Adaptación cultural y propiedades psicométricas de la versión en español-chileno del cuestionario Family Satisfaction in the Intensive Care Unit – 24 item / Cultural adaptation and psychometric properties of the Chilean-Spanish version of the 24-item Family Satisfaction in the Intensive Care Unit questionnaire

Objetivo Adaptar y validar la versión en español del cuestionario 24-item Family Satisfaction in the Intensive Care Unit (FS ICU-24) en familiares de pacientes críticos en un hospital universitario en Chile. Diseño Estudio observacional, prospectivo, de adaptación y validación de un instrumento de medición. Ámbito Unidad de Cuidados Intensivos médico-quirúrgica de un hospital universitario en Chile. Pacientes o participantes Doscientos cuarenta familiares de pacientes críticos con estadía superior a 48h, mayores de 18 años y con al menos una visita al paciente. Intervenciones Ninguna. Variables de interés principales Se evaluó la validez de contenido, la validez de constructo y se realizó un análisis de confiabilidad de la versión en español del FS ICU-24. Resultados La versión en español del FS ICU-24 fue adaptada, mejorando su comprensión y claridad. El análisis factorial de la versión español-chilena del FS ICU-24 mostró una solución óptima de 3 factores, los cuales explican un 51% de la varianza total. La confiabilidad fue adecuada para la escala global (α=0,93) y las dimensiones de satisfacción con el cuidado del paciente y familia (α=0,82), satisfacción con la comunicación (α=0,91) y satisfacción con la toma de decisiones (α=0,71). Conclusiones La versión español-chilena del FS ICU-24 demostró ser válida y confiable para la evaluación de la satisfacción familiar en la Unidad de Cuidados Intensivos. El contar con un instrumento válido permitirá a las instituciones de salud objetivar e identificar posibles áreas de mejora en el cuidado de la familia y el paciente crítico (AU)

Objective To adapt and validate the Spanish version of the 24-item Family Satisfaction in the Intensive Care Unit (FS ICU-24) questionnaire among relatives of critically ill patients in a teaching hospital in Chile. Design Prospective observational study aimed to validate a measuring instrument. Setting Medical-surgical intensive care unit of a teaching hospital in Chile. Patients or participants Two hundred and forty relatives of critically ill patients with at least 48h in the ICU, older than 18 years, and with at least one visit to the patient. Interventions None. Main variables of interest Content validity, construct validity, and reliability analysis of the Spanish version of the FS ICU-24 were evaluated. Results The Spanish version of the FS ICU-24 was adapted, improving its understanding and clarity. The factor analysis showed an optimal solution of 3 factors for the Chilean-Spanish version of the FS ICU-24, which explain 51% of the total variance. Reliability was adequate for the global scale (α=0.93) and the dimensions of satisfaction with patient and family care (α=0.82), satisfaction with communication (α=0.91) and satisfaction with decision-making (α=0.71). Conclusions The Chilean-Spanish version of the FS ICU-24 proved to be valid and reliable for the evaluation of family satisfaction in the Intensive Care Unit. Having a valid instrument will allow health institutions to accurately identify areas for improvement in the care of the family members and the critically ill patient (AU}

Necesidades de los familiares de pacientes críticos en un hospital académico de Chile / Needs of relatives of critically ill patients in an academic hospital in Chile

Objetivo: Identificar el grado de importancia de las necesidades de los familiares de pacientes en una unidad de cuidados intensivos (UCI). Método: Estudio descriptivo, comparativo y transversal realizado a partir de un análisis secundario de datos de 251 familiares de pacientes de una UCI en un hospital universitario en Santiago, Chile. Utilizando un muestreo no aleatorio se aplicó el instrumento Critical Care Family Needs Inventory para conocer las necesidades familiares, además de un cuestionario sociodemográfico que incluyó: edad, género, nivel educacional, relación con el paciente y experiencia previa en UCI. Se realizó análisis estadístico descriptivo, prueba t de Student y ANOVA. Resultados: Las necesidades familiares más importantes se relacionaron con las dimensiones de «seguridad» (X¯=3,90) e «información» (X¯=3,76), mientras que las de menor importancia se relacionaron con la de «apoyo» (X¯=3,09). En esta última, se observaron diferencias a mayor edad (p<0,05), nivel educacional (p<0,001) y relación con el paciente (p<0,05). Conclusiones: Las necesidades más relevantes para los familiares en la UCI se relacionan con la seguridad e información. Las necesidades de menor importancia están influidas por ciertas variables sociodemográficas. La identificación del grado de importancia de las necesidades familiares permitirá al equipo de salud mejorar su relación con las familias en las UCI (AU)

Objective: To identify the importance of the needs of family members of patients in an intensive care unit (ICU). Method: Descriptive, comparative and cross-sectional study based on a secondary data analysis of 251 relatives of ICU patients at a university hospital in Santiago, Chile. Using non-random sampling, the 'Critical Care Family Needs Inventory' was used to establish the family needs, as well as a sociodemographic questionnaire that included: age, gender, educational level, patient relationship and previous ICU experience. A descriptive statistical analysis, Student's T test and ANOVA were performed. Results: The most important family needs related to the dimensions of 'security' (mean=3.90) and 'information' (mean=3.76), while those of minor importance with 'support' (mean=3.09). In the latter, differences were observed at an older age (P<.05), an educational level (P<.001) and relationship with the patient (P<.05). Conclusions: The most relevant needs for family members in the ICU are related to safety and information. Less important needs are influenced by certain sociodemographic variables. Identifying the degree of importance of family needs will allow the health team to improve its relationship with families in ICUs (AU)

Needs of relatives of critically ill patients in an academic hospital in Chile. / Necesidades de los familiares de pacientes críticos en un hospital académico de Chile.

OBJECTIVE: To identify the importance of the needs of family members of patients in an intensive care unit (ICU). METHOD: Descriptive, comparative and cross-sectional study based on a secondary data analysis of 251 relatives of ICU patients at a university hospital in Santiago, Chile. Using non-random sampling, the 'Critical Care Family Needs Inventory' was used to establish the family needs, as well as a sociodemographic questionnaire that included: age, gender, educational level, patient relationship and previous ICU experience. A descriptive statistical analysis, Student's T test and ANOVA were performed. RESULTS: The most important family needs related to the dimensions of 'security' (mean=3.90) and 'information' (mean=3.76), while those of minor importance with 'support' (mean=3.09). In the latter, differences were observed at an older age (P<.05), an educational level (P<.001) and relationship with the patient (P<.05). CONCLUSIONS: The most relevant needs for family members in the ICU are related to safety and information. Less important needs are influenced by certain sociodemographic variables. Identifying the degree of importance of family needs will allow the health team to improve its relationship with families in ICUs.