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急性胸痛急症——配偶的院前经历

Acute chest pain emergencies - spouses' prehospital experiences.

作者信息

Forslund Kerstin, Quell Robin, Sørlie Venke

机构信息

School of Health and Medical Sciences, Orebro University, SE-70182 Orebro, Sweden.

出版信息

Int Emerg Nurs. 2008 Oct;16(4):233-40. doi: 10.1016/j.ienj.2008.07.001. Epub 2008 Aug 28.

Abstract

The call to the Emergency Medical Dispatch Centre is often a person's first contact with the health-care system in cases of acute illness or injury and acute chest pain is a common reason for calling. The aim was to illuminate how spouses to persons with acute chest pain experienced the alarm situation, the emergency call and the prehospital emergency care. Interviews were conducted with nineteen spouses. A phenomenological-hermeneutic approach was used for the analyses. The themes responsibility and uneasiness emerged as well as an overall theme of aloneness. Being a spouse to a person in need of acute medical and nursing assistance was interpreted as "Being responsible and trying to preserve life" and "Being able to manage the uneasiness and having trust in an uncertain situation." When their partners' life was at risk the spouses were in an escalating spiral of worry, uncertainty, stress, fear of loss, feeling of loneliness and desperation. They had to manage emotional distress and felt compelled to act to preserve life, a challenging situation.

摘要

在急性疾病、损伤或急性胸痛的情况下,拨打紧急医疗调度中心的电话通常是一个人与医疗保健系统的首次接触,而急性胸痛是拨打急救电话的常见原因。目的是阐明急性胸痛患者的配偶如何体验警报情况、紧急呼叫和院前急救护理。对19名配偶进行了访谈。采用现象学-诠释学方法进行分析。出现了“责任”和“不安”等主题以及“孤独”这一总体主题。作为需要急性医疗和护理援助的人的配偶被诠释为“负责并努力挽救生命”以及“能够应对不安并在不确定的情况下保持信任”。当他们伴侣的生命处于危险之中时,配偶们陷入了担忧、不确定、压力、害怕失去、孤独感和绝望不断升级的漩涡。他们必须应对情绪困扰,并感到有必要采取行动来挽救生命,这是一个具有挑战性的情况。

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