Dreyer Anne, Nortvedt Per
Institute for General Practice and Community Medicine, University of Oslo, Department of Health Sciences, Aalesund University College, Aalesund, Norway.
J Adv Nurs. 2008 Mar;61(5):549-56. doi: 10.1111/j.1365-2648.2007.04555.x.
This paper is a report of a study undertaken to explore the experiences of being relatives of ventilated and sedated patients in intensive care units.
In the last few years, issues about medically-induced sleep as part of intensive care unit treatment have focused on the appropriate level of medication. There are no studies of the impact of relatives on assessment of sedation levels, but studies of family participation in intensive care units show that relatives see their role as more important for the patient than nurses do.
An explorative, descriptive design was adopted. In-depth interviews were conducted with eight relatives of patients in 2003. The research question was: How do relatives experience having a close family member in a state of serious illness, being treated on a ventilator, and receiving medically induced sedation and pain relief? Kvale's hermeneutical interpretation principles were used for data analysis.
Relatives interviewed seemed to go through various phases that were specifically connected to the actual situation in the intensive care unit. The main characteristic of these phases was a pattern in which participants gradually became active caregivers for the patient. Relatives wanted to be included in discussions about treatment.
Relatives want to be included as caregivers when patients are under sedation in an intensive care unit. Relatives who know the patient can help evaluate the use of sedation and pain management to assist the nurses in giving the best care and the appropriate level of sedation for a patient.
本文报告一项旨在探究重症监护病房中接受通气和镇静治疗患者亲属经历的研究。
在过去几年中，作为重症监护病房治疗一部分的药物诱导睡眠问题主要集中在适当的用药水平上。目前尚无关于亲属对镇静水平评估影响的研究，但有关家庭参与重症监护病房治疗的研究表明，亲属认为他们对患者的作用比护士更为重要。
采用探索性描述性设计。2003年对8名患者亲属进行了深入访谈。研究问题为：亲属如何体验家中有一位重病患者，正在接受呼吸机治疗，并接受药物诱导的镇静和止痛？数据分析采用克瓦尔的诠释学解释原则。
接受访谈的亲属似乎经历了与重症监护病房实际情况特别相关的不同阶段。这些阶段的主要特征是参与者逐渐成为患者积极照料者的一种模式。亲属希望参与有关治疗的讨论。
当患者在重症监护病房接受镇静治疗时，亲属希望作为照料者参与其中。了解患者的亲属可以帮助评估镇静和疼痛管理的使用情况，以协助护士为患者提供最佳护理和适当的镇静水平。
