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重症监护期间家庭成员在场的意义:一项定性研究。

The meaning of family members' presence during intensive care stay: a qualitative study.

作者信息

Olsen Kristin Dahle, Dysvik Elin, Hansen Britt Saetre

机构信息

Acute Clinic of Intensive Care, Stavanger University Hospital, Box 8100, N-4068 Stavanger, Norway.

出版信息

Intensive Crit Care Nurs. 2009 Aug;25(4):190-8. doi: 10.1016/j.iccn.2009.04.004. Epub 2009 Jun 3.

Abstract

The aim of this study was to investigate what the presence of family members meant to patients in intensive care units. The study employed a qualitative approach with semi-structured interviews and qualitative content analysis. Eleven intensive care patients were interviewed at a university hospital in Norway. The results of the study indicated that the patients desired some limitation of visitors' presence and preferred visits only from those who were closest in daily life. Visits had a variety of functions for intensive care patients, including promoting support for patients and families. However, visits also caused stress for patients and worries about creating stress for family members. The patients' requirements for information differed. The findings suggest that information to the families is important for the patients need for reality orientation. Visits in intensive care units and information to the families have mutual importance for the patients and their families. The study supports prior claims that flexible visiting routines are challenging for ICU nurses. A dialogue with the families is recommended in order to find a balance between the social support and the stress caused by visits. This puts the families in a better position to give support to the patients during recovery.

摘要

本研究的目的是调查家庭成员的陪伴对重症监护病房患者意味着什么。该研究采用定性研究方法,进行半结构化访谈并开展定性内容分析。在挪威的一家大学医院对11名重症监护患者进行了访谈。研究结果表明,患者希望对探视者的陪伴有所限制,并且更倾向于只接受日常生活中关系最亲密者的探视。探视对重症监护患者有多种作用,包括为患者及其家属提供支持。然而,探视也给患者带来压力,并让患者担心给家属造成压力。患者对信息的需求各不相同。研究结果表明,向家属提供信息对于患者适应现实的需求很重要。重症监护病房的探视以及向家属提供信息,对患者及其家属都具有同等重要的意义。该研究支持了之前的说法,即灵活的探视安排对重症监护病房的护士来说具有挑战性。建议与家属进行对话,以便在社会支持和探视造成的压力之间找到平衡。这能让家属在患者康复期间更好地为其提供支持。

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