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重症监护病房患者日记——一项简单却复杂的护理干预措施:一项定性研究

The ICU patient diary-A nursing intervention that is complicated in its simplicity: A qualitative study.

作者信息

Ednell Anna-Karin, Siljegren Sara, Engström Åsa

机构信息

Intensive Care Unit, Gällivare Hospital, Gällivare, Sweden.

Intensive Care Unit, Kiruna Hospital, Kiruna, Sweden.

出版信息

Intensive Crit Care Nurs. 2017 Jun;40:70-76. doi: 10.1016/j.iccn.2016.12.002. Epub 2017 Feb 21.

Abstract

BACKGROUND

Writing a diary for intensive care patients has been shown to facilitate patientrecovery and prevent post-traumatic stress following hospitalisation.

AIM

This study aimed to describe the experiences of critical care nurses' (CCNs') in writing personal diaries for ICU patients.

METHOD

The study was conducted with a qualitative design. Ten CCNs from two hospitals participated. Data were collected with semi-structured interviews and analysed using a qualitative thematic content analysis.

FINDINGS

The result consists of a theme: Patient diary: a complex nursing intervention in all its simplicity, as well as four categories: Writing informatively and with awareness shows respect and consideration; The diary is important for both patient and CCN; To jointly create an organisation that facilitates and develops the writing; Relatives' involvement in the diary is a matter of course.

CONCLUSION

CCNs are aware of the diary's importance for the patient and relatives, but experience difficulties in deciding which patients should get this intervention and how to prioritize it. Writing a personal diary for an ICU patient is a nursing intervention that is complicated in its simplicity.

摘要

背景

已证明为重症监护患者写日记有助于患者康复并预防住院后的创伤后应激反应。

目的

本研究旨在描述重症监护护士(CCN)为重症监护病房(ICU)患者写个人日记的经历。

方法

本研究采用定性设计。来自两家医院的10名CCN参与其中。通过半结构化访谈收集数据,并使用定性主题内容分析法进行分析。

结果

结果包括一个主题:患者日记:一项看似简单实则复杂的护理干预措施,以及四个类别:信息丰富且有意识地书写体现尊重和关怀;日记对患者和CCN都很重要;共同创建一个便于并推动书写的组织;亲属参与写日记是理所当然的事。

结论

CCN意识到日记对患者及其亲属的重要性,但在决定哪些患者应接受这种干预措施以及如何对其进行优先级排序方面遇到困难。为ICU患者写个人日记是一项看似简单实则复杂的护理干预措施。

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