| Summary: | 碩士 === 國立陽明大學 === 護理學系 === 102 === Stress and process adaptation confronted by the families of patients admitted in intensive care units (ICUs) are the concern of the study. If the families' needs are met timely, their stress can be improved, which may increase the families' ability to support the care of the patients, and the medical staff can work together to promote the health of the patient recovery and their families.
The purpose of this study was to investigate the relationship between caregivers’ stress and satisfaction with ICUs care prior to discharge. A cross-sectional correlation study was designed, and convenience sampling was adopted. The research subjects were primary caregivers for patients in a medicine and surgical ICUs of a medical center in northern Taiwan. The study attempted to determine which factors contribute to the stress and satisfaction of the caregivers via structural questionnaires. The questionnaires were : " Family-Centered Care for Intensive Care Unit-Mandarin，FFCS-ICU-M ", and " Primary Caregivers' Stress Perception Scale", with a total of 107 valid questionnaires collected. Data was analyzed by IBM SPSS version 19.0 such as descriptive statistical analysis, independent sample t-test, One-Way ANOVA, Scheffé post hoc tests, Pearson’s product-moment correlation, and multiple regressions. The results showed that the primary caregivers’ overall stress perceptions were in-between “mild stress" and “moderate stress”, with an average score of less than 2 score (0-5). The most stressful item was “patient disease characteristics”, followed by “interpersonal relationship”, “perception in self”, and “ICU environment”. The satisfaction of care had the overall average of 2.72 score. The item of satisfaction of care scored highest was "information sharing", followed by "collaboration", "respect", "empowerment," and "support". "Patient age" and "the availability of respite" had a significant relationship with caregivers’ overall stress. The "use of ventilator " and "the availability of respite" had a significant correlation with the overall satisfaction of care. The caregivers' overall stress and satisfaction had no significant correlation; however "the availability of support" item in the satisfaction of care and the “interpersonal relationship” and “perception in self” in the stress had a significant negative correlation. The prediction variable for primary caregivers’ stress was the "availability of respite". The prediction variables for primary caregivers’ satisfaction of care were the "availability of respite" and "use of ventilator". The results of this study showed that caregivers' highest stress was the patients’ disease characteristics. If the clinical staff had provided related information and treatment timely, then the caregivers were satisfied with the "information sharing" that was scored highest. The primary caregivers expressed the needs that someone can help them share the work of patient care during hospitalization. It is important to provide respite care to relieve the primary caregiver’s stress and pay attention to the primary caregiver’s support of physiological, psychological, spiritual and social needs, which can enhance the primary caregiver’s satisfaction with care in the ICU.
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