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Master Thesis

Évaluation de la gravité ressentie par les familles des patients pris en charge en intervention SMUR après information médicale

Abstract : Objective: The aim of our study was to evaluate patients, supported by Mobile Intensive Care Unit (MICU), and their families 'understanding of medical information regarding the severity of their loved ones state and to determine the factors that affect them most. Methods: We conducted a prospective, multicenter observational study in four MICU of the Rhône-Alpes region from June to October 2012. Data were collected using questionnaires immediately after the intervention. Clinical Classification of Patients of SMUR (CCMS) and its translation validated understandable for relatives were used as primary endpoint judgment criteria. Results: 184 relatives and physicians completed the questionnaire. Their anxiety (6 [95% confidence interval (CI) 5.6 to 6.5] on average on a scale of 0 to 10) is underestimated by the physician (4.2 [95% CI 3.8 to 4.5]). We found a weak correlation between CCMS listed by family and described by the doctor (weighted kappa = 0.32) and only 43% of family perceived severity accurately. Multivariate analysis was used to isolate three factors of impaired comprehension: anxiety (odds ratio (OR) 1.35, 95% CI [1.1-1.7], p = 0.014), low level of education (OR 4.6, 95% CI [1.3-16.3], p = 0.018) and a high severity of the patient's condition (OR 2.35, 95% CI [1.2-3.8], p = 0.009). Conclusion: Our data suggests that physicians should strive to quickly identify situations at risk of poor understanding namely an anxious relative, a relative indicating a low level of education or a critical patient. Translation of CCMS in language understandable by relatives has been validated and could now be used as a tool.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-00767866
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Submitted on : Thursday, December 20, 2012 - 3:25:25 PM
Last modification on : Tuesday, May 11, 2021 - 11:36:17 AM
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  • HAL Id : dumas-00767866, version 1

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Laetitia Minguet. Évaluation de la gravité ressentie par les familles des patients pris en charge en intervention SMUR après information médicale. Médecine humaine et pathologie. 2012. ⟨dumas-00767866⟩

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