Résumé
Background and Objective: Hospitalization of patients in the intensive care units frequently results in anxiety of the family members. This study was performed to investigate the effect of a family-centered clinical intervention on the anxiety of family members of the patients hospitalized in intensive care units
Methods: In this clinical trail study, eighty family members of the patients hospitalized in the intensive care units were randomly divided into interventional and control groups, respectively. In the interventional group, the family members were allowed to be present at the bedside from the second till the sixth day. The participant's level of anxiety was assessed in the second and the sixth day of patient's hospitalization using hospital anxiety and depression scale. Oral information about the equipment and the regulations and, a daily information card consisting of treatment and care activities, vital signs and patient's level of consciousness was delivered to the participants and their questions were answered
Results: In the sixth day, there was a significant difference between the mean anxiety scores in the intervention [11 +/- 3.22] and control group [7.05 +/- 3.44] [P<0.05]. Also, the frequency of anxiety in the interventional group [56%] was significantly higher than the control group with 15% [P<0.05]. The odds ratio for anxiety in sons/daughters was lower than other family members in the sixth day [P<0.05]
Conclusion: Providing information, presence at the bedside and participation in the care of their patient increase the anxiety of family members in the first week of patient hospitalization in the intensive care unit
Résumé
The most important factors of anxiety in individuals are diseases and their treatment. Although anxiety is an alerting process, it can affect quality of life or makes the treatment longer. This study was performed to determine the relationship between level of anxiety and some of individual characteristics in patients with myocardial infarction [MI] in hospitals related to Islamic Azad University, Tehran Medical Unit. This study was performed on 200 patients with MI from 3 hospitals related to Islamic Azad University, Tehran Medical Unit. Data were collected with questionnaires, which were filled by interviews. The questionnaire had two parts: 26 questions about some individual characteristics, and the second part comprised Spill Berger standard criteria including 40 questions about anxiety level. "Content validity" method was used for ascertaining validity and "test-retest" method for reliability of tools. The subjects were all in the age range of 22-34 years with a mean of 25.98. Results indicated that 76.5% of study population was married, 64% had a history of hospitalization due to other causes, and 33% knew about their stress and anxiety. On the basis of total anxiety scores [TAS], 8% of individuals had mild [40-79], 47.5% had moderate [80-119], and 44.5% had severe [120-160] anxiety. There were a direct and statistically significant relationship between the level of anxiety and age, gender, marriage status, occupation, job satisfaction, number of children, adequacy of income, site of living, insurance, living conditions, level of liking their visitors, relationship with other family members, anxiety background among the first degree family members, his/her description of personality, description of family environment, present physical health status, and preference to have information about the illness [P < 0.05]. There is a direct and statistically significant relationship between the level of anxiety and individual characteristics of patients with myocardial infarction