Mylén Jenny, Nilsson Maria, Berterö Carina
Department of Neuro Surgery and Neurosurgical Intensive Care, Linköping University Hospital and Department of Clinical and Experimental Medicine, Linköping University, Sweden.
Division of Nursing Science, Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
Intensive Crit Care Nurs. 2016 Feb;32:42-8. doi: 10.1016/j.iccn.2015.08.001. Epub 2015 Nov 7.
The aim of this study was to explore the lived experiences of conscious patients in neurosurgical intensive care.
Data collection was performed by qualitative interviews using an interview guide. Eleven former patients, seven women and four men, were interviewed two to 14 months after discharge. The interviews were recorded and transcribed verbatim and analysed using an interpretive phenomenological approach.
The analysis revealed three themes: To feel safe in an unfamiliar situation, to experience strains and limitations, and to be confirmed as a human being. These three themes culminated in the essence: To feel strong in an unfamiliar situation. Patients experienced a soothing environment where, despite strains, they felt safe being cared for in a ward with specialised medical treatment. When mental and physical strains decreased during the period of care, they experienced the ability to cope with the simplest tasks as a sign of regained identity.
Patients' main experience during intensive care was security. Security along with human contact and interaction with staff and next of kin made the patients feel strengthened as human beings in an unfamiliar situation. The fact that the patients were conscious enabled them to understand their situation and to experience security.
本研究旨在探究神经外科重症监护室中有意识患者的真实体验。
采用访谈指南，通过定性访谈进行数据收集。对11名出院两至14个月的患者进行了访谈，其中7名女性，4名男性。访谈进行了录音，并逐字转录，采用解释现象学方法进行分析。
分析揭示了三个主题：在陌生环境中感到安全、体验压力与局限、被确认为人。这三个主题最终归结为本质：在陌生环境中感到坚强。患者体验到一个舒缓的环境，尽管有压力，但在配备专业医疗的病房中接受护理时他们感到安全。在护理期间，当身心压力减轻时，他们将能够完成最简单的任务视为身份恢复的标志。
重症监护期间患者的主要体验是安全感。安全感以及与医护人员和亲属的人际接触与互动，让患者在陌生环境中作为人感到得到了强化。患者有意识这一事实使他们能够理解自己的处境并体验到安全感。
