Información del artículo
Resumen
Objetivo
Evaluar el impacto de un protocolo de acogida destinado a familiares de pacientes en nuestra unidad de cuidados intensivos (UCI) sobre el nivel de satisfacción familiar, al alta del paciente.
MétodosEstudio prospectivo cuasi-experimental. Sujetos del estudio: cuidadores principales y pacientes ingresados >24h en la UCI. Durante dos meses, el grupo control (n=50) recibió la información y la orientación usuales del personal médico y de enfermería. Durante los dos meses siguientes, al grupo intervención (n=65) se le aplicó un protocolo de acogida estructurado y multidisciplinar, proveído en las primeras 24h tras el ingreso. A ambos grupos (n=115) se les ofreció la Encuesta de Satisfacción Familiar en la UCI (FS-ICU©) en castellano.
ResultadosEl índice de respuesta del grupo control fue del 90%, frente al 70,7% del grupo intervención. Un total de 87 encuestas se consideraron válidas (>70% de ítems contestados). Observamos que el nivel de satisfacción general (FS-Total), y los niveles de satisfacción con los cuidados (FS-Cuidados) y con la toma de decisiones (FS-TD), en nuestra UCI, parecen muy altos. La mayoría de las puntuaciones de los distintos ítems de la encuesta en ambos grupos (83,3% frente al 79,1%) superaron el 75% en la escala 0-100%. La comparación de niveles de satisfacción entre grupos no muestra diferencias estadísticamente significativas.
ConclusionesEste estudio no demostró que esta intervención haya contribuido a una mejora significativa de la calidad percibida por los familiares en nuestra UCI, medidos con la encuesta FS-ICU© en castellano. Sin embargo, destaca cuestiones metodológicas para considerar en futuros estudios sobre este tema.
Palabras clave:
Cuidados críticos
Cuidados intensivos
Evaluación de necesidades
Familia
Indicadores de calidad de la atención de salud
Satisfacción de los consumidores
Calidad de la atención de salud
Acceso y evaluación
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