Intensive Care Unit 57, Sunderby Hospital, Luleå, Sweden.
Division of Nursing, Department of Health Science, Luleå University of Technology, Luleå, Sweden.
Nurs Crit Care. 2022 Jan;27(1):66-72. doi: 10.1111/nicc.12533. Epub 2020 Aug 4.
Patients intoxicated after abusing illicit drugs constitute a significant proportion of patients cared for in intensive care units. Intensive critical care nurses who nurse accidentally intoxicated patients face complex and demanding situations, and there is a lack of studies regarding this topic.
To illuminate Swedish intensive critical care nurses' experiences of nursing accidentally intoxicated patients after abuse of illicit drugs.
A qualitative design with an inductive approach was used.
Semi-structured interviews were conducted with eight intensive critical care nurses at an intensive care unit in Sweden. Data were analysed using qualitative content analysis.
The themes found illuminate intensive critical care nurses' experiences of nursing accidentally intoxicated patients after their abuse of illicit drugs: feeling empathy and a wish to provide dignified care; dreading nursing the patient and feeling a lack of empathy; feeling frustration and questioning the care; lacking knowledge about a complex and challenging situation.
It is essential to respond to intoxicated patients with empathy and dignity. Intensive critical care nurses should learn how to identify factors that lead to provocation and agitation in order to reduce the occurrence of dangerous situations in intensive care units.
To create a caring environment where the interaction becomes more positive and harmonious, an intensive care nurse needs a deep understanding of what a drug abuse disorder means. Moreover, the ability to see the person behind the abuse and to provide non-judgemental support is required. What is known about this topic Patients intoxicated after abuse of illicit drugs constitute a significant proportion of patients cared for in ICUs worldwide. Intensive critical nurses who nurse accidentally intoxicated patients face complex and demanding situations, and few studies have addressed this topic. What this paper contributes It is essential to respond to intoxicated patients who are admitted to the ICU with empathy and dignity, as well as to learn how to identify factors that lead to provocation and agitation in order to reduce the occurrence of dangerous situations. Education is warranted and must be enhanced, including knowledge about drug abuse and training in communication and empathy Nursing should include an understanding of what the disease of drug abuse means and the development of the ability to see the person behind the abuse and to provide non-judgemental support.
在重症监护病房接受治疗的患者中，有相当一部分是滥用非法药物后中毒的患者。护理意外中毒患者的重症监护护士面临着复杂和高要求的情况，而关于这个主题的研究却很少。
阐明瑞典重症监护护士护理意外吸毒中毒患者的经验。
采用定性设计和归纳法。
在瑞典的一个重症监护病房，对 8 名重症监护护士进行了半结构化访谈。使用定性内容分析对数据进行分析。
发现的主题阐明了重症监护护士护理意外吸毒中毒患者的经验：感到同情和希望提供有尊严的护理；害怕护理患者并感到缺乏同情；感到沮丧和质疑护理；缺乏对复杂和具有挑战性情况的了解。
对中毒患者表示同情和尊重至关重要。重症监护护士应该学习如何识别导致激怒和激动的因素，以减少重症监护病房中危险情况的发生。
为了创造一个关怀的环境，使互动更加积极和谐，重症监护护士需要深入了解药物滥用障碍的含义。此外，还需要能够看到滥用背后的人，并提供非评判性的支持。
在全球范围内，因滥用非法药物而中毒的患者在 ICU 接受治疗的比例相当高。护理意外中毒患者的重症监护护士面临着复杂和高要求的情况，而很少有研究涉及这个主题。
对被送入 ICU 的中毒患者表示同情和尊重至关重要，还需要学习如何识别导致激怒和激动的因素，以减少危险情况的发生。需要进行教育，并加强教育，包括药物滥用知识以及沟通和同理心培训。护理应该包括对药物滥用疾病的理解以及发展看到滥用背后的人的能力，并提供非评判性的支持。
