Parental satisfaction, involvement, and presence after pediatric intensive care unit admission

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• 作者：Shanil Ebrahim ; MSc^a ; Simran Singh ; RN^b ; ^c ; Christopher S. Parshuram ; MBChB ; PhD ; FRACP^b ; ^c ; ^d ; ^e ; ^{chris@sickkids.ca}
• 关键词：Parental satisfaction ; Involvement ; Presence ; Perceptions ; Survey ; Pediatric critical care ; Children
• 刊名：Journal of Critical Care
• 出版年：2013
• 出版时间：February, 2013
• 年：2013
• 卷：28
• 期：1
• 页码：40-45
• 全文大小：194 K

文摘

Purpose

To describe satisfaction, involvement, presence, and preferences of parents following their child's admission to an intensive care unit (ICU).

Methods

A survey, administered 1 month after their child's ICU admission, described perceptions of parental satisfaction with their interaction with healthcare providers, their presence during resuscitation, involvement in treatment decision-making, and preferences if events were to be re-enacted.

Results

One hundred three parents of 91 patients were enrolled; 64 primary parents (70 % ) completed the survey at 1 month. The mean (SD) satisfaction rating was 87.6 (¡À 14.8) and involvement rating was 70.2 (¡À 34.4) on a scale from 0 (not satisfied/involved) to 100 (completely satisfied/involved). There were no differences in satisfaction (P = .46), involvement (P = .69) and change in preferences (P = .97) between parents who were present and not present. After adjusting for child's baseline illness, receipt of more ICU therapies was associated with worse parental satisfaction (P = .03). Twenty-four (38 % ) parents reported that if events were repeated, they would have changed their preferences.

Conclusions

Overall, parental satisfaction ratings were high, lower in parents of children receiving more ICU therapies, and not associated with presence during resuscitation. These data contrast the American Heart Association's recommendation and suggestion of benefit from parental presence during periods of intensive therapies.