Assessment of the comfort level of patients’ companions in intensive care units and related factors

Authors

1 1 Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Kashan, Iran

2 Trauma Nursing Research Centre, Kashan University of Medical Sciences, Kashan, Iran

Abstract

Background: Patients’ companions have a great role in intensive care units (ICUs). They act as patients’ voice since a majority of patients are unable to communicate or make decisions. Objective: This study aims to investigate the comfort of patients’ companions in ICUs and its related factors in a selected hospital in Kashan, Iran in 2019. Methods: This cross-sectional study was conducted on a convenience sample of 375 family members of patients recruited from the ICUs. Data collection instruments were a demographic questionnaire and companions comfort scale (ECONF). Data were analyzed with independent-samples t-test, one-way analysis of variance, Pearson’s correlation analysis, and multiple linear regression analysis. Results: The mean score of companions’ comfort was 179.02 ± 37. The multiple regression analysis indicated that foot or low back pain, Iranian nationality, being a first-degree relative, present more than once per day as the patient’s companion, coma status of patients, and duration of hospitalization more than 1 week (P < 0.05) were associated with companions’ comfort. Companions’ gender, age, patient care alone, education level, income, history of an underlying disease, and connection to a ventilator were not related to the companions’ comfort. Conclusion: The comfort score of patients’ companions was above the moderate level. Some sociodemographic characteristics of the companions and clinical status of patients were related to comfort score. Further studies are necessary to assess cultural, demographic, and contextual aspects related to the comfort of patients’ companions in the ICUs.

