Joanne McPeake is a nurse consultant, Glasgow Royal Infirmary, NHS Greater Glasgow and Clyde, Scotland, United Kingdom and an honorary senior clinical lecturer, School of Medicine, Dentistry and Nursing, University of Glasgow, Scotland, United Kingdom, and a research fellow, THIS Institute, University of Cambridge, United Kingdom.
Theodore J. Iwashyna is a professor of internal medicine, Department of Medicine, Division of Pulmonary & Critical Care, University of Michigan, Ann Arbor and a research scientist, Center for Clinical Management Research, VA Ann Arbor Healthcare System, Michigan.
Am J Crit Care. 2021 Mar 1;30(2):145-149. doi: 10.4037/ajcc2021702.
After critical illness, patients are often left with impairments in physical, social, emotional, and cognitive functioning. Peer support interventions have been implemented internationally to ameliorate these issues.
To explore what patients believed to be the key mechanisms of effectiveness of peer support programs implemented during critical care recovery.
In a secondary analysis of an international qualitative data set, 66 telephone interviews with patients were undertaken across 14 sites in Australia, the United Kingdom, and the United States to understand the effect of peer support during recovery from critical illness. Prevalent themes were documented with framework analysis.
Most patients who had been involved in peer support programs reported benefit. Patients described 3 primary mechanisms: (1) sharing experiences, (2) care debriefing, and (3) altruism.
Peer support is a relatively simple intervention that could be implemented to support patients during recovery from critical illness. However, more research is required into how these programs can be implemented in a safe and sustainable way in clinical practice.
重症疾病后，患者常存在身体、社会、情感和认知功能障碍。国际上已实施同伴支持干预措施来改善这些问题。
探索患者认为同伴支持计划在重症监护康复期间有效的关键机制。
在国际定性数据集的二次分析中，在澳大利亚、英国和美国的 14 个地点进行了 66 次与患者的电话访谈，以了解重症疾病康复期间同伴支持的效果。采用框架分析记录普遍存在的主题。
大多数参与同伴支持计划的患者报告受益。患者描述了 3 个主要机制：（1）分享经验，（2）护理反思，（3）利他主义。
同伴支持是一种相对简单的干预措施，可以在重症疾病康复期间为患者提供支持。但是，需要进一步研究如何在临床实践中以安全和可持续的方式实施这些计划。
