Effects of a Supportive –Education Nursing System Program on Anxiety of The Patient’s Family in Respiratory Intensive Care Unit

Main Article Content

อรทัย หลาวทอง
วัสสิกา สิงโตทอง

Abstract

        The purpose of this research was to examine the effects  of  a  supportive –education  nursing  system  program  on an anxiety of  the  patient’s family in Respiratory  Intensive Care  Unit.  This quasi-experimental was undertaken through this study, Subjects were a first degree relative of critically ill patients admitted in Respiratory intensive care unit (RCU) at Uttaradit Hospital. The subjects were assigned into the control group (n = 30) and the study group (n = 30) equally. The control group received the routine nursing care, while the experimental group received the supportive –education nursing system program. The two groups were matched in terms of gender, age, and level of education. The research instruments were the supportive–education nursing system program, family needs in critical care and anxiety inventory.The instruments were tested for the content validity and reliability used Cronbach’s alpha coefficient. The data were analyzed by using descriptive statistics and t-test statistic.


          Results showed that prior to experiment; the study group had an average of anxiety score at a high level ( = 3.21, SD.= .19) after an experiment; the study group had an average of anxiety score at medium level ( X = 2.39, SD. = .13) with significantly different (p = 0.001). When comparing the anxiety of family members of patient with critical respiratory illnesses in Uttaradit Hospital between the experimental group and control. It was found that the control group and experimental group had an average level of anxiety scores at a moderate level ( X = 2.84, SD.=.18; = 2.39, SD. = .13) with statistically significant differences (p = .001).The results from this study confirmed that effects of a supportive-education nursing system program on anxiety of the patient’s family in Respiratory Intensive Care Unit to decrease the anxiety of the patient’s family.

Downloads

Download data is not yet available.

Article Details

Section
บทความวิจัย (Research articles)

References

1) Agard AS, Harder I.(2007). Relatives' experiences in intensive care: Finding a place in a world of uncertainty. Intensive Critical Care Nursing, 23(3), 170-77.

2) Buasum-ang,P., Binhozen,W., & Pakdeewong, N.(2014). The effectiveness of communication program to family members of critical patients on uncertainty in illness and coping strategies. Journal of Nursing and Health care, 32(4), 76-84. (in Thai).

3) Bureetes, K..(2007). Effect of using of family supporting nursing system intensive care unit on the patients’ family anxiety level: A case study of Chonburi Regional Medical Center Master. (master’s thesis) Faculty of Nursing, Chulalongkorn University, Bangkok. (in Thai).

4) Chareonsuk, P., (2006). Experience of critically ill patients caring of relatives. (Master' s thesis) Faculty of Nursing, Burapha University, Chon Buri. (in Thai).

5) Chinwattana,K., Sen-ngam,K.& Rattasumpun,S.(2013).The effect of preparatory information on level of anxiety in heart patient undergoing transesophagealechocardiography. Retrieved (2017, January 29) from https://www.rsu.ac.th/nurse/download.pdf.

6) Eggenberger SK. Nelms TP. Being family.(2007). The family experience when an adult member is with a critical illness. Journal of Clinical Nursing, 16(9), 1618-28.

7) Khawaraphruek, S., Harnirattisai, E. & Thanasilp,S. (2014). The Effects of a family participation in caring program on intubated patient’s suffering and their family’s anxiety and satisfaction. Nursing Journal, 41(1), 90-108.

8) Khiewchaum, R., & Wattana,C., (2017). Holistic nursing for traumatic brain injury patient.Journal of Phrapokklao Nursing College, 28(1), 129-39.(in Thai).

9) Kongsuwan W, Chaipetch,O. (2011).Thai Buddhists’ experiences caring for family members who die a peaceful death in intensive care. International Journal of Palliative Nursing, 17(7),329-36.

10) Kotpratum,K.(2004). An Adaptation of Family with a Severe Head Injury of a Member Under Hills Family Crisis Model. Journal of Nursing and Health, 27(1), 34-41. (in Thai).

11) Leske JS..(2002) Intervention to decrease family anxiety. Protocols for practice applying research at the bedside. Critical care nurse, 22(6), 61-4.

12) Limumnoiiap, S. & Thamnong C. (2008). Critical care nursing. Khon Kaen: Klangnana – vittaya. (in Thai).

13) McAdam JL, Puntillo KL. Symptom experiences by family members of patients in intensive care units. American Journal of Critical Care 2009, 18(3), 200-10.

14) Medical Statistics unit of Uttaradit Hospital.(2016). Statistical yearbook 2016. Uttaradit: Uttaradit Hospital. (in Thai).

15) Molter NC., & Leske JS. (1986). Critical care family needs inventory. Available form Authors.

16) Murray RB., & Huelskotter MW.. (1991). Psychiatric mental health nursing; giving emotional care. 3rded. California : Appleton and Lange.

17) Orem DE., (2001). Nursing concept of practice. 4th ed. St Louis: Mosky Year Book.

18) Panyasai K. (2010). Effects of information and emotional support on anxiety and satisfaction among family members of patients in general intensive care unit, Lampang Hospital. (Master’s thesis) Faculty of Nursing, Chiang Mai University, Chiang mai (in Thai)

19) Pimsri,M.,& Limumnoilap, S.(2014). Effect of the transferal preparation from the intensive care uniton anxiety of patients with post open heart surgery. (Master’s thesis) Faculty of Nursing, Khon Kaen University, Khon Kaen. (in Thai).

20) Pochard F, Darmon M, Fassier T..(2005). 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, 20(1), 90-6.

21) Singdong,P., & Jitpanya, C..(2012). Experiences of family members were admitted in intensive care: The qualitative Research. Ramathibodi Nursing Journal, 18(3), 404-17.(in Thai).

22) Spielberger CD.(1972). Anxiety as an emotion state. In Anxiety; Current trends in theory and research. New York : Academic.

23) Srisatidnarakul, B..(2010).The methodology nursing in research. Bangkok: You and intermedia.

24) Srisupha-olarn, I..(2014). The effect of meeting family needs program on anxiety of family members of critically ill patients. (Master's thesis) Faculty of Nursing, Chulalongkorn University, Bangkok (in Thai).

25) Thammarux,T., Chanruangvanich,W., Thosingha,O., & urboonyawat, T..(2017). The Effect of Family Support Program on Copingamong Caregiversof Post operative Neurosurgical Patientsin ICU. Thai Journal of Nursing Council, 32(2), 49-64. (in Thai).

26) Wall RJ. (2009). The one thing certain in the ICU is uncertainty. Critical Care Alert, 17(2), 9-16.

27) Yang S., (2008). A mixed methods study on the needs of Korean familie’s in the intensive care unit. Australian Journal of Advanced Nursing, 25(4), 79-86.