Keywords


1. Mercadante  S, Gregoretti  C, Cortegiani  A. Palliative care in
intensive care units: Why, where, what, who, when, how. BMC
Anesthesiol 2018;18:106.
2. Martos-Casado  G, Aragón-López  A, Gutiérrez-Ramos  N.
[Satisfaction of relatives of the patients admitted to an intensive
care unit: Perceptions of relatives and professionals]. Enferm
Intensiva 2014;25:164-72.
3. Freitas  KS, Menezes  IG, Mussi  FC. Comfort from the
perspective of families of people hospitalized in the intensive
care unit. Texto Contexto Enfer 2012;21:896-904.
4. Bergström  A, Håkansson  Å, Warrén  Stomberg  M, Bjerså  K.
Comfort theory in practice-nurse anesthetists’ comfort measures
and interventions in a preoperative context. J Perianesth Nurs
2018;33:162-71.
5. Puchi C, Paravic-Klijn T, Salazar A. The comfort theory as a
theoretical framework applied to a clinical case of hospital at
home. Holist Nurs Pract 2018;32:228-39.6. Freitas KS, Mussi FC, Menezes IG. Discomfort experienced at
the daily life of relatives of people admitted at ICU. Esc Anna
Nery 2012;16:704-11.
7. Dharmalingam  TK, Kamaluddin  MR, Hassan  S, Zaini  R.
The needs of Malaysian family members of critically ill
patients treated in intensive care unit, Hospital Universiti Sains
Malaysia. Malaysian J Med Health Sci 2016;12:9-17.
8. Aziato  L, Adejumo  O. Psychosocial factors influencing
Ghanaian family caregivers in the post-operative care of their
hospitalised patients. Africa J Nurs Midwifery 2015;16:112-24.
9. Hinkle  JL, Fitzpatrick  E. Needs of American relatives of
intensive care patients: Perceptions of relatives, physicians and
nurses. Intensive Crit Care Nurs 2011;27:218-25.
10. Gibaut MdAM, Hori LMR, Freitas KS, Mussi FC. Comfort
of the patient’s family in an intensive care unit related to
welcoming. Rev Esc Enferm USP 2013;47:1114-21.
11. Tripathy  S, Acharya  SP, Sahoo  AK, Mitra  JK, Goel  K,
Ahmad  SR, et  al. Intensive care unit (ICU) diaries and the
experiences of patients’ families: A grounded theory approach
in a lower middle-income country (LMIC). J Patient Rep
Outcomes 2020;4:63.
12. Natesan  P, Hadid  D, Harb  YA, Hitti  E. Comparing patients
and families perceptions of satisfaction and predictors of
overall satisfaction in the emergency department. PLoS One
2019;14:e0221087.
13. Shirzadi  SM, Raeissi  P, Nasiripour  AA, Tabibi  SJ. Factors
affecting the quality of hospital hotel services from the patients
and their companions’ point of view: A national study in Iran.
J Res Med Sci 2016;21:46 (in Persian).
14. Çelik  Y, Hikmet  N, Şantaş  F, Aksungur  A, Topaktaş  G,
Turaç  İS. Patient companions in the Turkish Healthcare
System: The role, expectations and problems. Health Soc Care
Community 2017;25:1199-208.
15. Lavdaniti  M, Raftopoulos  V, Sgantzos  M, Psychogiou  M,
Areti T, Georgiadou C, et al. In-hospital informal caregivers’
needs as perceived by themselves and by the nursing staff in
northern Greece: A descriptive study. BMC Nurs 2011;10:19.
16. Dall’Armi  L, Simpson  GK, Forstner  D, Simpson  T,
Roydhouse JK, White KJ. The information needs of patients
with head and neck cancer and their caregivers: A  short
report of instrument development and testing. Appl Nurs Res
2013;26:40-4.
17. Dikkers MF, Dunning T, Savage S. Information needs of family
carers of people with diabetes at the end of life: A  literature
review. J Palliat Med 2013;16:1617-23.
18. Son  H, Yom  YH. Factors influencing satisfaction with
emergency department medical service: Patients’ and their
companions’ perspectives. Jpn J Nurs Sci 2017;14:27-37.
19. Pule  Q, Mulilo  E, Lushinga  L, Miti  J, Katowa-Mukwato  P.
Caregivers satisfaction with care received by paediatric oncology
patients admitted at the University Teaching Hospital-Lusaka
Zambia. J Nurs Educ Pract 2018;8:22.
20. Ekwall A, Gerdtz M, Manias E. The influence of patient acuity
on satisfaction with emergency care: Perspectives of family,
friends and carers. J Clin Nurs 2008;17:800-9.
21. Freitas KS, Menezes IG, Mussi FC. Validation of the comfort
scale for relatives of people in critical states of health. Rev Lat
Am Enfermagem 2015;23:660-8.
22. Nilsson  J, Gardulf  A, Lepp  M. Process of translation and
adaptation of the Nurse Professional Competence (NPC) Scale.
J Nurs Educ Pract 2016;6:100-3.
23. Valente  CO, Fonseca  GM, Freitas  KS, Mussi  FC. Family
comfort to a relative admitted to the intensive care unit. Rev
Baiana Enfer 2017;31:e17597.
24. Camponogara  S, dos  Santos  TM, Rodrigues  IL, Frota  L,
Amaro  D, Turra  M. Perceptions and needs of relatives of
patients admitted to an intensive care unit. J Res Fundam Care
2013;5:622-34.
25. Davidson  JE. Family-centered care: Meeting the needs of
patients’ families and helping families adapt to critical illness.
Crit Care Nurse 2009;29:28-34.
26. Carlson  EB, Spain  DA, Muhtadie  L, McDade-Montez  L,
Macia  KS. Care and caring in the intensive care unit:
Family members’ distress and perceptions about staff
skills, communication, and emotional support. J Crit Care
2015;30:557-61.
27. Martins PF, Perroca MG. Patient and companion satisfaction
regarding the meeting of nursing care needs. Rev Eletr Enf
2017;19:a18.
28. Meneguin  S, de  Souza  Matos  TD, Miot  HA, Pollo  CF.
Association between comfort and needs of ICU patients’ family
members: A cross-sectional study. J Clin Nurs 2019;28:538-44.
29. Alsharari  AF. The needs of family members of patients
admitted to the intensive care unit. Patient Prefer Adherence
2019;13:465-73.
30. Gundo R, Bodole FF, Lengu E, Maluwa AA. Comparison of
nurses’ and families’ perception of family needs in critical care
unit at referral hospitals in Malawi. Open J Nurs 2014;4:312-20.
31. Moghadasian  S, Firoziyan  A, Nikanafar  A, Rahmani  A,
Abdolahzadeh  F. Satisfaction with nursing care and related
factors in hospitalized cancer patients in Shahid Ghazi Hospital
in Tabriz. J Urmia Nurs Midwifery 2013;11:498-506.
32. Ekwall  A, Gerdtz  M, Manias  E. Anxiety as a factor
influencing satisfaction with emergency department care:
Perspectives of accompanying persons. J Clin Nurs 2009;18:
3489-97.
33. Khiyali  ZKM. Survey of caregiver burden and its related
factors in caregiver of hemodialysis patients referring to Shahid
Mohammadi Hospital in Bandar Abbas. Nurs J Vulnerable
2018;5:35-46.
34. Fontova-Almató A, Suñer-Soler R, Juvinyà-Canal D. Factors
associated with patients’ and companions’ satisfaction with a
hospital emergency department: A descriptive, cross-sectional
study. Nurs Open 2019;6:834-41.