Rees Sophie, Griffiths Frances, Bassford Christopher, Brooke Mike, Fritz Zoe, Huang Huayi, Rees Karen, Turner Jake, Slowther Anne-Marie
Medical School, University of Warwick, Coventry, UK.
General Critical Care, University Hospital Coventry, Coventry, UK.
J Intensive Care Soc. 2020 Feb;21(1):79-86. doi: 10.1177/1751143719832185. Epub 2019 Mar 11.
Treatment in an intensive care unit can be life-saving but it can be distressing and not every patient can benefit. Decisions to admit a patient to an intensive care unit are complex. We wished to explore how the decision to refer or admit is experienced by those involved, and undertook a systematic review of the literature to answer the research question: What are the experiences of health care professionals, patients, and families, of the process of referral and admission to an intensive care unit? Twelve relevant studies were identified, and a thematic analysis was conducted. Most studies involved health care professionals, with only two considering patients' or families' experiences. Four themes were identified which influenced experiences of intensive care unit referral and review: the professional environment; communication; the allocation of limited resources; and acknowledging uncertainty. Patients' and families' experiences have been under-researched in this area.
在重症监护病房接受治疗可能会挽救生命，但也可能令人痛苦，而且并非每个患者都能从中受益。将患者收治入重症监护病房的决策很复杂。我们希望探究参与其中的人员对转诊或收治决策的体验，并对文献进行了系统综述，以回答研究问题：医护人员、患者及其家属在转诊和收治入重症监护病房过程中的体验是怎样的？共确定了12项相关研究，并进行了主题分析。大多数研究涉及医护人员，只有两项研究考虑了患者或家属的体验。确定了四个影响重症监护病房转诊和评估体验的主题：专业环境；沟通；有限资源的分配；以及承认不确定性。该领域对患者和家属的体验研究不足。
