University of Trieste, Trieste, Italy.
University Hospital of Trieste, Trieste, Italy.
Qual Health Res. 2021 Mar;31(4):736-753. doi: 10.1177/1049732320982276. Epub 2020 Dec 24.
In this study, we aimed to explore the experiences of being cared for in an intensive care unit (ICU) through patients' memories. We adopted a convergent parallel mixed-method design. We interviewed 100 patients shortly after their ICU discharge. Content analysis revealed 14 categories and 49 codes grouped according to themes corresponding to ICU Memory tool core components (factual events, feelings, delusions). The most critical patients reported mostly fragmented or delusional memories, the less critically-ill more factual memories. All experiences were recounted with strong feelings. ICU was identified as a hostile, stressful environment. Positive experiences were mainly associated with a sense of safety promoted by the nurses. Negative experiences were related to privacy and dignity violations, lack of empathy, not being understood, delays/lack of obtaining support, and total control by the health care staff. Removing any avoidable sources of stress and ensuring personalized, dignified care represent a key aim for ICU interprofessional teams.
在这项研究中,我们旨在通过患者的记忆来探索他们在重症监护病房(ICU)接受护理的体验。我们采用了汇聚平行混合方法设计。我们在患者 ICU 出院后不久对 100 名患者进行了采访。内容分析揭示了 14 个类别和 49 个代码,根据与 ICU 记忆工具核心组件(事实事件、感觉、错觉)相对应的主题进行分组。报告病情最危急的患者记忆大多碎片化或错觉,病情较轻的患者记忆则更接近事实。所有的体验都伴随着强烈的感受。ICU 被认为是一个充满敌意和压力的环境。积极的体验主要与护士提供的安全感有关。负面的体验与侵犯隐私和尊严、缺乏同理心、不被理解、延迟/缺乏获得支持以及医护人员的完全控制有关。消除任何可避免的压力源并确保个性化、有尊严的护理是 ICU 跨专业团队的一个关键目标。