探索重症监护室患者创伤后生长的轨迹:一种现象学纵向研究
Hongyi Li1, Xue Li1, Yuying Fan1,2
1Clinical Nursing Teaching and Research Office, Second Affiliated Hospital of Harbin Medical University, Harbin, China.
概括
在重症监护室 (ICU) 患者的创伤后生长 (PTG) 途径被纵向探索. 确定了两个不同的PTG轨迹,为个性化患者护理和康复提供了洞察力.
科学领域:
- 心理学 心理学 心理学
- 关键护理医学 关键护理医学
- 创伤研究 创伤研究
背景情况:
- 创伤后生长 (PTG) 在各种创伤人群中越来越多地得到认可.
- 在重症监护室 (ICU) 患者中对PTG的长度定性研究仍然有限.
- 了解PTG通路对于支持严重疾病后的康复至关重要.
研究的目的:
- 在重症监护室 (ICU) 患者中对创伤后生长 (PTG) 的纵向路径进行定性探索.
- 为了确定不同的PTG轨迹和发展时期.
- 为ICU幸存者的个性化干预提供数据和方法见解.
主要方法:
- 采用了一种现象学纵向研究设计.
- 在ICU转移后的四个时间点 (T0,T1,T3,T6个月) 采访了21名患者.
- 定性数据分析确定了PTG轨迹和新兴主题.
主要成果:
- 确定了两个主要的创伤后生长 (PTG) 轨迹:"升华PTG轨迹"和"复合双路径PTG轨迹".
- 在这些轨迹中观察到四个不同的时期:"创伤反应"",增长过渡"",崩"和"过渡恢复".
- 15个主题出现了,包括整个恢复过程中"避免反应"的显著存在.
结论:
- 在ICU患者中,创伤后生长 (PTG) 呈现出共享和个性化的模式.
- 临床医生应该确定关键时间点,促进自我愈合,并提供量身定制的延长护理.
- 建议采用综合在线和面对面服务的多学科后护理模式,以实现持续的康复.
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