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重症监护病房患者死亡后,家属照护者的疗愈体验。

Healing experience for family caregivers after an intensive care unit death.

机构信息

Connell School of Nursing, Boston College, Chestnut Hill, Massachusetts, USA

Patient Care Services, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.

出版信息

BMJ Support Palliat Care. 2022 Oct;12(e4):e578-e584. doi: 10.1136/bmjspcare-2018-001561. Epub 2019 Feb 4.

Abstract

OBJECTIVES

Family caregivers suffer a high burden of emotional and psychological distress following the death of a loved one in the intensive care unit and often struggle to heal in the weeks following their loss. The purpose of this hermeneutic phenomenological study was to describe and interpret the experience of healing for family caregivers six weeks following the death of a loved one in the ICU.

METHODS

Semi-structured telephone interviews were conducted with a purposive sample of twenty-four family caregivers six weeks following the death of their loved ones in the ICU. Qualitative analysis techniques were used to identify common themes central to the experience of healing across all interviews.

RESULTS

Seven themes were interpreted from the data: searching for clarity from a time of uncertainty; riding an emotional rollercoaster; seeking peace in one's decisions; moving forward with each new day; taking comfort in the memories; valuing layers of support; and discovering life on one's own.

CONCLUSION

By identifying and gaining an understanding of healing following the death of a loved one in the ICU, nursing and other healthcare providers have an opportunity to promote healing and positively impact family caregiver's bereavement.

摘要

目的

在重症监护病房(ICU)失去亲人后,家庭照顾者承受着高度的情绪和心理困扰,并且在失去亲人后的几周内常常难以治愈。本解释性现象学研究的目的是描述和解释 ICU 中亲人去世六周后家庭照顾者的治愈体验。

方法

对 ICU 中亲人去世六周后的 24 名家庭照顾者进行了半结构化电话访谈。采用定性分析技术,从所有访谈中确定了与治愈体验相关的共同主题。

结果

从数据中解释了七个主题:在不确定的时期寻找清晰;情绪过山车;在决策中寻求平静;每天向前迈进;从回忆中获得安慰;珍惜多层次的支持;以及独自发现生活。

结论

通过识别和理解 ICU 中亲人去世后的治愈过程,护理和其他医疗保健提供者有机会促进治愈并对家庭照顾者的丧亲产生积极影响。

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