在危重病期间使用在重症监护病房所写的个人日记。
Use of a personal diary written on the ICU during critical illness.
作者信息
Bäckman C G, Walther S M
机构信息
Intensive Care Unit, Department of Anaesthesia and Intensive Care, Vrinnevisjukhuset, Norrköping, Sweden.
出版信息
Intensive Care Med. 2001 Feb;27(2):426-9. doi: 10.1007/s001340000692.
OBJECTIVE
To explore the use of a diary as an aid in debriefing patients and relatives following critical illness.
DESIGN
Observation study.
SETTING
Intensive care unit of a 500-bed hospital.
PATIENTS AND PARTICIPANTS
Fifty-one critically ill patients and their relatives.
METHOD
A daily account of the patient's progress was written in everyday language by nursing staff, photographs were added as necessary. The booklet was given to the patient or a relative at a follow-up appointment 2 weeks after discharge from the unit. A standard questionnaire was mailed 6 months later, responses were analyzed by an independent observer.
MEASUREMENTS AND RESULTS
All diaries had been read by survivors (n = 41) or relatives (n = 10), 51% of the diaries had been read more than 10 times. Comments in the questionnaires were graded as very positive (39%), positive (28%) and neutral (33%).
CONCLUSIONS
A detailed narrative of the patient's stay is a useful tool in the debriefing process following intensive care.
目的
探讨使用日记作为在危重病后向患者及家属进行情况汇报的辅助工具。
设计
观察性研究。
地点
一家拥有500张床位医院的重症监护病房。
患者及参与者
51名危重病患者及其家属。
方法
护理人员用日常语言记录患者每日的病情进展，必要时添加照片。该手册在患者从病房出院2周后的随访预约时交给患者或家属。6个月后邮寄一份标准问卷，由一名独立观察员对回复进行分析。
测量与结果
所有日记均被幸存者（n = 41）或家属（n = 10）阅读过，51%的日记被阅读超过10次。问卷中的评论被评为非常积极（39%）、积极（28%）和中性（33%）。
结论
对患者住院情况的详细叙述是重症监护后情况汇报过程中的一个有用工具。
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