The Effect of Family Supportive Need-based Program on Anxiety and Satisfaction among Family Members of Head Injury Patients, Accident and Emergency Department

Main Article Content

Boonyarat Pansiri
Pachanut Nanthaitaweekul

Abstract

            The quasi-experimental design aimed to examine the effects of family supportive need-based program on anxiety and satisfaction among family members of head injury patients, accidental and emergency department by applying the concept of Molter’s Critical Care Family Need Inventory. The samples were family members of patients who had mild to moderate level of head injury of Wetchakarunrasm hospital. Samples were purposively selected into two groups of 30 each. Participants of each group were matched according to the sex of family members and the patients' severity of head injury. The research instruments for collecting data were personal information assessment form, anxiety assessment questionnaire, satisfaction assessment questionnaire and the experimental instrument is need-analysis of family member of head injury patient’s questionnaire. Internal consistency reliability tested with Cronbach’s Alpha Coefficient resulted as .93, .96 and .93 respectively. The instrument for intervention was family supportive need-based program. Data was analyzed by using descriptive and t-test.


            The results showed the mean score of satisfaction after receiving the program in the experimental group was higher than the control group after receiving the usual care and significant (p-value < .05) but the mean score of anxiety after receiving the program was lower than before in the experimental group and the control group. Family supportive need-based program is suitable and can be used for nursing care in the accidental and emergency department to increase satisfaction and reduce anxiety of family members. It is a guide for nurses to assist and manage services to meet their needs holistically.

Article Details

How to Cite
1.
Pansiri B, Nanthaitaweekul P. The Effect of Family Supportive Need-based Program on Anxiety and Satisfaction among Family Members of Head Injury Patients, Accident and Emergency Department. KJN [Internet]. 2021 Dec. 8 [cited 2024 Dec. 22];28(2):36-47. Available from: https://he01.tci-thaijo.org/index.php/kcn/article/view/242315
Section
Research Articles

References

Ministry of Public Health, Division of Non Communicable Diseases. Annual report 2018. Bangkok: Aksorn Grphic and Design; 2018. (in Thai)

Limumnoilap S. Critical care nursing. 8th ed. Khonkaen: Klungnana Vitthaya; 2013. (in Thai)

Lhaosupab N, Monkong S, Sirapo-ngam Y. Effect of stress management program for relatives of critically ill patients on relatives' stress. Ramathibodi Nursing Journal 2014;20(1):67-81. (in Thai)

McAdam JL, Dracup KA, White DB, Fontaine DK, Puntillo KA. Symptom experiences of family members of intensive care unit patients at high risk for dying. Critical Care Medicine 2010;38(4):1078-85.

Pochard F, Darmon M, Fassier T, Bollaert PE, Cheval C, Coloigner M, et al. Symptoms of anxiety and depression in family members of intensive care unit patients before discharge or death. A prospective multicenter study. Journal of Critical Care 2005;20(1):90-6.

Khiewchaum R. Effect of traumatic brain injury. Journal of Phrapokklao Nursing College 2016;27(1):103-11. (in Thai)

Buachai R. Needs and responses to needs as perceived by the family members of hospitalized traumatic brain injury patients [Dissertation]. Nakornpathom: Mahidol University; 2010. (in Thai)

Dangsuwan K, Phongsuwan C, Gaseng S, Srichai P, Jeankong B, Masae R, et al. Perceived information of relatives at emergency department, Naradhiwasrajanagarindra hospital. Princess of Naradhiwas University Journal 2012;4(2):16-28. (in Thai)

Sangsongrit N. Crisis in emergency department: caring for patient’s relatives with humanized care nursing. Thai Red Cross Nursing Journal 2017;10(2):47-56. (in Thai)

Srisupha-olarn I. The effect of meeting family-needs program on anxiety of family members of critically ill patients [Dissertation]. Bangkok: Chulalongkorn University; 2014. (in Thai)

Prasittikan N. The effects of clinical nursing practice guidelines for readiness preparation of caregivers in dealing with patient crisis on care givers’ needs response at the emergency department [Dissertation]. Nakornpathom: Mahidol University; 2010. (in Thai)

Chien WT, Chiu YL, Lam LW, Ip WY. Effects of a needs-based education programme for family carers with a relative in an intensive care unit: a quasi-experimental study. International Journal of Nursing Studies 2006;43(1):39-50.

Sawasdinaruenart S. Effects of information and emotional support program on caregivers stress and stress impacts in caring for patients with traumatic brain injury in critical phase [Dissertation]. Songkhla: Prince of Songkla University; 2012. (in Thai)

Sauls JL, Warise LF. Interventions for anxiety in the critically ill: a guide for nurses and families. Nursing Clinics of North America 2010;45(4):555-67.

Mitsungnern T, Kotruchin P, Phu-ngoen P, Tacha-a-tik P, Prasanson T, Sumritrin S, et al. Customers’ satisfaction and causes of satisfaction in emergency room Srinagarind hospital 2014. Srinagarind Medical Journal 2016;31(4):202-12. (in Thai)

Norouzinia R, Aghabarari M, Shiri M, Karimi M, Samami E. Communication barriers perceived by nurses and patients. Global Journal of Health Science 2015;8(6):65-74.

Panprasert S. Effects of informational and emotional support on the anxiety and satisfaction of accidental patients' relatives during the waiting period at the accident and emergency department [Dissertation]. Nakornpathom: Mahidol University; 2004. (in Thai)

Molter NC. Needs of relatives of critically ill patients: a descriptive study. Heart & Lungs 1979;8(2):332-9.

Thapinta D. Reduction of anxiety of staff nurses working with AIDS patient through cognitive reconstructuring and mindfulness training [Dissertation]. Bangkok: Chulalongkorn University; 1992. (in Thai)

Trakulboonnate N. The satisfaction of out-patient department service in the pricess mother Navuti hospital. Journal of the Police Nurses 2017;9(2):64-74. (in Thai)