IRCCS San Raffaele Institute, Milan, Italy.
Center for Nursing Research and Innovation, Vita-Salute San Raffaele University, Milan, Italy.
Nurs Crit Care. 2022 Jan;27(1):36-44. doi: 10.1111/nicc.12668. Epub 2021 May 30.
The literature emphasizes the importance of the intensive care unit (ICU) diary to fill the gaps and recover the delusional memories of patients admitted to ICU in order to build the history of their illness. The ICU diary is a measure originally intended to support the severely ill patient, but it would also seem to be useful for family members and carers. According to our analysis of the literature, this study is the first description of the contents of ICU diaries in the Italian context.
The aim of the study was to describe the contents of ICU patients' diaries filled in by their caregivers, in order to explore the experience and significance attributed to the diaries.
A qualitative longitudinal narrative investigation was conducted at an ICU during the period from April 2016 to April 2017 with a sample composed of 32 families.
The participants were caregivers selected through purposive sampling. An ICU nurse explained the study to caregivers and offered the opportunity to participate.
The sample included 32 diaries. Through the analysis we identified seven themes: future plans and memories; the people who care for the patient and the context; the love surrounding the patient; the clinical progression of the patient and the passage of time; what happens outside the patient's life; references to the usefulness/non-usefulness of the diary; communication/reflection on the likely death of the patient.
Some themes emerged that have never explored in the literature, and it would be necessary to understand whether the themes that emerged depend on cultural issues.
The diaries could be adapted to the Italian context and this could make the diary a common practice in Italy as well.
文献强调了重症监护病房（ICU）日记的重要性，以填补空白并恢复入住 ICU 患者的妄想记忆，从而构建他们疾病的历史。ICU 日记最初是为支持重病患者而设计的，但它似乎对家属和护理人员也有用。根据我们对文献的分析，这项研究是首次描述意大利语环境下 ICU 日记的内容。
本研究旨在描述护理人员填写的 ICU 患者日记的内容，以探讨他们对日记的体验和意义。
2016 年 4 月至 2017 年 4 月期间，在一家 ICU 进行了一项定性纵向叙事研究，样本由 32 个家庭组成。
通过目的抽样选择参与者为护理人员。一名 ICU 护士向护理人员解释了研究，并提供了参与的机会。
样本包括 32 份日记。通过分析，我们确定了七个主题：未来计划和记忆；照顾患者的人和环境；围绕患者的爱；患者的临床进展和时间流逝；患者生活之外的事情；日记有用/无用的参考；对患者可能死亡的沟通/反思。
出现了一些从未在文献中探讨过的主题，有必要了解出现的主题是否取决于文化问题。
日记可以适应意大利语环境，这可能使日记在意大利也成为一种常见做法。
