Satisfacción de pacientes y cuidadores familiares en unidades de cuidados intensivos de adultos: revisión de la literatura / Satisfaction of patients and family caregivers in adult intensive care units: Literature Review

Las unidades de cuidados intensivos son lugares hostiles que se deben acondicionar a las necesidades de los pacientes y familiares, para esto se deben conocer los factores que influyen en la satisfacción de estos. Objetivo Actualizar el conocimiento sobre la satisfacción de los pacientes ingresados en una Unidad de Cuidados Intensivos (UCI) de adultos y la de sus cuidadores familiares descritos en la literatura científica. Metodología Se realizó una revisión bibliográfica sistematizada en las bases de datos PubMed, Scopus, Cinahl y WOS. Estrategia de búsqueda: «Personal Satisfaction» and (patients or caregivers) and «Intensive Care Units». Criterios de inclusión: Estudios publicados entre 2013-2018, población entre 19-64 años, idioma inglés y castellano. Resultados Se localizaron 760 estudios y se seleccionaron 15. Los factores que generan satisfacción son: Buena comunicación con los profesionales (n = 5), calidad de cuidados (n = 4) y limpieza y ambiente de la unidad (n = 2). Los factores que producen insatisfacción son: Infraestructura de las salas de espera (n = 5), inadecuada comunicación (n = 4) y la implicación de familiares y pacientes en la toma de decisiones (n = 4). Como estrategias de mejora encontramos el entrenamiento de los profesionales (n = 5), inclusión familiar durante el proceso (n = 2) y rediseño de las salas de espera (n = 2). Conclusiones Entre los factores generadores de satisfacción hallamos los relacionados con los profesionales y con el ambiente y limpieza. Los que causan insatisfacción se relacionan con una mala infraestructura, falta de implicación en la toma de decisiones de pacientes y familiares y mala comunicación con los profesionales. Las estrategias para mejorar la satisfacción de los pacientes y familiares están relacionadas con la organización, los profesionales, los familiares y con la infraestructura y ambiente. (AU)

Intensive care units are hostile places, which must be conditioned to the needs of patients and families, and therefore the factors that influence their satisfaction must be known. Objective To update the knowledge on the satisfaction of the patients admitted to an adult intensive care unit and that of their family caregivers as described in the scientific literature. Methodology A systematized literature review was carried out in PubMed, Scopus, Cinahl and WOS databases. Search strategy: “Personal Satisfaction” and (patients or caregivers) and “Intensive Care Units”. Inclusion criteria: studies published between 2013-2018, population aged between 19-64 years, english and spanish language. Results 760 studies were located and 15 were selected. The factors that increased satisfaction are: good communication with professionals (n=5), the quality of care (n=4), and the cleanliness and environment of the units (n=2). The factors that produced dissatisfaction are: the infrastructure of the waiting room (n=5), inadequate communication (n=4), and the involvement of families and patients in decision-making (n=4). Training of professionals (n=5), inclusion of the family during the process of hospitalization (n=2) and redesigning the waiting room (n=2) are some of the suggestions for improvement. Conclusions Factors related to professionals, environment and cleanliness of the units are satisfaction-generating factors. Factors generating dissatisfaction related to poor infrastructure, a lack of involvement in decision-making and poor professional communication. Strategies to improve patient and family satisfaction relate to the organization, professionals, family members, and infrastructure and environment. (AU)

Satisfaction of patients and family caregivers in adult intensive care units: Literature Review.

Intensive care units are hostile places, which must be conditioned to the needs of patients and families, and therefore the factors that influence their satisfaction must be known. OBJECTIVE: To update the knowledge on the satisfaction of the patients admitted to an adult intensive care unit and that of their family caregivers as described in the scientific literature. METHODOLOGY: A systematized literature review was carried out in PubMed, Scopus, Cinahl and WOS databases. SEARCH STRATEGY: "Personal Satisfaction" and (patients or caregivers) and "Intensive Care Units". INCLUSION CRITERIA: studies published between 2013-2018, population aged between 19-64 years, English and Spanish language. RESULTS: 760 studies were located and 15 were selected. The factors that increased satisfaction are: good communication with professionals (n = 5), the quality of care (n = 4), and the cleanliness and environment of the units (n = 2). The factors that produced dissatisfaction are: the infrastructure of the waiting room (n = 5), inadequate communication (n = 4), and the involvement of families and patients in decision-making (n = 4). Training of professionals (n = 5), inclusion of the family during the process of hospitalization (n = 2) and redesigning the waiting room (n = 2) are some of the suggestions for improvement. CONCLUSIONS: Factors related to professionals, environment and cleanliness of the units are satisfaction-generating factors. Factors generating dissatisfaction related to poor infrastructure, a lack of involvement in decision-making and poor professional communication. Strategies to improve patient and family satisfaction relate to the organization, professionals, family members, and infrastructure and environment.

Satisfaction of patients and family caregivers in adult intensive care units: Literature Review. / Satisfacción de pacientes y cuidadores familiares en unidades de cuidados intensivos de adultos: revisión de la literatura.

