患者对重症监护室脆弱性评估的看法:一种现象学研究
María Teresa González-Gil1, Susana Arias-Rivera2
1Departamento de Enfermería. Facultad de Medicina. Universidad Autónoma de Madrid, Madrid, Spain; Grupo de Investigación en Enfermería y Cuidados de Salud, Instituto de Investigación Sanitaria Puerta de Hierro-Segovia de Arana, Majadahonda, Madrid, Spain.
虚弱的患者多维地感知到他们的重症监护室 (ICU) 经验,重视虚弱评估和监测的支持. 这凸显了需要全面的出院后护理,以帮助恢复.
科学领域:
- 关键护理医学 关键护理医学
- 老年学是一门学科.
- 质量健康研究 质量健康研究
背景情况:
- 进入重症监护室 (ICU) 的脆弱患者面临更糟糕的结果,包括后ICU综合征和死亡率增加.
- 评估脆弱性对于指导重症患者的决策和护理规划至关重要.
研究的目的:
- 探索重症监护室 (ICU) 患者对脆弱性评估的看法.
- 了解患者在ICU入院期间和之后的虚弱体验.
主要方法:
- 使用半结构面试对13名ICU患者进行的定性现象学研究.
- 根据布劳恩和克拉克的方法,对患者话语进行了主题分析.
主要成果:
- 患者多维地感知到脆弱,将其与力量对比,并将其与能力丧失联系在一起.
- 应对策略涉及内部和人际资源来管理脆弱性.
- 当患者感到被考虑和支持时,监测虚弱的演变是有价值的.
结论:
- 集中治疗室的入院对患者的身体,心理,社会和情感健康以及他们的护理人员的健康有重大影响.
- 脆弱性评估和出院后的监测被重视为护理适应和情感支持.
- 迫切需要全面的出院支持,以促进患者恢复入院前的生活.
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