De Stefano Carla, Normand Domitille, Jabre Patricia, Azoulay Elie, Kentish-Barnes Nancy, Lapostolle Frederic, Baubet Thierry, Reuter Paul-Georges, Javaud Nicolas, Borron Stephen W, Vicaut Eric, Adnet Frederic
AP-HP, Urgences, Samu 93, hôpital Avicenne, 93000 Bobigny, France.
AP-HP, Department of Child and Adolescent Psychiatry and General Psychiatry, Avicenne Hospital, Paris, France.
PLoS One. 2016 Jun 2;11(6):e0156100. doi: 10.1371/journal.pone.0156100. eCollection 2016.
The themes of qualitative assessments that characterize the experience of family members offered the choice of observing cardiopulmonary resuscitation (CPR) of a loved one have not been formally identified.
In the context of a multicenter randomized clinical trial offering family members the choice of observing CPR of a patient with sudden cardiac arrest, a qualitative analysis, with a sequential explanatory design, was conducted. The aim of the study was to understand family members' experience during CPR. All participants were interviewed by phone at home three months after cardiac arrest. Saturation was reached after analysis of 30 interviews of a randomly selected sample of 75 family members included in the trial. Four themes were identified: 1- choosing to be actively involved in the resuscitation; 2- communication between the relative and the emergency care team; 3- perception of the reality of the death, promoting acceptance of the loss; 4- experience and reactions of the relatives who did or did not witness the CPR, describing their feelings. Twelve sub-themes further defining these four themes were identified. Transferability of our findings should take into account the country-specific medical system.
Family presence can help to ameliorate the pain of the death, through the feeling of having helped to support the patient during the passage from life to death and of having participated in this important moment. Our results showed the central role of communication between the family and the emergency care team in facilitating the acceptance of the reality of death.
对于那些被给予观察亲人心肺复苏术（CPR）选择的家庭成员的经历，定性评估的主题尚未被正式确定。
在一项多中心随机临床试验的背景下，该试验给予家庭成员观察心脏骤停患者心肺复苏术的选择，采用序贯解释性设计进行了定性分析。研究目的是了解家庭成员在心肺复苏过程中的经历。所有参与者在心脏骤停三个月后在家中接受电话访谈。对试验中随机抽取的75名家庭成员样本中的30次访谈进行分析后达到了饱和。确定了四个主题：1 - 选择积极参与复苏；2 - 亲属与急救团队之间的沟通；3 - 对死亡现实的认知，促进对损失的接受；4 - 目睹或未目睹心肺复苏术的亲属的经历和反应，描述他们的感受。还确定了进一步界定这四个主题的十二个子主题。我们研究结果的可转移性应考虑到各国特定的医疗系统。
家属在场有助于减轻死亡带来的痛苦，通过在患者从生到死的过程中提供帮助支持患者以及参与这一重要时刻的感受。我们的结果表明，家庭与急救团队之间的沟通在促进对死亡现实的接受方面起着核心作用。
