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Patient?s Health Care Demand Satisfaction and Their Related Factors in Adult Intensive Care Unit: Case of A Medical Center in Middle Taiwan.

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Academic year: 2022

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(1)

This is an explorative research on adults in intensive care units, focusing in particular to the patients? health care demands and their satisfaction levels. The research was carried out in the middle Taiwan Medical Centre?s intensive care unit from 1 February 2006 to 31 July 2006. Purposive sampling was used to select research subjects. A total of 188 patients were interviewed. The data collected was then analysed.

The average age of the patients were 61.77 years old. Most of the patients were married, had past medical history, and had received some form of invasive treatments. These patients had mid to high levels of physical demands, and mid levels of emotional demands. The three most highly rated concerns by these patients were: 1) respect patients? privacy, 2) allowed visiting hours of family and friends by hospital, and 3) noise levels in the intensive care units.

Satisfaction levels of these patients in intensive care units are mid to low levels. These patients reported mid levels of satisfaction regarding their psychological and physical needs, and reported mid to low levels of satisfaction with regards to medical information received from ICU staff.

The areas reported to be of most satisfaction including family and friends visiting hours, and nurses? care towards patients? hygiene.

Gender, age, marital status, number of living children, economic status and commitment to religion, are some factors found to be negatively related to patients? health care demands. Educational level, whether the patient had underwent surgery, the duration of a patient on the ventilator support and the duration of stay in the intensive care units, are some of the factors positively related to patients? health care demands.

Patients? demographics have been found to not affect their satisfaction levels. However, the duration of being on a ventilator, duration of stay in the intensive care unit, and the APACHEII score are negatively related to patients? satisfaction levels.

In general, patients who are committed to a religion have less health care demands and are found to be less satisfied, even after other variables have been controlled. This satisfaction level is lower than those who were not committed to a religion. It was also found that patients in the surgical intensive care units who have used ventilators, have higher health care VII

demands and are found to be more satisfied than patients in the medical intensive care units who had not underwent surgery and did not require use of ventilators.

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Some recommendations following the research, include improving the design of the intensive care units, provide more privacy to patients, more flexibility to visiting hours, reduce in noise levels, and reduction of harsh lighting in the intensive care units. All these recommendations are to provide a more conducive environment for patients? recovery.

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