Intensive care units are hostile places, which must be conditioned to the needs of patients and families, and therefore the factors that influence their satisfaction must be known. OBJECTIVE: To update the knowledge on the satisfaction of the patients admitted to an adult intensive care unit and that of their family caregivers as described in the scientific literature. METHODOLOGY: A systematized literature review was carried out in PubMed, Scopus, Cinahl and WOS databases. SEARCH STRATEGY: "Personal Satisfaction" and (patients or caregivers) and "Intensive Care Units". INCLUSION CRITERIA: studies published between 2013-2018, population aged between 19-64 years, english and spanish language. RESULTS: 760 studies were located and 15 were selected. The factors that increased satisfaction are: good communication with professionals (n=5), the quality of care (n=4), and the cleanliness and environment of the units (n=2). The factors that produced dissatisfaction are: the infrastructure of the waiting room (n=5), inadequate communication (n=4), and the involvement of families and patients in decision-making (n=4). Training of professionals (n=5), inclusion of the family during the process of hospitalization (n=2) and redesigning the waiting room (n=2) are some of the suggestions for improvement. CONCLUSIONS: Factors related to professionals, environment and cleanliness of the units are satisfaction-generating factors. Factors generating dissatisfaction related to poor infrastructure, a lack of involvement in decision-making and poor professional communication. Strategies to improve patient and family satisfaction relate to the organization, professionals, family members, and infrastructure and environment.

The tuberculosis program of Catalonia's Central Health Region (1986-1993).

SETTING: Catalonia's Central Health Region antituberculosis program, which began in 1985. OBJECTIVE: To evaluate the cooperation of health staff and the program's effectiveness after 8 years. METHOD: The following data from the nominal notifications and the expanded case reports were processed: epidemiological, clinical and treatment data, each patient's end results and the outcome of the contact investigation. The implementation of the program was evaluated by means of the number of notifications and contact investigations received, and its effectiveness was assessed by the percentage of sputum smear positive cases having completed treatment. RESULTS: There was an increase in the number of patients with an expanded case report (from 74% to 100%), with a final notification (from 61% to 99%) and with contact investigation (from 29% to 79%). The sputum smear positive cases who completed the treatment after 1990 exceeded 85%. CONCLUSION: The implementation of the program in the Region's health system is good and is improving in parallel with the control of the disease.

Early neonatal cutaneous candidiasis.

A premature female presented cutaneous lesions caused by Candida albicans at 12 h after delivery. Her mother carried Candida in the vagina. The lesions extended to face, both sides of the trunk and extremities, including palms and soles, and later to the mouth. The cutaneous manifestations healed in four weeks. It is proposed to use the term "early neonatal cutaneous candidiasis" to designate the forms of candidiasis which appear within the first hours after delivery, and "congenital cutaneous candidiasis" when lesions are present at delivery.

Hipercolesterolemia familiar heterocigótica. Estudio de una familia / Heterozygous familial hypercholestorelemia. Study of a family

Se presenta el caso de una familia hipercolesterolemia familiar heterocigótica. Se estudiaron 11 de los 12 miembros correspondientes a 3 generaciones, y 7 de ellos estaban afectados. Uno de los pacientes presentaba xantelasmas y xantomas tendinosos; otro tenía manifestaciones electrocardiográficas y radiológicas de aterosclerosis, pero ninguno de los miembros de la familia había tenido infarto cardíaco u otra manifestación de enfermedad oclusiva vascular. La paciente que tenía las mayores manifestaciones clínicas fue tratada con dieta y colestiramina y el resultado ha sido muy satisfactorio. Los restantes familiares afectados han sido tratados sólo con dieta, con excepción del que presentaba manifestaciones electrocardiográficas, a quien se le añadió clofibrate. Se hace, además, una breve revisión bibliográfica del tema (AU)

Hipercolesterolemia familar heterocigotica. Estudio de una familia. / Heterozygous failial hypercholestorelemia. Study of a family

Se presenta el caso de una familia hipercolesterolemia familiar heterocigotica. Se estudiaron 11 de los 12 miembros correspondientes a 3 generaciones, y 7 de ellos estaban afectados. Uno de los pacientes presentaba xantelasmas y xantomas tendinosos; otro tenia manifestaciones electrocardiograficas y radiologicas de aterosclerosis, pero ninguno de los miembros de la familia habia tenido infarto cardiaco u otra manifestacion de enfermedad oclusiva vascular. La paciente que tenia las mayores manifestaciones clinicas fue tratada con dieta y colestiramina y el resultado ha sido muy satisfactorio. Los restantes familiares afectados han sido tratados solo con dieta, con exepcion del que presentaba manifestaciones electrocardiograficas a quien se le anadio clofibrate. Se hace, ademas, una breve revision bibliografica del tema

Hipercolesterolemia familar heterocigotica. Estudio de una familia. / Heterozygous familial hypercholestorelemia. Study of a family

Se presenta el caso de una familia hipercolesterolemia familiar heterocigotica. Se estudiaron 11 de los 12 miembros correspondientes a 3 generaciones, y 7 de ellos estaban afectados. Uno de los pacientes presentaba xantelasmas y xantomas tendinosos; otro tenia manifestaciones electrocardiograficas y radiologicas de aterosclerosis, pero ninguno de los miembros de la familia habia tenido infarto cardiaco u otra manifestacion de enfermedad oclusiva vascular. La paciente que tenia las mayores manifestaciones clinicas fue tratada con dieta y colestiramina y el resultado ha sido muy satisfactorio. Los restantes familiares afectados han sido tratados solo con dieta, con exepcion del que presentaba manifestaciones electrocardiograficas a quien se le anadio clofibrate. Se hace, ademas, una breve revision bibliografica del tema