患者在重症监护室早期康复的经验:对影响患者参与的因素进行定性研究
Karina Knutsen1, Rita Solbakken1, Shaun Gallagher2,3
1Faculty of Nursing and Health Science, Nord University, Bodø, Norway.
Journal of advanced nursing
|November 14, 2023
概括
患者 患者 患者 患者
科学领域:
- 临界护理医学 临界护理医学
- 康复护理 康复护理
- 患者体验研究 研究研究
背景情况:
- 在重症监护室 (ICU) 进行早期康复对于患者的康复至关重要.
- 了解患者的观点是优化康复策略的关键.
- 在ICU后的功能障碍的身体可能会导致内向关注和负面的自我认知.
研究的目的:
- 探索患者在ICU早期康复方面的经验.
- 确定影响患者参与康复的因素.
主要方法:
- 使用现象学和解释学传统的定性设计.
- 对13名患者进行了深入采访,在出院5至29周后.
- 使用系统的文本凝聚和自我模式理论进行分析.
主要成果:
- 患者描述了与他们的"异体"感觉和"危机转向"转变相关的经历.
- 模两可的护士期望和护士与患者的互动显著影响了参与.
- 积极的期望和量身定制的沟通对于重建外向导向至关重要.
结论:
- 通过向外导向和自我重组,促进了患者参与早期ICU康复.
- 减少身体功能障碍,增强接受力和提供量身定制的支持是基本的.
- 护士可以通过了解身体形象如何影响患者的感知和恢复来改善护理.
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