論文種別	原著(症例報告除く)
言語種別	英語
査読の有無	その他(不明)
表題	Identification of unmet information needs among families of critically ill patients and their association with postintensive care syndrome-family: A single-centre cross-sectional study.
掲載誌名	正式名：Australian critical care : official journal of the Confederation of Australian Critical Care Nurses 略　 称：Aust Crit Care ISSNコード：10367314/10367314
掲載区分	国外
巻・号・頁	39(5),pp.101679
著者・共著者	Yoshiyasu Ito, Masatomo Suzuki, Takuro Hamaguchi, Yasushi Otaka, Mariko Asai, Yukihiro Sakaguchi, Yuki Shirai, Eisho Yoshikawa, Amane Tateno, Ikuko Miyawaki, Shoji Yokobori
発行年月	2026/08
概要	OBJECTIVE:Family members of intensive care unit (ICU) patients often experience psychological symptoms related to postintensive care syndrome-family (PICS-F), which are closely linked to the extent to which their information needs have been met. The aim of this study was to identify family members' perceptions of unmet information needs in communication with ICU staff and to explore their association with psychological symptoms related to PICS-F.METHODS:This single-centre, cross-sectional questionnaire study included family members of patients admitted to an emergency ICU who were surveyed between 1 and 12 months after ICU discharge. Perceptions of unmet information needs were assessed using a 21-item questionnaire. Anxiety, depression, and post-traumatic stress disorder-related symptoms were measured using the generalised anxiety disorder-7, Patient Health Questionnaire-9, and Impact of Event Scale-Revised, respectively. The proportions of unmet needs were calculated for each item, and the prevalence of psychological symptoms was estimated using established cut-off scores. Associations between unmet information needs and psychological symptom scores were explored using univariable and multivariable linear regression analyses.RESULTS:Of the 550 family members invited to participate, 194 returned completed questionnaires, corresponding to a response rate of 35.3%. The prevalence of anxiety, depression, and post-traumatic stress disorder-related symptoms was 8.2%, 8.8%, and 17.5%, respectively. The proportion of perceived unmet information needs ranged from 9% to 26%. The most frequently unmet needs concerned recovery (26%), how and when family members would be informed (24%), and patients' psychological distress (24%). In contrast, information needs regarding weaning (10%), hearing (10%), and neurologic status (9%) showed the lowest proportions of unmet needs. In the exploratory multivariable analyses, unmet needs regarding patient "appearance", "physical pain", "news", and "decision-making" showed potential positive associations with psychological symptoms.CONCLUSIONS:Family members reported unmet information needs after ICU discharge, particularly regarding recovery, communication timing and methods, and psychological distress. These findings highlight the importance of assessing not only whether information is provided but also whether it is understood and responsive to families' evolving needs. Several unmet information needs showed potential associations with PICS-F-related psychological symptoms. Further research is needed to confirm these exploratory findings and inform the development of communication interventions.
DOI	10.1016/j.aucc.2026.101679
PMID	42659699