Magarey Judith M, McCutcheon Helen H
The Department of Clinical Nursing, The University of Adelaide, South Australia.
Intensive Crit Care Nurs. 2005 Dec;21(6):344-54. doi: 10.1016/j.iccn.2005.02.004. Epub 2005 Jun 2.
The purpose of this study was to explore the memories of patients who had a short-term admission to the ICU, with a particular focus on dreams, nightmares and confusion. Descriptive data were collected from a target sample of 50 participants, by means of a questionnaire. Following this, eight patients who had completed and returned the questionnaire and had reported hallucinations, dreams or confusion participated in open-ended, semi-structured interviews. Analysis of the data generated by the questionnaire revealed that the most common memories of ICU were anxiety, pain, thirst and nausea. Nightmares, hallucinations and confusion were also common and were reported to be highly distressing. The transcribed interviews were subjected to a thematic analysis. The themes that emerged were, reality and unreality, blackness and colour, powerlessness and purpose, and death. Participants described horrifying paranoid delusions. It is proposed that constant reassurance and explaining every day ICU happenings may assist patients to understand what they are experiencing and loved ones may provide an important link with reality.
本研究的目的是探索短期入住重症监护病房（ICU）患者的记忆，特别关注梦境、噩梦和意识模糊。通过问卷调查从50名参与者的目标样本中收集描述性数据。在此之后，8名完成并返还问卷且报告有幻觉、梦境或意识模糊的患者参与了开放式半结构化访谈。对问卷调查产生的数据进行分析后发现，对ICU最常见的记忆是焦虑、疼痛、口渴和恶心。噩梦、幻觉和意识模糊也很常见，且据报告令人极度痛苦。对转录的访谈进行了主题分析。出现的主题有：现实与非现实、黑暗与色彩、无力感与目标感以及死亡。参与者描述了可怕的偏执妄想。建议持续给予安慰并解释ICU每天发生的事情，这可能有助于患者理解他们正在经历的事情，而亲人可能提供与现实的重要联系。
