National Defense Medical Center, Taiwan; Tri-Service General Hospital, Taiwan.
National Yang Ming Chiao Tung University, Taiwan.
Nurs Ethics. 2021 Nov-Dec;28(7-8):1282-1293. doi: 10.1177/0969733020988334. Epub 2021 Mar 15.
Patients with a traumatic injury often require intensive care for life-saving treatments. Physical suffering and emotional stress during critical care can be alleviated by ethical caring provided by nurses. The relationship between body and self are fundamentally inseparable. Nurses need to understand the impacts of traumatic injury on a patient's body and self.
To understand the meaning of traumatic injury for body and self for patients receiving intensive care.
A qualitative descriptive study using Giorgi's phenomenological approach.
Patients receiving intensive care for physical trauma were selected by purposive sampling (N = 15) from a medical center in Taiwan. Individual in-depth, face-to-face audiotaped interviews, guided by semi-structured questions, were used to collect data. Each interview lasted 30-60 min. Audiotaped interviews were transcribed and analyzed.
This study was approved by the Institutional Review Board of the medical center.
The impact of the experience of traumatic injury on participants' body and self was described by three main themes: (1) Searching for the meaning of the injured body, (2) Feeling trapped in the bed, and (3) The carer and the cared-for.
The implications of the three themes described in the findings are as follows: Trauma as a source of meaning; Body and self are mutually limiting or mutually enabling; and Ethical relationships. The experience of needing intensive care following a traumatic injury on the body and self was dynamic and mutual. The experience of the injury changed the relationship between body and self, and gave new meaning to life. Nurses play a crucial role in continuity of care by understanding the meaning of a traumatic injury for patient's body and self that facilitates ethical care and recovery from injury.
创伤患者通常需要重症监护治疗以挽救生命。在重症监护期间，身体上的痛苦和情绪上的压力可以通过护士提供的伦理关怀得到缓解。身体和自我的关系是根本不可分割的。护士需要了解创伤对患者身体和自我的影响。
了解接受重症监护的创伤患者身体和自我受到创伤的意义。
使用 Giorgi 的现象学方法进行定性描述研究。
通过台湾一家医疗中心的目的性抽样（N=15）选择了因身体创伤而接受重症监护的患者。使用半结构化问题指导的个体深入、面对面的录音访谈收集数据。每次访谈持续 30-60 分钟。录音访谈被转录并进行分析。
本研究获得了医疗中心机构审查委员会的批准。
创伤经历对参与者身体和自我的影响由三个主题描述：（1）寻找受伤身体的意义，（2）感觉被困在床上，（3）照顾者和被照顾者。
研究结果中描述的三个主题的含义如下：创伤作为意义的源泉；身体和自我是相互限制或相互促进的；伦理关系。身体和自我因创伤而需要重症监护的经历是动态的和相互的。受伤的经历改变了身体和自我之间的关系，并赋予了生活新的意义。护士通过了解创伤对患者身体和自我的意义，在连续性护理中发挥着至关重要的作用，从而促进伦理关怀和从伤害中恢复。
