Cullinane James P, Plowright Catherine I
J P Cullinane, Intensive Care Unit, Anaesthetics Department, Medway NHS Foundation Trust, Gillingham, Kent, UK.
Nurs Crit Care. 2013 Nov;18(6):289-96. doi: 10.1111/nicc.12047. Epub 2013 Aug 22.
This literature review looks at the evidence around transferring patients from intensive care units (ICU) to wards. The literature informs us that patients and their families experience problems when being transferred from an ICU environment and that this increases overall anxiety.
The effects of surviving critical illness often have a profound psychological impact on patients and families This study examines the experiences of adult patients, and their families, following their transfer from the ICU to the ward.
Five themes emerged from this literature review: physical responses, psychological responses, information and communication, safety and security, and the needs of relatives.
This review reminds us that these problems can be reduced if information and communication around time of transfers were improved.
As critical care nurses it is essential that we prepare patients and families for transfer to wards.
本文献综述探讨了有关将患者从重症监护病房(ICU)转至普通病房的证据。文献表明,患者及其家属在从ICU环境转出时会遇到问题,这会增加总体焦虑感。
危重病康复的影响通常会对患者及其家属产生深远的心理影响。本研究调查了成年患者及其家属从ICU转至普通病房后的经历。
本文献综述出现了五个主题:身体反应、心理反应、信息与沟通、安全保障以及亲属的需求。
本综述提醒我们,如果改善转院前后的信息和沟通,这些问题是可以减少的。
作为重症护理护士,我们有必要让患者及其家属为转至普通病房做好准备。