Preventive Care in Nursing and Midwifery Journal
Sun, May 25, 2025
[Archive]
Volume 13, Issue 2 (3-2023)
PCNM 2023, 13(2): 19-29 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Hajikhani Z, Rabie Siahkali S, Ghahremani Z. Assessing the Effect of a Telephone-Supported Need-Based Educational Program on Anxiety and Depression of Families of Patients Admitted to the Intensive Care Unit. PCNM 2023; 13 (2) :19-29
URL: http://nmcjournal.zums.ac.ir/article-1-799-en.html
URL: http://nmcjournal.zums.ac.ir/article-1-799-en.html
Department of Operating Room and Anaesthesiology, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran , rabie2@zums.ac.ir
Abstract: (1819 Views)
Background: Identifying and meeting the psycho-social needs of family members of patients admitted to the intensive care unit (ICU) is an undeniable necessity and priority for nurses.
Objectives: The present study was conducted to determine the effect of a need-based educational program on anxiety and depression of families of patients admitted to the ICU.
Methods: In this quasi-experimental study, a telephone-supported need-based educational program was conducted on 88 family members of patients admitted to the ICU wards of educational hospitals in the city of Zanjan. A demographic information questionnaire, the Hospital Anxiety and Depression Scale (HADS), and the Critical Care Family Needs Inventory (CCFNI) were used to collect data. Data were analyzed using SPSS 26 software and the Wilcoxon statistical test.
Results: The findings indicated that the majority of the investigated patients were male (51.1%) and married (89.8%), with the mean age of 50.3±15 years. Most of the investigated family members were the patients’ spouses, with the mean age of 46.2±10.7 years, and had a diploma and university education (71.6%). The needs of family members included the need for assurance (3.24±0.5), the need for proximity (3.22±0.55), the need for information (3.11±0.49), the need for comfort (2.52±0.67), and the need for support (2.16±0.68), respectively. The levels of anxiety and depression significantly reduced after the intervention (P<0.0001).
Conclusion: Based on the study results, it is recommended to use a need-based educational program to reduce anxiety and depression of family members of patients admitted to the ICU.
Objectives: The present study was conducted to determine the effect of a need-based educational program on anxiety and depression of families of patients admitted to the ICU.
Methods: In this quasi-experimental study, a telephone-supported need-based educational program was conducted on 88 family members of patients admitted to the ICU wards of educational hospitals in the city of Zanjan. A demographic information questionnaire, the Hospital Anxiety and Depression Scale (HADS), and the Critical Care Family Needs Inventory (CCFNI) were used to collect data. Data were analyzed using SPSS 26 software and the Wilcoxon statistical test.
Results: The findings indicated that the majority of the investigated patients were male (51.1%) and married (89.8%), with the mean age of 50.3±15 years. Most of the investigated family members were the patients’ spouses, with the mean age of 46.2±10.7 years, and had a diploma and university education (71.6%). The needs of family members included the need for assurance (3.24±0.5), the need for proximity (3.22±0.55), the need for information (3.11±0.49), the need for comfort (2.52±0.67), and the need for support (2.16±0.68), respectively. The levels of anxiety and depression significantly reduced after the intervention (P<0.0001).
Conclusion: Based on the study results, it is recommended to use a need-based educational program to reduce anxiety and depression of family members of patients admitted to the ICU.
