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机械通风患者在ICU的早期积极动员:对患者体验的定性研究
Xiaomeng Han1,2, Qian Wang1,2, Hengyang Wang1,2
1School of Nursing, Lanzhou University, Lanzhou, Gansu, P.R. China.
概括
机械通风ICU患者的早期积极动员会导致身体不适和复杂的情绪. 患者渴望家庭的支持和人性化的护理,为整体护理实践提供信息.
科学领域:
- 关键护理医学 关键护理医学
- 护理科学 护理科学
- 定性研究是指质量研究.
背景情况:
- 早期积极动员越来越多地用于重症监护室 (ICU) 的机械通风患者.
- 了解患者的体验对于优化这种干预和改善护理至关重要.
- 现有的研究往往侧重于生理结果,不太重视患者报告的经历.
研究的目的:
- 探索早期积极动员的机械通风ICU患者的生活经历.
- 为了识别患者的感知,情绪和心理影响与此干预相关.
- 为提高重症监护机构的护理实践提供见解.
主要方法:
- 使用半结构面试进行的定性描述性研究.
- 在2021年3月至12月期间,从5家医院的14名机械通风ICU患者收集的数据.
- 使用Colaizzi的7步方法进行数据解释的专题内容分析.
主要成果:
- 患者报告显著的身体不适,包括虚弱,疼痛和疲劳.
- 他们注意到了复杂的心理经历,包括感知到的好处,负面的自我感知和各种情绪反应.
- 关键的期望包括家庭支持的愿望,明确的康复目标和人性化的护理.
结论:
- 接受早期积极动员的机械通风ICU患者经历了实质性的身体和心理挑战.
- 患者的期望突出了包括情感和社会方面在内的全面支持的需要.
- 调查结果强调了整体护理的重要性,该护理解决了这些患者的多方面的需求.
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