Wagner Jennifer M
Neurology and Neuroscience Associates, Akron, Ohio, USA.
Am J Crit Care. 2004 Sep;13(5):416-20.
During resuscitative efforts, patients' family members are often barred from the patients' rooms and may never have the opportunity to see their loved ones alive again. Recently, the need to ask family members to leave the room is being questioned. Little is known about families' perceptions of cardiopulmonary resuscitation.
To describe the experiences, thoughts, and perceptions of family members of critically ill patients during cardiopulmonary resuscitation in the intensive care unit.
Six family members whose loved ones underwent cardiopulmonary resuscitation and survived consented to an audiotaped interview. During the interview, family members were asked to describe their experiences during the resuscitation. Interviews were transcribed and were analyzed for relevant themes by using Van Manen thematic analysis.
One major theme emerged. Should we go or should we stay? Additionally, 2 subthemes emerged: What is going on? and You do your job. A model, the family's experience with cardiopulmonary resuscitation, was developed to reflect the research findings.
During the period of resuscitation, healthcare professionals neglect to recognize that patients' family members are experiencing crisis along with the patients and that coping mechanisms are impaired. Moreover, the family members' informational and proximity needs are often ignored during this time of crisis. Addressing these needs through appropriate nursing interventions will become increasingly important as patients' family members begin to remain with their loved ones during cardiopulmonary resuscitation.
在复苏过程中,患者家属通常被禁止进入患者病房,可能再也没有机会看到他们所爱的人活着的样子。最近,要求家属离开病房的必要性受到了质疑。关于家属对心肺复苏的看法知之甚少。
描述重症监护病房中危重症患者家属在心肺复苏过程中的经历、想法和看法。
六位其亲人接受了心肺复苏并存活下来的家属同意接受录音采访。在采访中,家属被要求描述他们在复苏过程中的经历。采访内容被转录,并使用范曼主题分析法分析相关主题。
出现了一个主要主题。我们该走还是该留?此外,还出现了两个子主题:发生了什么事?以及你做好你的工作。开发了一个模型,即家属心肺复苏经历模型,以反映研究结果。
在复苏期间,医护人员忽视了患者家属与患者一同经历危机且应对机制受损这一情况。此外,在这个危机时刻,家属的信息需求和亲近需求常常被忽视。随着患者家属开始在心肺复苏期间陪伴他们所爱的人,通过适当的护理干预来满足这些需求将变得越来越重要。