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重症监护幸存者的伴侣的经历及其在重症监护后对支持的需求。

Experiences of partners of intensive care survivors and their need for support after intensive care.

机构信息

Department of Health Sciences, Lund University, Lund, Sweden.

Intensive Care Unit, Helsingborg Hospital, Helsingborg, Sweden.

出版信息

Nurs Crit Care. 2020 Jul;25(4):245-252. doi: 10.1111/nicc.12458. Epub 2019 Jun 25.

Abstract

BACKGROUND

When a relative with a critical illness is admitted to an intensive care unit (ICU), it can be a life-changing event for the partner. There is a lack of studies that focus on the partners' experiences of the time after intensive care.

AIMS AND OBJECTIVES

The aim of this study was to explore the experiences of partners of intensive care survivors and their need for support after intensive care.

DESIGN

A qualitative descriptive design was used.

METHODS

Six semi-structured interviews was conducted in Sweden and analysed using inductive content analysis with inspiration from Graneheim and Lundman.

RESULTS

Three categories emerged from the data: Being in chaos when a partner needs intensive care, Being the one who everyone depends on, and Life goes on after intensive care. The findings indicate that life goes on after intensive care even if recovery takes time, and during that time, the partners need comforting support from people around them.

CONCLUSION

Partners need extensive and continuous support from health care staff and others during and after intensive care. Intensive care leads, on the one hand, to a sense of chaos for the partner, but on the other hand, if the family relations are strengthened and the partner receives the right kind of comforting support, it can relieve the chaos and facilitate a smoother recovery path to help them view the future more positively.

RELEVANCE TO CLINICAL PRACTICE

This study can contribute knowledge that guides nurses in the ICU and at the ICU follow-up service and could also help nurses in other areas of care in communication with relatives.

摘要

背景

当患有重病的亲属被收入重症监护病房(ICU)时,这可能对其伴侣来说是一个改变生活的事件。目前缺乏关注 ICU 后伴侣经历的研究。

目的和目标

本研究旨在探讨 ICU 幸存者的伴侣的经历以及他们在 ICU 后的支持需求。

设计

采用定性描述设计。

方法

在瑞典进行了六次半结构化访谈,并使用 Graneheim 和 Lundman 的灵感进行了归纳内容分析。

结果

从数据中出现了三个类别:当伴侣需要 ICU 时处于混乱状态、成为每个人都依赖的人、以及 ICU 后生活继续。研究结果表明,即使康复需要时间,生活仍会继续,在此期间,伴侣需要来自周围人的安慰支持。

结论

伴侣在 ICU 期间和之后需要医护人员和其他人提供广泛而持续的支持。一方面,重症监护会导致伴侣感到混乱,但另一方面,如果家庭关系得到加强,伴侣得到适当的安慰支持,这可以减轻混乱,促进更顺利的康复路径,帮助他们更积极地看待未来。

临床意义

本研究可以为 ICU 护士和 ICU 随访服务提供指导知识,也可以帮助护理领域的其他护士与亲属进行沟通。

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