Rm GH515, School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong SAR, China.
Intensive Crit Care Nurs. 2011 Dec;27(6):317-30. doi: 10.1016/j.iccn.2011.09.001. Epub 2011 Oct 19.
The objectives of this study were to conduct a theoretical analysis of the critically ill patients' perceptions of the impact of informal support and care from their main family carer (MFC) during the time of their stay in the hospital (ICU) and thereafter (and vice versa). RESEARCH DESIGN AND SETTING: The grounded theory method was used to investigate the target phenomenon in the ICU of a large general hospital, and three months later in the community after the patients were discharged. Qualitative data were collected through participant observation and interviews for constant comparative analysis until theoretical saturation.
A substantive theory emerged and it illustrated and described the dynamic actions and interactions between critically ill patients and their MFC during the process of recovery. Three categories, 1) being there with, 2) coping and 3) self-relying, comprise the essential components of this theory.
The theory represents the core process of 'surviving a critical illness through mutually being there with each other' in which both the patients and their MFC are involved. Implications and recommendations were proposed to provide a basis for further research and nursing practice on the phenomenon of informal support and care of critically ill patients and their recovery.
本研究的目的是对重症患者在住院期间（重症监护病房）及其后的主要家庭照顾者（MFC）提供的非正式支持和护理的影响进行理论分析（反之亦然）。
采用扎根理论方法，在一家大型综合医院的重症监护病房进行目标现象的研究，并在患者出院后三个月在社区进行。通过参与观察和访谈收集定性数据，进行恒定性比较分析，直到理论饱和。
出现了一个实质性理论，它阐述和描述了重症患者及其 MFC 在康复过程中的动态行为和相互作用。该理论的三个范畴包括：1）陪伴，2）应对，3）自我依赖。
该理论代表了“通过相互陪伴共同度过重症”的核心过程，患者及其 MFC 都参与其中。提出了一些意义和建议，为进一步研究和护理实践提供了基础，旨在探讨重症患者及其康复过程中的非正式支持和护理现象。
