Division of Nursing, Department of Health Sciences, Lund University, P.O. Box 157, SE-221 00 Lund, Sweden.
Intensive Crit Care Nurs. 2011 Apr;27(2):76-84. doi: 10.1016/j.iccn.2011.01.003. Epub 2011 Mar 2.
In order to improve the patients' comfort and well-being during and after a stay in the intensive care unit (ICU), the patients' perspective on the intensive care experience in terms of memories is essential. The aim of this study was to describe unpleasant and pleasant memories of the ICU stay in adult mechanically ventilated patients.
Mechanically ventilated adults admitted for more than 24hours from two Swedish general ICUs were included and interviewed 5 days after ICU discharge using two open-ended questions. The data were analysed exploring the manifest content.
Of the 250 patients interviewed, 81% remembered the ICU stay, 71% described unpleasant memories and 59% pleasant. Ten categories emerged from the content analyses (five from unpleasant and five from pleasant memories), contrasting with each other: physical distress and relief of physical distress, emotional distress and emotional well-being, perceptual distress and perceptual well-being, environmental distress and environmental comfort, and stress-inducing care and caring service.
Most critical care patients have both unpleasant and pleasant memories of their ICU stay. Pleasant memories such as support and caring service are important to relief the stress and may balance the impact of the distressing memories of the ICU stay.
为了提高患者在重症监护病房（ICU）期间和之后的舒适度和幸福感，了解患者对 ICU 体验的记忆，从患者的角度来看至关重要。本研究旨在描述成人机械通气患者 ICU 住院期间不愉快和愉快的记忆。
纳入来自瑞典两家普通 ICU 的 24 小时以上机械通气的成年患者，并在 ICU 出院后 5 天使用两个开放式问题进行采访。通过探索明显内容对数据进行分析。
在接受采访的 250 名患者中，81%的人记得 ICU 住院，71%的人描述了不愉快的记忆，59%的人描述了愉快的记忆。内容分析中出现了 10 个类别（不愉快和愉快记忆各 5 个），相互对比：身体不适和身体不适缓解、情绪困扰和情绪良好、感知不适和感知良好、环境不适和环境舒适、有压力的护理和关怀服务。
大多数重症监护患者对 ICU 住院都有不愉快和愉快的记忆。支持和关怀服务等愉快的记忆有助于缓解压力，可能会平衡 ICU 住院期间痛苦记忆的影响。
