重症患者在重症监护室的不适和舒适经历:一种定性描述性研究
Yusuke Oyama1, Hiroaki Yamase2, Kyosuke Fujita3
1Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki-shi, Nagasaki 852-8520, Japan.
概括
危急病患者由于身体和心理因素而经历了显著的不适. 提高患者的舒适性包括解决未满足的需求,并赋予他们决策权.
科学领域:
- 关键护理医学 关键护理医学
- 患者体验 患者体验
- 定性研究是指质量研究.
背景情况:
- 危急病患者面临严重的生理障碍,导致不适和潜在的长期心理困扰,如焦虑和创伤后应激障碍.
- 了解患者的体验对于改善重症监护机构的护理质量至关重要.
研究的目的:
- 探索在重症监护室 (ICU) 内的严重病情的成年患者的不适和舒适的经历.
- 确定提高重症监护中的患者舒适度和福祉的策略.
主要方法:
- 一项定性描述性研究,涉及日本一所大学医院的15名危急病患者 (46-81岁).
- 数据收集采用半结构面试和参与者观察.
- 根据布劳恩和克拉克的方法,采用主题分析来分析收集的数据.
主要成果:
- 六个关键主题出现了:三个与不适有关 (重叠的不确定性,无法控制身体不适,心理/情境耐力) 和三个与舒适有关 (感觉连接,例行护理,自决).
- 不适源于身体和心理因素,治疗,程序,护理和环境,超过一半的人经历了未满足的需求.
- 通过例行护理,培养联系和促进患者独立性来提高舒适度.
结论:
- 对重症患者来说,认识到身体,心理和沟通方面的挑战是必不可少的.
- 让患者参与决策并尊重他们的意图,可以显著提高舒适度,并促进协作护理.
- 医疗保健提供者应优先考虑患者的自主权,以增强重症监护体验.
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