患者和亲属在重症监护室入院后的认知障碍经历. 一个定性研究研究
Anette Bjerregaard Alrø1, Helle Svenningsen2, Helene Korvenius Nedergaard3
1Department of Intensive Care, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200 Aarhus N, Denmark; Aarhus University, Institute of Public Health, Section of Nursing, Bartholins Alle' 2, 3. sal, Building 1260, 8000 Aarhus C, Denmark.
概括
从重症中康复的患者经历了显著的认知障碍,经常感到脆弱和脱节. 他们制定自我帮助策略,以应对日常生活的挑战,并恢复自我意识.
科学领域:
- 关键护理医学 关键护理医学
- 神经科学是一个神经科学.
- 定性研究是一种定性研究.
背景情况:
- 认知障碍是重症监护室 (ICU) 入院后患者面临的常见和重大挑战.
- 对于ICU后认知障碍患者的生活经历缺乏理解.
研究的目的:
- 探索患者及其亲属在ICU入院后对认知障碍的经验.
- 了解与关键后疾病认知缺陷相关的挑战和应对机制.
主要方法:
- 这是一项在丹麦进行的多中心定性研究.
- 涉及3个月和6个月的随访期间与患者和亲属进行单次和二次采访.
- 采用了现象学解读方法,并使用Ricoeur灵感的文本分析.
主要成果:
- 三个新兴的主题是:"生活在一个平行世界"",回归正常生活与一个脆弱的自我"和"管理日常生活与自我发明的策略".
- 患者利用自我设计的策略来管理由于缺乏有针对性的支持而导致的认知缺陷和脆弱性.
- 认知能力下降对患者的生活产生了深远的影响,导致他们感到脆弱和失去控制;然而,相对支持至关重要.
结论:
- 患者面临多方面的认知障碍,这些障碍阻碍了ICU后适应日常生活.
- 个人积极采用自我发明的策略和活动,以应对脆弱性和克服认知挑战.
相关概念视频
Restorative Care
1.9K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
1.9K
Patient-centered Care
2.0K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.0K
Cognitivism
1.4K
Cognitive psychology emerged as a significant field in the mid-20th century. It focused on understanding humans' internal mental processes. This approach emphasizes how people perceive, remember, think, and solve problems—elements critical to human cognition.
Previously dominated by behaviorism, which prioritized observable behaviors and largely ignored mental processes, psychology transformed in the 1950s. Cognitive psychologists argue that understanding how we think and process...
Previously dominated by behaviorism, which prioritized observable behaviors and largely ignored mental processes, psychology transformed in the 1950s. Cognitive psychologists argue that understanding how we think and process...
1.4K
Nursing Evaluation
3.3K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
3.3K
Documentation in Long-Term and Home Healthcare Setting
880
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
880
Cognitive Development During Adulthood
92
Cognitive development continues throughout adulthood, undergoing significant shifts across early, middle, and late stages. Individual transition occurs from adolescent idealism to pragmatic and adaptable thinking in early adulthood. During this period, individuals learn to integrate personal beliefs with the recognition that other perspectives are equally valid. Exposure to the complexities of modern society, diverse experiences, and higher education contribute to this adaptive thought process,...
92


