Satisfaction, anxiety, depression and stress among family members of patients in two regional tertiary intensive care unit in Malaysia

Mohd Ariffudin Abdul Hamid

Publication:
Satisfaction, anxiety, depression and stress among family members of patients in two regional tertiary intensive care unit in Malaysia

dc.contributor.affiliation	#PLACEHOLDER_PARENT_METADATA_VALUE#	en_US
dc.contributor.author	Mohd Ariffudin Abdul Hamid	en_US
dc.contributor.supervisor	Mohd Basri Mat Nor, Ph.D	en_US
dc.contributor.supervisor	Ariff Osman, Ph.D	en_US
dc.contributor.supervisor	Suhaila Nanyan, Ph.D	en_US
dc.date.accessioned	2024-10-09T04:37:07Z
dc.date.available	2024-10-09T04:37:07Z
dc.date.issued	2019
dc.description.abstract	Introduction: Family satisfaction has been identified as a quality indicator in critical care area. It reflects the capabilities of health care professionals to meet the expectations and needs of the family members. The impact of family satisfaction level was also found to be associated with symptoms of psychological distress such as anxiety, depression and stress among family members. We evaluated the satisfaction level and prevalence, risk factor and correlation of psychological distress symptoms with the satisfaction level among family members in two Intensive Care Unit (ICU) in Malaysia. Methods: This is a cross-sectional, multicentre survey conducted in ICU at Hospital Sultanah Aminah Johor Bahru and International Islamic University Medical Centre. Inclusion criteria were family members aged more than 18 years old whose relatives were admitted in ICU for more than 3 days. They were enrolled 3 days after ICU admission and need to complete a modified version of Critical Care Family Needs Inventory (CCFNI) and the Depression, Anxiety and Stress Scales (DASS) questionnaires. Results: A total of 176 family members were enrolled in this study. The result of the study highlighted that 116 (66%) of the family members scores ≥ 3 denoting satisfaction with the mean CCFNI score was 3.11 (SD=0.3). Prevalence of depression, anxiety and stress were of 30.1%, 41.4% and 28.9% respectively. Risk factor for psychological distress symptoms were five family members related (female sex, spousal relationship, lower education, median income less than RM 4000 and staying with patient) and one patient related (age). Negative correlation between depression, anxiety and stress with CCFNI score were found (p < 0.05) but with low correlation coefficient (r=-0.178 to -0.209). Family members without symptoms of psychological distress were more satisfied (higher CCFNI score) with ICU care compared to those with symptoms of psychological distress (p < 0.05). Conclusions: Family members of ICU patient were satisfied with the care provided in the ICU. High rates of psychological distress symptoms in this study and its correlation with the satisfaction level highlight the need to identify and implement preventive and management strategies for family members to improve the overall ICU care.	en_US
dc.description.abstractarabic	رﺿﺎء اﻷﺳﺮة ﻣﻌﱠﺮف ﺑﻤﻌﺸﺮ اﻟﺠﻮدة ﻓﻲ ﻣﺠﺎل اﻟﺮﻋﺎﯾﺔ اﻟﺤﺮﺟﺔ. إﻧﮫ ﯾﻌﻜﺲ ﻣﺪى اﺳﺘﻄﺎﻋﺔ أﺧﺼﺎﺋﻲ اﻟﺮﻋﺎﯾﺔ اﻟﺼﺤﯿﺔ ﻟﺘﻠﺒﯿﺔ اﻟﺘﻮﻗﻌﺎت وﺣﺎﺟﺎت أھﻞ اﻷﺳﺮة. إن ﺗﺄﺛﯿﺮ ﻣﺴﺘﻮى رﺿﺎء اﻷﺳﺮة أﯾﻀﺎﻘُﯾﺎل أن ﯾﻜﻮن ﻣﺮﺗﺒﻂ ﺑﺄﻋﺮاض اﻟﻤﻌﺎﻧﺎة اﻟﻨﻔﺴﯿﺔ ﻣﺜﻞ اﻟﻘﻠﻖ واﻻﻛﺘﺌﺎب واﻟﻀﻐﻂ ﺑﯿﻦ أﻋﻀﺎء اﻷﺳﺮة. ﻧﺤﻦ ﻧﻘﯿﻢ ﻣﺴﺘﻮى اﻟﺮﺿﺎء واﻟﺘﻔﺸﻲ وﻋﺎﻣﻞ اﻟﺨﻄﺮ وارﺗﺒﺎط ﺑﯿﻦ أﻋﺮاض اﻟﻤﻌﺎﻧﺎة اﻟﻨﻔﺴﯿﺔ ﺑﻤﺴﺘﻮى رﺿﺎء اﻷﺳﺮة ﺣﻮل أﻋﻀﺎء اﻷﺳﺮة ﻓﻲ ﻏﺮﻓﺘﻲ وﺣﺪة اﻟﻌﻨﺎﯾﺔ اﻟﻤﺮﻛﺰة ﺑﻤﺎﻟﯿﺰﯾﺎ. وھﺬا اﻟﺘﻘﯿﯿﻢ اﻟﻤﻘﻄﻌﻲ وﻣﺘﻌﺪد اﻟﻤﺮاﻛﺰ أﻗﺎم ﺑﮫ ﻓﻲ وﺣﺪة اﻟﻌﻨﺎﯾﺔ اﻟﻤﺮﻛﺰة ﻓﻲ ﻣﺴﺘﺸﻔﻰ اﻟﺴﻠﻄﺎﻧﺔ أﻣﯿﻨﺔ ﺑﺠﻮھﺮ ﺑﺎرو واﻟﻤﺮﻛﺰ اﻟﻄﺒﻲ ﺑﺎﻟﺠﺎﻣﻌﺔ اﻹﺳﻼﻣﯿﺔ اﻟﻌﺎﻟﻤﯿﺔ ﺑﻤﺎﻟﯿﺰﯾﺎ. اﻟﻤﻌﯿﺎر اﻻﺷﺘﻤﺎل ھﻮ أﻋﻀﺎء اﻷﺳﺮة ﻋﻤﺮھﻢ أﻛﺜﺮ ﻣﻦ 18 ﺳﻨﺔ، وﻋﻨﺪھﻢ أﻋﻀﺎء اﻷﺳﺮة اﻟﺬﯾﻦ ﯾﻠﺘﺤﻘﻮن ﺑﻮﺣﺪة اﻟﻌﻨﺎﯾﺔ اﻟﻤﺮﻛﺰة أﻛﺜﺮ ﻣﻦ 3 أﯾﺎم. وھﺆﻻء اﻟﻤﺮﺿﻰ ﯾﺤﺘﺎﺟﻮن أن ﯾﻘﻮﻣﻮا ﺑﺼﯿﻐﺔ ﻣﻌﺪﻟﺔ ﻟﻘﺎﺋﻤﺔ اﺣﺘﯿﺎﺟﺎت اﻷﺳﺮة ﻟﻠﺮﻋﺎﯾﺔ اﻟﻄﺎرﺋﺔ (CCFNI) واﺳﺘﺒﯿﺎﻧﺎت ﻣﻘﺎﯾﯿﺲ اﻻﻛﺘﺌﺎب واﻟﻘﻠﻖ واﻟﻀﻐﻂ .(DASS) وﻋﺪد أﻋﻀﺎء اﻷﺳﺮة اﻟﺬﯾﻦ ﯾﺸﺘﺮﻛﻮن ﻓﻲ ھﺬا اﻟﺒﺤﺚ ھﻢ 176 ﺷﺨﺼﺎ. واﻟﻨﺘﯿﺠﺔ أﺷﺎرت إﻟﻰ أن 166 ﺷﺨﺼﺎ (%66) ﺣﺼﻠﻮا ﻋﻠﻰ 3≤ ﻣﺴﺘﻮى اﻟﺮﺿﺎء ﻣﻊ ﻣﺘﻮﺳﻂ اﻟﺪرﺟﺎت CCFNI ھﻮ .