Measuring satisfaction in family members of critically ill cancer patients in Brazil.

Abstract

To assess the determinants for satisfaction of cancer patients' family members with the intensive care unit. Prospective cohort study. A 13-bed intensive care unit in a tertiary cancer centre. 164 families of consecutive patients with a length of stay greater than 48 h. None. A modified version of the Critical Care Family Needs Inventory was applied and compared with the families' perception of prognosis, previous information given to them, and patients' severity of disease (SAPS). The median score of the questionnaire was 11 (2-14), and the cut-off for satisfaction was established at 9 (1st quartile). SAPS >41 was associated with lower satisfaction [(p<0.05, chi-square, OR 2.49 (CI 1.1-5.4)]. When those interviewed surmised a prognosis different from the final outcome [p<0.05, chi-square, OR 2.70 (1.2-6.0)], a significant association with dissatisfaction was found. More discussion about prognosis may improve the level of satisfaction of cancer patients' family members with the intensive care unit.