老年重症监护室患者及其家属的术后妄想经历:一种定性研究
Shu-Jun Zhang1, Jiao Zong2, Lu-Lu Gu2
1Intensive Care Unit, Affiliated Wuxi Fifth Hospital of Jiangnan University, Wuxi, China; Intensive Care Unit, The fifth People's Hospital of Wuxi, Wuxi, China.
概括
老年重症监护室 (ICU) 患有妄想症的患者面临痛苦和困惑. 改善沟通和支持对于患者及其家人在这些情节中至关重要.
科学领域:
- 老年学是一门学科.
- 关键护理医学 关键护理医学
- 精神病学是一个精神病学.
背景情况:
- 痴呆症在重症监护室 (ICU) 的老年患者中非常普遍,影响该人口的高达80%.
- 在ICU中 Delirium 发作会对老年患者及其家人造成严重的情绪困扰.
研究的目的:
- 探索老年患者 (≥65岁) 在ICU停留期间被诊断患有痴呆症的经历.
- 了解在ICU中目睹这些妄想发作的家庭成员的观点.
主要方法:
- 与八名老年患者及其家属进行了半结构面试.
- 用解释性现象学分析来分析采访数据.
主要成果:
- 六个主要主题出现了:在奇怪的现实中航行,身体和情感上的痛苦,后果之旅,家庭成员的情感动荡,沟通障碍和桥梁,以及找到应对方法.
- 患者和家人报告了严重的痛苦,沟通挑战,以及需要应对策略.
结论:
- 这些发现强调了为患者和家人提供更好的前教育的必要性.
- 改善医疗保健提供者,患者和家人之间的情感支持和沟通策略对于管理ICU Delirium至关重要.
相关概念视频
Drug Dosing: Geriatric Patients
227
Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
227
Ethical Dilemmas II
2.3K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
2.3K
Pharmacodynamics in Geriatric Patients: Effects of Age
188
Age-related pharmacokinetic changes are extensively documented, but understanding age-related pharmacodynamic alterations is relatively limited. This knowledge gap can be partly attributed to the complexity of developing appropriate measures of drug responses compared to bioanalytical methods for determining drug concentrations.Most information regarding age-related differences in human pharmacodynamics originates from cross-sectional studies. However, these studies assume that observed mean...
188
Cognitive Development During Adulthood
780
Cognitive development continues throughout adulthood, undergoing significant shifts across early, middle, and late stages. Individual transition occurs from adolescent idealism to pragmatic and adaptable thinking in early adulthood. During this period, individuals learn to integrate personal beliefs with the recognition that other perspectives are equally valid. Exposure to the complexities of modern society, diverse experiences, and higher education contribute to this adaptive thought process,...
780