(SD=0.3) 3.11 إن ﻧﺴﺒﺔ اﻻﻛﺘﺌﺎب واﻟﻘﻠﻖ واﻟﻀﻐﻂ ھﻲ 30.1% و41.4% و%28.9 ﻋﻠﻰ اﻟﺘﻮاﻟﻲ. وھﻨﺎك ﺧﻤﺲ ﻋﻮاﻣﻞ اﻟﺨﻄﺮ ﻷﻋﺮاض اﻟﻤﻌﺎﻧﺎة اﻟﻨﻔﺴﯿﺔ اﻟﺘﻲ ﺗﺮﺗﺒﻂ ﺑﺄﻋﻀﺎء اﻷﺳﺮة (أﻧﺜﻰ اﻟﺠﻨﺴﯿﺔ، واﻟﻌﻼﻗﺔ اﻟﺰوﺟﯿﺔ، وﻣﺴﺘﻮى اﻟﺘﺮﺑﯿﺔ اﻟﻤﻨﺨﻔﺾ، وﻣﺘﻮﺳﻂ اﻟﺪﺧﻞ أﻗﻞ ﻣﻦ RM4000، واﻟﺴﻜﻦ ﻣﻊ اﻟﻤﺮﺿﻰ)، وﻋﺎﻣﻞ واﺣﺪ ﯾﺮﺗﺒﻂ ﺑﺎﻟﻤﺮﯾﺾ (اﻟﻌﻤﺮ). إن اﻟﻌﻼﻗﺔ اﻟﺴﻠﺒﯿﺔ ﻣﻮﺟﻮدة ﺑﯿﻦ اﻻﻛﺘﺌﺎب واﻟﻘﻠﻖ واﻟﻀﻐﻂ ﻣﻊ (p<0.05 ) CCFNI وﻟﻜﻦ ﺑﺄﻗﻞ ﻣﻌﺎﻣﻞ اﻻرﺗﺒﺎط (- r=-0.178 to .(0.209 إن أﻋﻀﺎء اﻷﺳﺮة ﺑﺪون أﻋﺮاض اﻟﻤﻌﺎﻧﺎة اﻟﻨﻔﺴﯿﺔ ھﻢ أﻛﺜﺮ رﺿﺎء (أﻋﻠﻰ (CCFNI ﺑﺮﻋﺎﯾﺔ ﻓﻲ وﺣﺪة اﻟﻌﻨﺎﯾﺔ اﻟﻤﺮﻛﺰة، ﻣﻘﺎرﻧﺔ ﺑﺄﻋﻀﺎء اﻟﺬﯾﻦ ﻋﻨﺪھﻢ أﻋﺮاض اﻟﻤﻌﺎﻧﺎة اﻟﻨﻔﺴﯿﺔ .(p<0.05) إن أﻋﻀﺎء أﺳﺮة ﻣﺮﺿﻰ وﺣﺪة اﻟﻌﻨﺎﯾﺔ اﻟﻤﺮﻛﺰة ﻣﻘﺘﻨﻌﻮن ﺑﺎﻟﺮﻋﺎﯾﺔ ﻓﻲ اﻟﻮﺣﺪة. إن ارﺗﻔﺎع اﻟﻤﻌﺪﻻت ﻷﻋﺮاض اﻟﻤﻌﺎﻧﺎة اﻟﻨﻔﺴﯿﺔ ﻓﻲ ھﺬا اﻟﺒﺤﺚ وارﺗﺒﺎطﮭﺎ ﻣﻊ ﻣﺴﺘﻮى اﻟﺮﺿﺎء أﺷﺎر ﻟﻨﺎ ﻋﻦ اﻟﺤﺎﺟﺔ إﻟﻰ اﻟﺘﻌﺮف ﻋﻦ اﻟﻮﻗﺎء وﺗﻨﻔﯿﺬ طﺮق إدارﺗﮭﺎ ﻋﻨﺪ أﻋﻀﺎء اﻷﺳﺮة، ﻟﺘﺤﺴﯿﻦ ﺟﻮدة رﻋﺎﯾﺔ وﺣﺪة اﻟﻌﻨﺎﯾﺔ اﻟﻤﺮﻛﺰة ﺑﺸﻜﻞ ﻛﻠﻲ.	en_US
dc.description.callnumber	t RA 790.5 M69S 2019	en_US
dc.description.identifier	Thesis : Satisfaction, anxiety, depression and stress among family members of patients in two regional tertiary intensive care unit in Malaysia /by Mohd Ariffudin bin Abdul Hamid	en_US
dc.description.identity	t11100424225MohdAriffudinBinAbdulHamid	en_US
dc.description.kulliyah	Kulliyyah of Medicine	en_US
dc.description.notes	Thesis (MMA)--International Islamic University Malaysia, 2019.	en_US
dc.description.physicaldescription	xii, 95 leaves : colour illustrations ; 30cm.	en_US
dc.description.programme	Master of Medicine (Anaesthesiology)	en_US
dc.identifier.uri	https://studentrepo.iium.edu.my/handle/123456789/10858
dc.language.iso	en	en_US
dc.publisher	Kuantan, Pahang : Kulliyyah of Medicine, International Islamic University Malaysia, 2019	en_US
dc.subject.lcsh	Mental health -- Physiological aspects -- Malaysia	en_US
dc.subject.lcsh	Distress (Psychology) -- Family relationships	en_US
dc.subject.lcsh	Intensive care units -- Malaysia	en_US
dc.title	Satisfaction, anxiety, depression and stress among family members of patients in two regional tertiary intensive care unit in Malaysia	en_US
dc.type	Master Thesis	en_US
dspace.entity.type	Publication