دورية أكاديمية
Quality of dying and death in intensive care units: family satisfaction.
| العنوان: | Quality of dying and death in intensive care units: family satisfaction. |
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| المؤلفون: | Wen FH; Department of International Business, Soochow University - Downtown Campus, Taipei, Taiwan., Chiang MC; Department of Nursing, Chang Gung Memorial Hospital Kaohsiung Branch, Kaohsiung, Taiwan., Huang CC; Department of Internal Medicine, Chang Gung Memorial Hospital Linkou Main Branch, Taoyuan, Taiwan.; Department of Respiratory Therapy, Chang Gung University, Taoyuan, Taiwan., Hu TH; Department of Internal Medicine, Chang Gung Memorial Hospital Kaohsiung Branch, Kaohsiung, Taiwan., Chou WC; Department of Hematology-Oncology, Chang Gung Memorial Hospital Linkou Main Branch, Taoyuan, Taiwan.; School of Medicine, Chang Gung University, Taoyuan, Taiwan., Chuang LP; Department of Internal Medicine, Chang Gung Memorial Hospital Linkou Main Branch, Taoyuan, Taiwan., Tang ST; School of Nursing, Chang Gung University College of Medicine, Taoyuan, Taiwan sttang@mail.cgu.edu.tw.; Division of Hematology-Oncology, Chang Gung Memorial Hospital Linkou Main Branch, Taoyuan, Taiwan. |
| المصدر: | BMJ supportive & palliative care [BMJ Support Palliat Care] 2024 Jan 08; Vol. 13 (e3), pp. e1217-e1227. Date of Electronic Publication: 2024 Jan 08. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: BMJ Publishing Group Country of Publication: England NLM ID: 101565123 Publication Model: Electronic Cited Medium: Internet ISSN: 2045-4368 (Electronic) Linking ISSN: 2045435X NLM ISO Abbreviation: BMJ Support Palliat Care Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : BMJ Publishing Group |
| مواضيع طبية MeSH: | Terminal Care*, Humans ; Cohort Studies ; Family/psychology ; Intensive Care Units ; Surveys and Questionnaires ; Personal Satisfaction |
| مستخلص: | Objective: This cohort study identified patterns/classes of surrogates' assessment of their relative's quality of dying and death (QODD) and to evaluate their associations with family satisfaction with intensive care unit (ICU) care. Methods: We identified QODD classes through latent class analysis of the frequency component of the QODD questionnaire and examined their differences in summary questions on the QODD and scores of the Family Satisfaction in the ICU questionnaire among 309 bereaved surrogates of ICU decedents. Results: Four distinct classes (prevalence) were identified: high (41.3%), moderate (20.1%), poor-to-uncertain (21.7%) and worst (16.9%) QODD classes. Characteristics differentiate these QODD classes including physical symptom control, emotional preparedness for death, and amount of life-sustaining treatments (LSTs) received. Patients in the high QODD class had optimal physical symptom control, moderate-to-sufficient emotional preparedness for death and few LSTs received. Patients in the moderate QODD class had adequate physical symptom control, moderate-to-sufficient emotional preparedness for death and the least LSTs received. Patients in the poor-to-uncertain QODD class had inadequate physical symptom control, insufficient-uncertain emotional preparedness for death and some LSTs received. Patients in the worst QODD class had poorest physical symptom control, insufficient-to-moderate emotional preparedness for death and substantial LSTs received. Bereaved surrogates in the worst QODD class scored significantly lower in evaluations of the patient's overall QODD, and satisfaction with ICU care and decision-making process than those in the other classes. Conclusions: The identified distinct QODD classes offer potential actionable direction for improving quality of end-of-life ICU care. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2023. No commercial re-use. See rights and permissions. Published by BMJ.) |
| فهرسة مساهمة: | Keywords: Bereavement; End of life care; Family management; Psychological care; Terminal care |
| تواريخ الأحداث: | Date Created: 20230102 Date Completed: 20240404 Latest Revision: 20240404 |
| رمز التحديث: | 20240404 |
| DOI: | 10.1136/spcare-2022-003950 |
| PMID: | 36593102 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2045-4368 |
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| DOI: | 10.1136/spcare-2022-003950 |