A cross-sectional study to assess the perceived and unmet needs of the relatives/family members of patients admitted in intensive care unit

Abstract

Background: Family-members of ICU patients often experience significant psychological stress. Understanding their needs can improve patient outcomes and reduce stress for both families and healthcare teams. The Critical Care Family Needs Inventory (CCFNI) assesses these needs, highlighting gaps between perceived and actual needs.

Aim: Objectives of our study were: to examine the current perceptions of the needs of family-members of ICU patients and to study the sociodemographic profile of patients and their key family-members.

Methods: This study was conducted in the ICU of the Department of Anaesthesia at Government Medical College, Amritsar. Over twelve months, 100 patient-family pairs were randomly selected. Patients admitted for at least 48 hours and key family members aged 18-60 years, actively involved in care, were included. Data was collected using the CCFNI, consisting of 45 items rated from 1 to 4.

Results: In the results of the current study, the largest proportion of ICU patients were aged 46-50 years (16%), followed by those aged 26-30 years (13%). The most important needs of ICU patients' relatives include knowing the expected outcome (93%), being assured of the best care (91%), and feeling that hospital staff care about the patient (88%). In contrast, less important needs focused on comfort and support, like having good food available (95%), being told about others who could help (92%), and having a pastor visit (82%).

Conclusion: The current study highlights the critical needs of ICU patients' families, emphasizing clear communication and emotional support. Addressing these needs can reduce psychological distress and improve overall patient and family outcomes.

Keywords: Family members; intensive care units; patients; perceived needs; unmet needs.