中山醫學大學2010-10-262026-04-012010-10-262010-10-26https://scholars.csmu.edu.tw/handle/123456789/8822本研究首在了解內科重症病房病人家屬需求並探討其影響因素。研究採結構式問卷、立意取樣，在民國87年12月15日至88年3月21日對中部某教學醫院之100位內科重症病人家屬施以問卷調查。所收集資料以次數分配、百分比、平均值、標準差、皮爾森相關、t-檢定、單因子變異數分析及迴歸分析等方法進行資料處理與分析。其結果如下：(一)前十項需求項目，以「訊息獲知需求」有五項居多，五大類別需求排序之首為「訊息獲知需求」，其次為「保證需求」。(二)家屬自覺需求獲得滿足率達80%共有14項，以「訊息獲知需求」有八項居多，五大類別需求獲得滿足排序之首亦為「訊息獲知需求」，其次為「保證需求」。(三)在需要重要程度與需求獲得間一致性，以「訊息獲知需求」的滿意一致性為最高達74%，而「支持需求」為最低為61.59%。(四)影響家屬需求重要程度之相關因素，有家屬之婚姻狀況、年齡、與病人關係、教育程度，家中經濟來源、住院天數等四個變項。(五)影響家屬自覺需求獲得滿足之相關因素達統計顯著意義者為家屬婚姻關係、與病人關係及病人之性別、住院天數等四個變項。(六)家屬需求獲得滿足之主要提供者，除「訊息獲知需求」為醫師外，其他均為護理人員，本研究提出護理上應用及未來研究之建議。 The purpose of this study was understand the needs of family of medically critical patients and to explore the factors which may affect those needs. One hundred family of medically critical patients admitted to Chung Shan medical and Dental College Hospital between December, 1998 and Match, 1999 were interviewed by a structured questionnaire. Data analysis uses statistic methods of frequencies, means, standard deviation, t-test, one-way ANOVA, Pearson’s correlation and multiple regression analysis. The results of this study were as follows:(1)In the ten leading important family needs, “information” needs ranked the first and “Assurance” was the second. (2)In the received satisfaction of family needs, “Information” needs ranked the first. In the perceived satisfaction of the five categories of needs, “information” needs ranked the first and “Assurance” was the second. (3)The highest consistency between the perceived importance and satisfactory of five categories was “Information” needs, while the lowest was “Support” needs. (4)The variables significantly affected family needs were marriage and age of families, relations with patients, education of families, economic source of families, and living with patient. (5)The variables affecting the satisfaction of family needs were marriage of families, relations with patients, gender of Medically Critical Care Unit of patients. (6)Most of the family needs in this study were met by the nurse in most of the time, Only some specific informational needs such as diagnosis or treatment were met by physicians in most of the time.zh-TW