Type of Study: Orginal research |
Subject:
Nursing
Received: 2021/11/8 | Accepted: 2023/03/1 | Published: 2023/03/1
Received: 2021/11/8 | Accepted: 2023/03/1 | Published: 2023/03/1
References
1. Fathani M, Afzal Aghaee M. Tadayyon Far M. Effectiveness of education based on self-care needs on quality of life of patients with Heart failure. Experimental study. JSUMS. 2015; 22(5): 893-902. [In Persian]
2. Bandari R, Rejeh N, Heravi-Karimooi M, Zayeri F, Mirmihammadkhani M, Montazeri A. Translation and validation of the critical care family needs inventory .Validation-type cognitive methodology. Journal of the Iranian Institute for Health Sciences Research. 2013;1(12). [In Persian]
3. Adineh Menbar S, Hanifi N, Rabie Siahkali S. Analysis of the Needs of Relatives of Patients in Emergency Section of Zanjan Education-Medication Centers in 2019. descriptive correlationstudy. Preventive Care in Nursing & Midwifery Journal. 2019;9(3):50-6. [In Persian] [crossref]
4. 4 .Fallahi Khoshknab M, Farzadmehr M, Hosseini MA, Khankeh HR, NoorAbadi Z. Nursing consultation on anxiety of patient's family in cardiac surgery intensive care unit. clinical trial. Journal of Research Development in Nursing and Midwifery. 2016; 12(3):1-8. [In Persian]
5. Askari H, Forozi M, Navidian A, Haghdost A. Psychological reactions of family members of patients in critical care unitsinZahedan descriptive-analytical study .J Research Health. 2013;3(1): 317-24. [In Persian]
6. Navidian A, Rezaei J, Payan H. Efficacy of supportive-educational intervention on psychological reactions of family members of intensive care unit patients. Quasi-Experimental study.Journal of Nursing Education. 2016; 5(4): 51-8. [In Persian]. [crossref]
7. Lautrette A, Darmon M, Megarbane B, Joly LM, Chevret S, Adrie C, et al. A communication strategy and brochure for relatives of patients dying in the ICU. New England Journal of Medicine. 2007; 356(5): 469-78. [crossref]
8. Bolosi M, Peritogiannis V, Tzimas P, Margaritis A, Milios K, Rizos DV. Depressive and anxiety symptoms in relatives of intensive care unit patients and the perceived need for support. prospective, randomized, controlled trialJournal of neurosciences in rural practice. 2018;9(04):522-8. [crossref]
9. Carson SS, Cox CE, Wallenstein S, Hanson LC, Danis M, Tulsky JA, et al. Effect of palliative care-led meetings for families of patients with chronic critical illness: a randomized clinical trial. Jama. 2016; 316(1): 51-62. [crossref]
10. Lai VKW, Ho KM, Wong WT, Leung P, Gomersall CD, Underwood MJ, et al. Effect of preoperative education and ICU tour on patient and family satisfaction and anxiety in the intensive care unit after elective cardiac surgery: a randomised controlled trial. BMJ quality & safety. 2021;30(3):228-35. [crossref]
11. 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. International journal of nursing practice. 2019; 25(1): e12693. [crossref]
12. Hsiao P-R, Redley B, Hsiao Y-C, Lin C-C, Han C-Y, Lin H-R. Family needs of critically ill patients in the emergency department. prospective cross-sectional International emergency nursing. 2017; 30: 3-8. [crossref]
13. Liputo GP, Sila NA, PU ZE, Abidin Z, Revai A, Yusuf A. Stress Management in The Family of Intensive Care Patients. A Literature Review Jurnal INJEC. 2018; 3(1): 44-51. [crossref]
14. Khatri Chhetri I, Thulung B. Perception of nurses on needs of family members of patient admitted to critical care units of teaching hospital, Chitwan Nepal: a cross-sectional institutional based study. Nursing Research and Practice. 2018; 2018. [crossref]
15. Almagharbeh WT, Alhassan MA, Al Motlaq M, Taher RE. Family Needs of Critically Ill Patients in Central Jordan: A Family Perspective. hospitals. clinical trial study. American Journal of Biomedical Science and Research 2019; 12(16): 18-9.
16. Alsharari AF. The needs of family members of patients admitted to the intensive care unit. cross-sectional study.Patient preference and adherence. 2019; 13: 465. [crossref]
17. Shahrokhi A, Ranjbaran M, Zarei S. Comparing the Perceptions of Nurses and Patients' Families About the Expectations of Patients' Families in Intensive Care Unit. descriptive-analytical study Journal of Inflammatory Disease. 2020; 24. [In Persian] [crossref]
18. Kaviani H, Seyfourian H, Sharifi V, Ebrahimkhani N. Reliability and validity of anxiety and depression hospital scales (HADS): Iranian patients with anxiety and depression disorders. Tehran University Medical Journal. 2009;67(5): 379-85. [In Persian]
19. Montazeri A, Vahdaninia M, Ebrahimi M, Jarvandi S. The Hospital Anxiety and Depression Scale (HADS): translation and validation study of the Iranian version. Health and quality of life outcomes. 2003;1(1):1-5. [In Persian] [crossref]
20. Abdel-Aziz AL, Ahmed S, Younis G. Family needs of critically ill patients admitted to the intensive care unit, comparison of nurses and family perception. Semi-experimental studies. Am J Nurs Sci. 2017; 6(4): 333-46. [crossref]
21. Mitchell M, Dwan T, Takashima M, Beard K, Birgan S, Wetzig K, et al. The needs of families of trauma intensive care patients: a mixed methods study. Intensive and Critical Care Nursing. 2019; 50:11-20. [crossref]
22. Liew S, Dharmalingam T, Ganapathy G, Muniandy R, Johnny N, Lily N. Need domains of family members of critically-ill patients: A Borneo perspective. descriptive and cross-sectional study. Borneo J Med Sci. 2018; 12(2): 27-33. [crossref]
23. 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. Nursing open. 2018; 5(1): 6-14. [crossref]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
