加護病房病患家屬對「家庭為中心護理」的感受、家屬焦慮程度及睡眠品質之相關因素探討

本研究旨在探討加護病房病患家屬對家庭護理為中心護理的感受、家屬焦慮程度及睡眠品質之相關因素。採用描述性相關性設計，以方便取樣方式進行研究個案選取，病患家屬共257位，以結構式問卷收集資料，研究工具包括：個案基本資料、家庭為中心照護量表、情境焦慮量表、睡眠量表。以SPSS 17.0進行統計分析，包括：描述性統計分析、單因子變異數分析、皮爾森相關係數分析及複迴歸分析。 研究結果發現，病患家屬於家庭成員於加護病房照護期間，感受到醫護人員〝以家庭為中心護理〞的照護，其相關影響因素有為家屬年齡及婚姻、病患為經濟來源、疾病嚴重度、親屬曾住加護病房經驗、與護理人員接觸頻率，其中以護理人員與家屬接觸頻率於〝以家庭為中心護理〞的核心內涵皆呈現顯著差異，因此增加護理人員與家屬接觸頻率有助於〝以家庭為中心護理〞感受程度的提升。影響病患家屬焦慮程度重要因子為疾病嚴重度其可解釋變異量為1.6 %，而影響睡眠品質重要因子為家庭為中心護理整體感受程度與職業，可解釋變異量為8.6%。 故此研究結果可運用於臨床護理人員教育及護理政策制定，鼓勵護理人員多與家屬接觸，提供相關護理措施，提高對病患家庭成員的整體性照護，進而提升病患家屬對醫療照護的滿意度。

The purpose of this study was to examine the influencing factors of family members’ perceptions of family-centered care, anxiety, and sleep quality in intensive care units. It was a descriptive, correlational study. A convenience sample of 257 family members in the intensive care units was recruited. A structured questionnaire included demographics, Family-Centered Care Survey-Intensive Care Unit-Mandarin (FCCS-ICU-M), State Anxiety Inventory (SAI), Verran and Snyder-Halpern Sleep Scale. Data were analyzed by using SPSS 17.0. Data analysis included t-test, one-way ANOVA, Pearson correlation, and multiple regression analysis.Findings indicated that family member’s age and marital status, patient as an economic source, patients’ illness severity, having family members’ being previous hospitalized in the intensive care units, and frequency of contact with nurses significantly accounted for Family-Centered Care, particularly the frequency of contact with nurses. Patient’s illness severity significantly explained the family member’s anxiety with a total variance of 1.6%. The perception of family-centered care and employment status explained the variance in family members’ sleep quality was statistically significant at 8.6%. The results of this study may provide the guidance to the development of nursing education in clinical practice and the formulation of nursing policy and in turn, enhance the nurses’ holistic care for the patients’ families and the satisfaction of patients’ families as well.