在重症监护室接受心脏和肺移植的患者的经验,感知和未表达的需求:一种定性现象学研究
Nikita Valentina Ugenti1, Silvio Quirini1, Marianna Aleandri1
1IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Frontiers in psychology
|September 25, 2025
概括
重症监护室 (ICU) 患者,尤其是心脏和肺移植受体,需要超越临床护理的情感和心理支持. 个性化护理和同情的沟通对于他们的康复和整体ICU体验至关重要.
科学领域:
- 移植医学 移植医学 移植医学
- 护理重症监护室 (ICU) 护理重症监护室
- 质量健康研究 质量健康研究
背景情况:
- 重症监护室 (ICU) 的患者需要全面的护理,包括心理和情绪支持,这往往被忽视.
- 心脏和肺移植接受者面临着独特的术后挑战,包括身体脆弱,情绪脆弱和身份转变.
- 现有的研究不足以捕捉到ICU中移植患者的生活经历,阻碍了以人为中心的护理发展.
研究的目的:
- 探索心脏和肺移植接受者的重症监护室 (ICU) 经验.
- 了解移植患者复杂的旅程,专注于他们的心理,社会和情感需求.
- 确定影响患者在ICU住院期间幸福感和满意度的因素.
主要方法:
- 进行了一项描述性的现象学研究.
- 半结构面试对21名心脏和肺移植接受者进行了半结构面试,在ICU出院后2-4天.
- 使用主题内容分析来识别患者叙述中的关键主题.
主要成果:
- 六个主要主题出现了:护理环境,感官感知,人的赋权,生活经验,移植路径和护理质量.
- 患者报告说,由于镇静和输管治疗,他们感到孤立,迷失方向,丧和沟通困难.
- 幸福的关键因素包括个性化护理,同情的沟通和支持性的医疗保健专业关系,与对器官捐赠的矛盾情绪.
结论:
- 心脏和肺移植对患者产生深远的影响,需要大量的情感和心理支持.
- 个性化干预,同情的沟通和改善的患者与医疗服务提供者的互动对于改善康复和整体ICU体验至关重要.
- 解决ICU中移植患者的整体需求对于优化结果和患者满意度至关重要.
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