Cook D J, Meade M O, Perry A G
Department of Medicine, McMaster University, Hamilton, Ontario, Canada.
Chest. 2001 Dec;120(6 Suppl):469S-73S. doi: 10.1378/chest.120.6_suppl.469s.
In contrast to primarily deductive quantitative research, qualitative research aims to interpret data to develop theoretical insights that describe and explain phenomena such as interactions, experiences, roles, perspectives, and organizations. In this review, we summarize qualitative studies that used primarily in-depth personal interviews as a data collection method and a grounded theory analytic approach. The liberal use of illustrative excerpts and interpretive descriptions offer clinicians vicarious accounts of patient experiences of weaning from mechanical ventilation. Important experiences of patients during their weaning from mechanical ventilation included frustration, uncertainty, hopelessness, fear, and lack of mastery. The extent to which, in at least some patients, these experiences were determinants of weaning failure, consequences of weaning failure, or both, was difficult to establish. An assumption of this genre of research is that if clinicians understand the lived experiences of patients, they can better appreciate patient needs during the weaning process, and by inference, their role as clinicians during weaning from mechanical ventilation.
与主要采用演绎法的定量研究不同,定性研究旨在解读数据,以形成理论见解,从而描述和解释诸如互动、经历、角色、观点及组织等现象。在本综述中,我们总结了主要将深度个人访谈用作数据收集方法并采用扎根理论分析方法的定性研究。大量使用说明性摘录和解释性描述为临床医生提供了关于患者机械通气撤机经历的替代性描述。患者在机械通气撤机过程中的重要经历包括沮丧、不确定感、绝望、恐惧以及缺乏掌控感。在至少部分患者中,这些经历在多大程度上是撤机失败的决定因素、撤机失败的后果,抑或是两者兼具,很难确定。这类研究的一个假设是,如果临床医生了解患者的实际经历,他们就能在撤机过程中更好地理解患者需求,进而推断出他们在机械通气撤机过程中作为临床医生的角色。