在重症监护病房康复诊所的患者-心理学家远程医疗互动:质量二次分析
Ali A Hussain1, Abigail C Jones2, Megan M Hosey3
1Vanderbilt University, Nashville, TN, USA.
Intensive & critical care nursing
|November 22, 2024
概括
心理学家整合到远程医疗重症监护病房康复诊所,可以识别患者的心理健康挑战,并实施量身定制的策略. 这种方法支持综合护理后重症监护综合征,促进整个人的康复.
科学领域:
- 关键护理医学 关键护理医学
- 心理学 心理学 心理学
- 远程医疗服务是远程医疗服务.
背景情况:
- 后重症监护综合征 (PICS) 涵盖身体,认知和心理健康障碍.
- 远程医疗提供了一种可行的方法,可以在出院后提供专门的康复诊所服务.
- 将心理健康专业人员纳入多学科团队对于全面的PICS管理至关重要.
研究的目的:
- 在远程医疗ICU康复诊所访问中,描述患者和心理学家之间心理健康对话的内容.
- 在这些咨询期间,确定患者报告的挑战和心理学家提供的策略.
主要方法:
- 在随机对照试验中进行的定性描述性研究.
- 远程医疗访问包括重症监护药剂师,医生和心理学家.
- 录制的音频记录患者与心理学家互动的诱导反射主题分析.
主要成果:
- 17名参与者完成了31次访问;护理人员参加了13次.
- 患者面临的挑战包括消极的想法和尽量减少心理健康影响.
- 心理学家的策略包括建立关系,验证,评估和干预.
结论:
- 将心理学家纳入多学科ICU康复诊所对于解决PICS心理健康障碍至关重要.
- 这种协作模式支持全面的全人康复策略.
- 心理健康专业人员可以为出院后的康复提供有效的护理.
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