成人体外膜肺氧合患者出院后的问题与健康需求：一项定性研究。
Problems and health needs of adult extracorporeal membrane oxygenation patients following hospital discharge: A qualitative study.
作者信息
Chen Kang-Hua, Tsai Feng-Chun, Tsai Chien-Sung, Yeh Shu-Ling, Weng Li-Chueh, Yeh Li-Chyun
机构信息
School of Nursing, College of Medicine, Chang Gung University, No.259, Wenhwa 1st Rd., Guishan Dist., Taoyuan City 33302, Taiwan.
Department of Cardiovascular Surgery, Chang Gung Memorial Hospital, Linkou Branch, No.5, Fusing St., Gueishan Township, Taoyuan County 333, Taiwan.
出版信息
Heart Lung. 2016 Mar-Apr;45(2):147-53. doi: 10.1016/j.hrtlng.2015.12.005. Epub 2016 Feb 4.
OBJECTIVES
To explore problems and health needs of adult extracorporeal membrane oxygenation (ECMO) patients during a one-year period following hospital discharge.
BACKGROUND
ECMO functions as life support during treatment of advanced cardiac and respiratory failure. Knowledge regarding the problems and health needs of discharged adult patients who have undergone ECMO is lacking.
METHODS
This study used a qualitative descriptive interview design. Fourteen adult ECMO patients were recruited by purposive sampling prior to discharge. Data were generated from semi-structure in-depth interviews at 3-month intervals following hospital discharge.
RESULTS
Four themes described problems and needs post-discharge: stress resulting from ECMO surgery; making health a priority; support from family friends and health care professionals; and emotional support.
CONCLUSIONS
Multidisciplinary evidence-based interventions should be implemented prior to or soon after discharge to help with the physical, psychological and social problems that ECMO survivors experience, which can help improve their quality of life.
目的
探讨成人体外膜肺氧合（ECMO）患者出院后一年内的问题及健康需求。
背景
ECMO在晚期心脏和呼吸衰竭治疗中起到生命支持作用。目前缺乏关于接受过ECMO治疗的出院成年患者的问题及健康需求的相关知识。
方法
本研究采用定性描述性访谈设计。在出院前通过目的抽样招募了14名成年ECMO患者。出院后每隔3个月进行半结构化深度访谈以收集数据。
结果
四个主题描述了出院后的问题和需求：ECMO手术带来的压力；将健康放在首位；来自家人、朋友和医护人员的支持；以及情感支持。
结论
应在出院前或出院后不久实施多学科循证干预措施，以帮助ECMO幸存者应对身体、心理和社会问题，这有助于提高他们的生活质量。
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