Partners' ambivalence towards cardiac arrest and hypothermia treatment: a qualitative study

Marianne S Holm1, Tone M Norekvål, Nina Fålun

  • 1Department of Heart Disease, Haukeland University Hospital, Bergen, Norway. marianne.holm@helse-bergen.no

Nursing in Critical Care
|August 18, 2012
PubMed

Insights

Partners experienced fear and relief during hypothermia treatment for loved ones after cardiac arrest. Understanding the life-saving process and receiving nursing support improved their sense of security.

Area of Science:

  • Cardiology
  • Intensive Care Medicine
  • Psychology

Background:

  • Cardiac arrest is a critical event requiring immediate medical intervention.
  • Therapeutic hypothermia is a common treatment following cardiac arrest to improve neurological outcomes.
  • The psychological impact on partners of critically ill patients is significant but often understudied.

Purpose of the Study:

  • To explore the lived experiences of partners whose loved ones underwent cardiac arrest and subsequent hypothermia treatment in the ICU.
  • To identify key themes and challenges faced by partners during this critical period.

Main Methods:

  • Qualitative study involving nine in-depth interviews with partners.
  • Interviews were conducted 5 to 12 months post-hospitalization.
  • Data analysis employed Giorgi's phenomenological method.

Main Results:

  • Partners experienced intense fear during the cardiac arrest event.
  • Ambivalence was noted regarding the ICU environment and the patient's hypothermic state.
  • Key themes included the need for clear information, anticipation of awakening, social support dynamics, and anxiety during homecoming.

Conclusions:

  • Partners' experiences are characterized by a complex mix of fear and relief.
  • Understanding the rationale for hypothermia is crucial for partners' acceptance.
  • Nurses are vital in providing information, fostering hope, and enhancing partner security; follow-up care is recommended.
Abstract

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