Enhancing Family-Centered Care in Cardiothoracic Surgery

Thompson-Brazill, Kelly A.; Tierney, Catherine; Brien, Lori; Wininger, J.; Williams, Judson B.

doi:10.1016/j.cnc.2020.02.010

Cited by 3 publications

(4 citation statements)

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“…It emphasizes the joint participation of patients and their families, cooperation with medical staff, the development of individualized measures under the premise of making full use of family resources, and joint efforts to the recovery of patients' diseases [7]. In recent years, its application in pediatrics, cardiothoracic surgery, intensive care unit, and other departments has achieved good results [8][9][10]. However, its application research in orthopedics and osteoporosis is still relatively small, and based on the fact that there is no clinical report on the role of this nursing method for patients with recurring vertebral fractures after PKP surgery, this study applied the familycentered educational intervention to patients with recurrent vertebral fractures after PKP, aiming to explore the effect of this nursing method on patients' learning about disease knowledge, medication compliance, and health status (see the following report).…”

Section: Introductionmentioning

confidence: 99%

Analysis of Influencing Factors of Medication Compliance in Patients with Recurrent Vertebral Fractures after Percutaneous Kyphoplasty and the Role of Family-Centered Education Intervention

Jiang

2021

Evidence-Based Complementary and Alternative Medicine

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Objective. To explore the influencing factors of medication compliance in patients with recurrent vertebral fractures after percutaneous kyphoplasty (PKP) and the role of family-centered education intervention. Methods. From January 2018 to January 2021, the general disease-related data survey form and medication compliance questionnaire made by our hospital were used to evaluate the scores of 198 patients with recurrent vertebral fractures after PKP in the Department of Orthopedics of our hospital. Single-factor and multiple linear regression analyses were used to explore the influencing factors of medication compliance in patients with recurring vertebral fractures after PKP. From 198 patients, 80 eligible patients were selected for further research. According to a random number table method, they were divided into the control group (n = 40) given only antiosteoporosis drug treatment and care and the experimental group (n = 40) combined with family-centered education intervention. After 12 months of intervention, the two groups were evaluated for their knowledge of osteoporosis, medication compliance, and physical health. Results. Of the 198 patients, only 65 had good medication compliance, 90 had poor medication compliance, and 43 were acceptable. Univariate analysis showed that the influencing factors of medication compliance in patients with recurrent vertebral fractures after PKP include the patient’s education, living style, per capita monthly income, combined other diseases, number of hospitalizations, and time since the last hospitalization ( P < 0.05 ). Multiple linear regression analysis showed that patients with recurring vertebral fractures after PKP with high education, living with spouse or children, combined with other diseases, frequent hospitalizations, and short time from the last hospitalization had higher medication compliance ( P < 0.05 ). After the intervention, the disease knowledge mastery of the experimental group was significantly better than before and after the intervention in the control group ( P < 0.0001 ). After the intervention, the medication compliance and health status of the experimental group were significantly better than those of the control group ( P < 0.05 ). Conclusion. The medication compliance of patients with recurrent vertebral fractures after PKP is generally poor, and medical staff need to take targeted interventions based on the main factors that affect the patients’ medication compliance. Family-centered education intervention is an effective way to improve disease awareness, medication compliance, and health status of patients with recurring vertebral fractures after PKP.

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Section: Introductionmentioning

confidence: 99%

Analysis of Influencing Factors of Medication Compliance in Patients with Recurrent Vertebral Fractures after Percutaneous Kyphoplasty and the Role of Family-Centered Education Intervention

Jiang

2021

Evidence-Based Complementary and Alternative Medicine

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“…Numerous advantages of visiting the ICU have been reported, such as reducing the occurrence of delirium in patients, reducing family anxiety and depression, and improving patient and family satisfaction through interactions (Lee & Yi, 2017; Ning & Cope, 2020). In this study, in the ICU—which was difficult to access, with complex medical machines and routes for administration and treatment—the nurses played a pivotal role in advising family members to wipe patients' faces and engage in a series of bedside activities to elicit positive emotions such as satisfaction, reassurance and relief (Davidson et al, 2017; Jakimowicz et al, 2018; Thompson‐Brazill et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

“…During the treatment process, critically ill patients generally feel isolated, depressed and anxious in a space away from their families (Kydonaki et al, 2020; Thompson‐Brazill et al, 2020) and patient in the ICU face many physical and psychological stressors; they experience varying degrees of stress due to the ICU environment and their critical conditions (Zengin et al, 2020). These various stressors in the ICU impair patient comfort, stimulates a stress response, and increases oxygen consumption in the body.…”

Section: Introductionmentioning

confidence: 99%

“…Nevertheless, there is a lack of research regarding the effects of actual PFCC application in the ICU (Kiwanuka et al, 2019; Thompson‐Brazill et al, 2020). Therefore, this study investigates the effects of including the patients' families in the ICU—where only limited family participation is allowed—on the patient care using haemodynamic and respiratory indicators.…”

Section: Introductionmentioning

confidence: 99%

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The impact of family care visitation programme on patients and caregivers in the intensive care unit: A mixed methods study

Yoo

Shim

2023

Journal of Clinical Nursing

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Aims: To track changes in the haemodynamic and respiratory indicators of patients and evaluate families' caring experiences via the visitation programme in the intensive care unit (ICU).Background: Although most people recognise the importance of family care visitation programme in the ICU, objective research results on the effect on patients and caregivers are still insufficient.Design: Mixed methods. Methods:In this a quasi-experimental investigation and qualitative study, after executing the programme with families of ICU patients in a general hospital in South Korea from June to July 2019, changes in haemodynamic and respiratory indicators for control (n = 28) and experimental groups (n = 28) were analysed; the experimental group families' experiences were analysed through in-depth interviews; the qualitative study's reporting rigour was checked against the COREQ guidelines and TREND checklist for a quasi-experimental study. Qualitative and quantitative data were examined using content analysis and repeated-measures analysis of variance, respectively.Results: There was a significant change in systolic and diastolic blood pressure in the haemodynamic indicator, and the respiratory indicator in both groups increased slightly over time and then gradually stabilised; there were no significant differences or interactions between groups regarding time of systolic blood pressure. The respiratory rate significantly decreased only in the experimental group. There was a significant increase in oxygen saturation over time, as well as interactions between time and group and between groups. Four themes were extracted from families' experiences. Conclusion:The haemodynamic and respiratory indicators of the group using patientand family-centred care (PFCC) showed a stable effect on critically ill patients, which increased families' satisfaction. In future, interventions should encourage family participation in the ICU for successful PFCC.

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