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患者和家庭成员体验的败血症发作:一种定性采访研究
Agnes Olander1,2,3, Henrik Andersson1,2,4, Annelie J Sundler2
1Centre for Prehospital Research, University of Borås, PreHospen, Borås, Sweden.
患者和家人将败血症的发病描述为模糊的症状和不确定性,家人通常首先认识到严重程度. 早期识别需要医疗保健专业人员倾听患者和家庭的担忧.
科学领域:
- 败血症发作和患者体验
- 质量健康研究 质量健康研究
- 患者和家庭的观点.
背景情况:
- 患者和家人对败血症的有限知识阻碍了早期识别.
- 患者和家人的叙述对于了解败血症发病至关重要.
- 之前的研究强调了患者病史在减少败血症死亡率方面的重要性.
研究的目的:
- 从患者及其家属的角度探索败血症的开始.
- 了解个体在败血症早期的经历.
- 从患者和家庭账户中识别关键的见解,以改善败血症识别.
主要方法:
- 定性描述性研究设计.
- 对29名患者和家属进行的24次采访进行主题分析.
- 现象学方法来分析败血症发病的主观经验.
主要成果:
- 两个新兴的主题:"当健康变为未知的东西"和"转折点,当警告信号被认为是严重的".
- 副主题包括模糊但有形的身体症状,不确定性的感觉,失去控制和难以理解严重程度.
- 败血症症状往往是阴险地出现的,对其含义不确定,家庭成员经常首先认识到严重性.
结论:
- 患者和家人的叙述揭示了潜伏的症状发作和显著的不确定性.
- 家庭成员往往在识别败血症的严重性方面发挥着关键作用.
- 医疗保健专业人员必须积极倾听并验证患者和家庭的担忧,以有效评估败血症.
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