Ahlberg Mona, Bäckman Carl, Jones Christina, Walther Sten, Hollman Frisman Gunilla
Department of Anesthesiology and Intensive Care, Vrinnevi Hospital, Norrköping, Sweden.
Musculoskeletal Biology, Institute of Ageing & Chronic Disease, University of Liverpool, Liverpool, UK.
Nurs Crit Care. 2015 Sep;20(5):256-63. doi: 10.1111/nicc.12192. Epub 2015 May 29.
Partners have a burdensome time during and after their partners' intensive care period. They may appear to be coping well outwardly but inside feel vulnerable and lost. Evaluated interventions for partners on this aspect are limited.
The aim of this study was to describe the experience of participating in group communication with other partners of former intensive care patients.
The study has a descriptive intervention-based design where group communication for partners of former, surviving intensive care unit (ICU) patients was evaluated.
A strategic selection was made of adult partners to former adult intensive care patients (n = 15), 5 men and 10 women, aged 37-89 years. Two group communication sessions lasting 2 h were held at monthly intervals with three to five partners. The partners later wrote, in a notebook, about their feelings of participating in group communications. To deepen the understanding of the impact of the sessions, six of the partners were interviewed. Content analysis was used to analyse the notebooks and the interviews.
Three categories were identified: (1) Emotional impact, the partners felt togetherness and experienced worries and gratitude, (2) Confirmation, consciousness through insight and reflection and (3) The meeting design, group constellation and recommendation to participate in group communication.
Partners of an intensive care patient are on a journey, constantly trying to adapt to the new situation and find new strategies to ever-changing circumstances. Group communications contributed to togetherness and confirmation. To share experiences with others is one way for partners to be able to move forward in life.
Group communication with other patients' partners eases the process of going through the burden of being a partner to an intensive care patient. Group communications needs to be further developed and evaluated to obtain consensus and evidence for the best practice.
伴侣在其伴侣的重症监护期间及之后会经历一段负担沉重的时光。他们表面上可能看起来应对自如，但内心却感到脆弱和迷茫。针对伴侣这方面的评估干预措施有限。
本研究的目的是描述参与与其他曾入住重症监护病房患者的伴侣进行小组交流的经历。
本研究采用基于描述性干预的设计，对曾入住重症监护病房（ICU）且存活下来的患者的伴侣进行小组交流评估。
策略性地选取了15名成年重症监护患者的成年伴侣，其中5名男性，10名女性，年龄在37 - 89岁之间。每月举行两次时长为2小时的小组交流会议，每次有三到五名伴侣参加。伴侣们随后在笔记本上写下他们参与小组交流的感受。为了更深入地理解会议的影响，对其中6名伴侣进行了访谈。采用内容分析法对笔记本内容和访谈进行分析。
确定了三个类别：（1）情感影响，伴侣们感受到团结，经历了担忧和感激之情；（2）确认，通过洞察和反思获得意识；（3）会议设计、小组构成以及参与小组交流的建议。
重症监护患者的伴侣正处于一个不断适应新情况并为不断变化的环境寻找新策略的过程中。小组交流促进了团结和确认。与他人分享经历是伴侣们能够在生活中向前迈进的一种方式。
与其他患者的伴侣进行小组交流减轻了作为重症监护患者伴侣所承受的负担。小组交流需要进一步发展和评估，以获得最佳实践的共识和证据。
