Strahan Eunice H E, Brown Robert J
Regional Intensive Care Unit, The Royal Hospitals Trust, Grosvenor Road, Belfast, Co Antrim BT12 6BA, UK.
Intensive Crit Care Nurs. 2005 Jun;21(3):160-71. doi: 10.1016/j.iccn.2004.10.005. Epub 2004 Dec 8.
In nursing literature much attention has been paid to patients' experiences while in intensive care. Extensive literature exists examining the longer-term effects of critical care [Jones C, Humphris GM, Griffiths RD. Psychological morbidity following critical illness - the rationale for care after intensive care. Clinical Intensive Care 1998;9:199-205; Griffiths RD, Jones C. ABC of intensive care. Recovery from intensive care. Br Med J 1999;319:417-429]. There is an apparent scarcity of data examining patients' experiences immediately following discharge to wards. A Husserlian phenomenological approach was utilised to gain some understanding of the experience of patients following transfer from intensive care. Ten patients selected purposively comprised the sample. Interviews were performed on the wards 3-5 days following transfer from intensive care. Data was analysed utilising () [Colaizzi PF. Psychological Research as the phenomenologist views it. In: Valle R, King M, editors. Alternatives for psychology. New York: Oxford University Press; 1978. p. 48-71] procedural approach to phenomenological interpretation and analysis. Three major themes emerged: physical response, psychological response and provision of care. These provide a possible framework for patient assessment. Implications for future practice and study are discussed.
在护理文献中,重症监护期间患者的体验受到了广泛关注。已有大量文献探讨了重症监护的长期影响[琼斯C,汉弗里斯GM,格里菲斯RD。危重病后的心理疾病——重症监护后护理的基本原理。临床重症监护1998;9:199 - 205;格里菲斯RD,琼斯C。重症监护ABC。从重症监护中恢复。英国医学杂志1999;319:417 - 429]。然而,关于患者转出重症监护病房后立即返回普通病房的体验的数据明显匮乏。本研究采用胡塞尔现象学方法,以了解患者从重症监护病房转出后的体验。通过目的抽样选取了10名患者作为样本。在患者从重症监护病房转出后的3 - 5天,于普通病房进行访谈。采用()[科莱齐PF。现象学家眼中的心理学研究。载于:瓦莱R,金M,编辑。心理学的替代方法。纽约:牛津大学出版社;1978。第48 - 71页]现象学解释和分析的程序方法对数据进行分析。出现了三个主要主题:身体反应、心理反应和护理提供。这些为患者评估提供了一个可能的框架。并讨论了对未来实践和研究的启示。