Whitehorne Karen, Gaudine Alice, Meadus Robert, Solberg Shirley
Karen Whitehorne is a nurse therapist at Eastern Health, St. John's, Newfoundland, Canada. Alice Gaudine and Shirley Solberg are professors, and Robert Meadus is an associate professor, School of Nursing, Memorial University of Newfoundland, St. John's, Newfoundland, Canada.
Am J Crit Care. 2015 Nov;24(6):474-9. doi: 10.4037/ajcc2015435.
Delirium is a common occurrence for patients in the intensive care unit and can have a profound and lasting impact on them. Few studies describe the experience of intensive care patients who have had delirium.
To understand the lived experience of intensive care for critically ill patients who experienced delirium.
The study participants consisted of 7 men and 3 women, 46 to 70 years old, who had delirium according to the Confusion Assessment Method for the Intensive Care Unit. The van Manen method of hermeneutic phenomenology was used, and data collection entailed audio recorded semistructured interviews.
Four themes were detected: "I can't remember," "Wanting to make a connection," "Trying to get it straight," and "Fear and safety concerns."
Nurses working in intensive care units need to assess patients for delirium, assess the mental status of patients who have delirium, and help patients and patients' families learn about and deal with the psychological effects of the intensive care unit experience.
谵妄在重症监护病房患者中很常见，会对他们产生深远且持久的影响。很少有研究描述经历过谵妄的重症监护患者的体验。
了解经历谵妄的重症患者在重症监护中的生活体验。
研究参与者包括7名男性和3名女性，年龄在46至70岁之间，根据重症监护病房意识模糊评估方法，他们患有谵妄。采用范曼诠释现象学方法，数据收集通过半结构化访谈录音进行。
发现了四个主题：“我记不得了”、“想要建立联系”、“试图弄清楚”以及“恐惧和安全担忧”。
在重症监护病房工作的护士需要对患者进行谵妄评估，评估有谵妄患者的精神状态，并帮助患者及其家属了解和应对重症监护病房体验带来的心理影响。
