Asunto(s)
Abdomen Agudo/etiología , Cesárea , Extremidades/patología , Fascitis Necrotizante/patología , Complicaciones Posoperatorias/patología , Choque Séptico/diagnóstico , Streptococcus pyogenes , Adulto , Amputación Quirúrgica , Desbridamiento , Diagnóstico Diferencial , Extremidades/cirugía , Fascitis Necrotizante/complicaciones , Fascitis Necrotizante/cirugía , Femenino , Fiebre/etiología , Pie/patología , Gangrena/etiología , Mano/patología , Humanos , Hipotensión/etiología , Intestinos/diagnóstico por imagen , Intestinos/patología , Necrosis/etiología , Radiografía , Choque Séptico/complicaciones , Taquicardia/etiologíaRESUMEN
PURPOSE: Relatives of patients in the intensive care unit (ICU) are often dissatisfied with family-physician communication. Our prospective preintervention and postintervention study tested the hypothesis that introducing this informed consent process would improve family satisfaction with the ICU process of care. MATERIALS AND METHODS: We developed a consent form that included an introductory explanation of the main ICU interventions and a description of 8 common procedures in a surgical ICU. We administered it early in the ICU course during a scheduled family meeting. The study was a prospective preintervention and postintervention design. RESULTS: The "Family Satisfaction in the Intensive Care Unit" (FS-ICU) score was higher in the intervention than in the control group (95.4±4 vs 78.2±22, P<.001). The nursing perception of satisfaction with care was also higher in the intervention group (95.8±13 vs 71.9±28, P<.001). CONCLUSION: A bundled informed consent resulted in higher family satisfaction with the process of care in ICU.