M S Holanda Peña1, N Marina Talledo2, E Ots Ruiz2, J M Lanza Gómez2, A Ruiz Ruiz2, A García Miguelez2, V Gómez Marcos2, M J Domínguez Artiga2, M Á Hernández Hernández3, R Wallmann4, J Llorca Díaz4. 1. Servicio de Medicina Intensiva, Hospital Universitario Marqués de Valdecilla, Santander, España. Electronic address: sholanda@humv.es. 2. Servicio de Medicina Intensiva, Hospital Universitario Marqués de Valdecilla, Santander, España. 3. Servicio de Medicina Intensiva, Hospital Universitario Marqués de Valdecilla, Santander, España; Medicina Preventiva y Salud Pública, Universidad de Cantabria, Santander, España. 4. Medicina Preventiva y Salud Pública, Universidad de Cantabria, Santander, España.
Abstract
OBJECTIVE: To study the agreement between the level of satisfaction of patients and their families referred to the care and attention received during admission to the ICU. DESIGN: A prospective, 5-month observational and descriptive study was carried out. SETTING: ICU of Marqués de Valdecilla University Hospital, Santander (Spain). SUBJECTS: Adult patients with an ICU stay longer than 24h, who were discharged to the ward during the period of the study, and their relatives. INTERVENTION: Instrument: FS-ICU 34 for assessing family satisfaction, and an adaptation of the FS-ICU 34 for patients. The Cohen kappa index was calculated to assess agreement between answers. RESULTS: An analysis was made of the questionnaires from one same family unit, obtaining 148 pairs of surveys (296 questionnaires). The kappa index ranged between 0.278-0.558, which is indicative of mild to moderate agreement. CONCLUSIONS: The families of patients admitted to the ICU cannot be regarded as good proxies, at least for competent patients. In such cases, we must refer to these patients in order to obtain first hand information on their feelings, perceptions and experiences during admission to the ICU. Only when patients are unable to actively participate in the care process should their relatives be consulted.
OBJECTIVE: To study the agreement between the level of satisfaction of patients and their families referred to the care and attention received during admission to the ICU. DESIGN: A prospective, 5-month observational and descriptive study was carried out. SETTING: ICU of Marqués de Valdecilla University Hospital, Santander (Spain). SUBJECTS: Adult patients with an ICU stay longer than 24h, who were discharged to the ward during the period of the study, and their relatives. INTERVENTION: Instrument: FS-ICU 34 for assessing family satisfaction, and an adaptation of the FS-ICU 34 for patients. The Cohen kappa index was calculated to assess agreement between answers. RESULTS: An analysis was made of the questionnaires from one same family unit, obtaining 148 pairs of surveys (296 questionnaires). The kappa index ranged between 0.278-0.558, which is indicative of mild to moderate agreement. CONCLUSIONS: The families of patients admitted to the ICU cannot be regarded as good proxies, at least for competent patients. In such cases, we must refer to these patients in order to obtain first hand information on their feelings, perceptions and experiences during admission to the ICU. Only when patients are unable to actively participate in the care process should their relatives be consulted.
Authors: Johan H Vlake; Jasper van Bommel; Evert-Jan Wils; Joe Bienvenu; Merel E Hellemons; Tim Im Korevaar; Anna Fc Schut; Joost Am Labout; Lois Lh Schreuder; Marten P van Bavel; Diederik Gommers; Michel E van Genderen Journal: J Med Internet Res Date: 2022-01-31 Impact factor: 5.428