psychological distress scale: validity and reliability study. Anatolian Journal of Psychiatry. 2019;21:23-31. https://doi.org/10.5455/apd.12801
  44. Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. J Pers Assess. 1988;52:30-41. https://doi.org/10.1207/s15327752jpa5201_2
  45. Eker D, Arkar H, Yaldız H. Factorial structure, validity, and reliability of revised form of the multidimensional scale of perceived social support. Türk Psikiyatr Derg. 2001;12:17-25. https://doi.org/10.1037/t06536-000
  46. Richardson JT. Eta squared and partial eta squared as measures of effect size in educational research. Educ Res Rev. 2011;6:135-47. https://doi.org/10.1016/j.edurev.2010.12.001
  47. Coskun H, Kol E. Determining the needs of the family members who have inpatients in the intensive care unit. J Educ Res Nurs. 2021;18:44-51. https://doi.org/10.5152/jern.2021.77775
  48. Dijkstra BM, Felten-Barentsz KM, van der Valk MJ, et al. Family participation in essential care activities: needs, perceptions, preferences, and capacities of intensive care unit patients, relatives, and healthcare providers-an integrative review. Aust Crit Care. 2023;36:401-19. https://doi.org/10.1016/j.aucc.2022.02.003
  49. Elsayed M, Elkattan B, Hassan S. Needs assessment of critically ill patients and their families at intensive care unit. African J Heal Nurs Midwifery. 2022;5:14-29. https://doi.org/10.52589/AJHNM-JDH9LRW0
  50. Kang J, Cho YJ, Choi S. State anxiety, uncertainty in illness, and needs of family members of critically ill patients and their experiences with family-centered multidisciplinary rounds: a mixed model study. PLoS One. 2020;15:e0234296. https://doi.org/10.1371/journal.pone.0234296
  51. Naef R, Massarotto P, Petry H. Family and health professional experience with a nurse-led family support intervention in ICU: a qualitative evaluation study. Intensive Crit Care Nurs. 2020;61:102916. https://doi.org/10.1016/j.iccn.2020.102916
  52. Minton C, Batten L, Huntington A. A multicase study of prolonged critical illness in the intensive care unit: families’ experiences. Intensive Crit Care Nurs. 2019;50:21-7. https://doi.org/10.1016/j.iccn.2018.08.010
  53. Olabisi OI, Olorunfemi O, Bolaji A, Azeez FO, Olabisi TE, Azeez O. Depression, anxiety, stress and coping strategies among family members of patients admitted in intensive care unit in Nigeria. Int J Africa Nurs Sci. 2020;13:100223. https://doi.org/10.1016/j.ijans.2020.100223
  54. Baltalı S, Ceylan İ, Erden V. The effect of anxiety levels of relatives of patients in intensive care on psychosocial needs. Black Sea J Heal Sci. 2022;5:192-8. https://doi.org/10.19127/bshealthscience.954498
  55. Terzi B, Polat Ş, Banu Katran H, Kıraner E, Kol E. Determination of patients’ family members’ needs and related factors in the intensive care unit with visiting restrictions during the COVID-19 pandemic. Intensive Crit Care Nurs. 2022;73:103295. https://doi.org/10.1016/j.iccn.2022.103295
  56. Şahingöz Tahta M, Balci E. Correlation between care burden and mental health with the perceived social support of patients relatives in Turkey. Kesmas. 2021;16:158-64. https://doi.org/10.21109/kesmas.v16i3.4508
  57. Gorji M, Shorofi S, Esfandiari M, Mohammadpour-Tahmtan RA. Psycho-social needs of family members of patients hospitalized in the burn intensive care unit: a cross-sectional study. Journal of Nursing Reports in Clinical Practice. 2023;1:118-25. https://doi.org/10.32598/JNRCP.23.48

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Nasıl atıf yapılır?

1.
Duran S, Öz YC, Eşdoğan E. Yoğun bakım ünitesinde yatan hasta ailelerinin gereksinimleri, psikolojik sıkıntıları ve sosyal destek düzeylerinin incelenmesi. Turk J Intensive Care. 2025;23(3):238-250. https://doi.org/10.63729/TJIC.2025.667