使用局部或区域麻醉进行手术时保持意识的含义 - 一项现象学解释学研究
Marie Häggström1, Kerstin Brodin1
1Mid Sweden University Department of Health Sciences, Sweden.
International journal of nursing studies advances
|August 8, 2024
概括
在手术期间有意识的患者经历了希望和身份丧失. 医疗团队必须解决情绪和社会需求,在局部或区域麻醉过程中承认患者是个完整的人.
科学领域:
- 医学社会学 医学社会学
- 质量健康研究 质量健康研究
- 患者体验研究 患者体验研究
背景情况:
- 越来越多地使用局部/区域麻醉,需要了解患者在有意识的外科手术阶段的经历.
- 在手术期间保持清醒的做法给患者带来了独特的心理和情感挑战.
研究的目的:
- 探索和阐明在局部或区域麻醉下进行手术过程中有意识的患者的生活经历.
- 确定有意识手术患者所面临的关键主题和挑战.
主要方法:
- 定性研究设计,利用瑞典中部外科病房的有目的采样.
- 进行了14次叙事采访,这些患者接受了选择性意识手术.
- 对字面转录的采访数据进行现象学-解说学分析.
主要成果:
- 患者在有意识的手术期间报告了希望的二元性,以及身份丧失和不稳定的感觉.
- 主题一:"处在别人的手中"包括不熟悉,失去自我和不适.
- 主题二:"管理未来健康问题不可避免的"涉到自我接受,对专业人员的信任和弹性.
结论:
- 对有意识的患者来说,手术期间的体验超越了身体健康,包括了关键的情感和社会层面.
- 手术室 (OR) 团队应该优先考虑正在接受手术的"人",解决他们的整体需求.
- 护理的四个元范式 (人,健康,环境,护理) 显著塑造了有意识的患者的手术过程.
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