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一项探索危重症幸存者作为重症监护病房康复服务志愿者的经历的国际研究。

An International Study Exploring the Experience of Survivors of Critical Illness as Volunteers Within ICU Recovery Services.

作者信息

Robinson Carly, Hibbert Elizabeth, Bastin Anthony J, Meyer Joel, Montgomery-Yates Ashley, Quasim Tara, Slack Andrew, Mikkelsen Mark E, Iwashyna Theodore J, Haines Kimberley J, Sevin Carla M, McPeake Joanne, Boehm Leanne M

机构信息

Glasgow Royal Infirmary, NHS Greater Glasgow and Clyde, Glasgow, United Kingdom.

Department of Physiotherapy, Western Health, Melbourne, VIC, Australia.

出版信息

Crit Care Explor. 2020 Nov 19;2(11):e0273. doi: 10.1097/CCE.0000000000000273. eCollection 2020 Nov.

DOI:10.1097/CCE.0000000000000273
PMID:34124686
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8191690/
Abstract

UNLABELLED

Many clinicians have implemented follow-up and aftercare to support patients following ICU. Some of this care is supported and facilitated by peer volunteers. There is limited contemporary work that has explicitly explored volunteer roles within ICU recovery services or the experience of volunteers undertaking these roles. We sought to explore the experience of survivors of critical illness, as volunteers, involved in ICU recovery services and understand their motivation for undertaking these roles.

DESIGN

Qualitative exploration using in-depth semistructured interviews. The study design used an inductive content analysis process. We also documented the roles that were adopted by volunteers in each site involved in the study.

SETTING

Patients and caregivers were sampled from seven sites across three continents.

PATIENTS AND SUBJECTS

Patients and caregivers who had adopted peer-volunteering roles were undertaken.

INTERVENTIONS

None.

MEASUREMENTS AND MAIN RESULTS

Twelve patient and caregiver peer volunteers were interviewed. Four key themes were identified. These themes related to the experience of volunteers within ICU recovery services and their motivation for undertaking these roles: 1) self-belief and acceptance, 2) developing peer support, 3) social roles and a sense of purpose, and 4) giving back. Overwhelmingly, participants were positive about the role of the volunteer in the critical care setting.

CONCLUSIONS

Peer volunteers undertake a variety of roles in ICU recovery services and during recovery more generally. These roles appear to be of direct benefit to those in these roles. Future research is needed to develop these roles and fully understand the potential impact on the service, including the impact on other patients.

摘要

未标注

许多临床医生已实施随访和后续护理,以支持重症监护病房(ICU)后的患者。其中一些护理工作得到了同伴志愿者的支持和协助。目前明确探讨ICU康复服务中志愿者角色或承担这些角色的志愿者经历的当代研究有限。我们试图探索危重病幸存者作为志愿者参与ICU康复服务的经历,并了解他们承担这些角色的动机。

设计

采用深入半结构化访谈的定性探索。研究设计采用归纳性内容分析过程。我们还记录了参与研究的每个地点志愿者所承担的角色。

背景

从三大洲的七个地点抽取患者和护理人员作为样本。

患者和受试者

纳入担任同伴志愿者角色的患者和护理人员。

干预措施

无。

测量和主要结果

对12名患者和护理人员同伴志愿者进行了访谈。确定了四个关键主题。这些主题与志愿者在ICU康复服务中的经历及其承担这些角色的动机有关:1)自我信念和接纳,2)发展同伴支持,3)社会角色和使命感,4)回馈。绝大多数参与者对志愿者在重症监护环境中的作用持积极态度。

结论

同伴志愿者在ICU康复服务以及更广泛的康复过程中承担多种角色。这些角色似乎对担任这些角色的人有直接益处。未来需要开展研究来发展这些角色,并充分了解其对服务的潜在影响,包括对其他患者的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/437a/8191690/7061d5738757/cc9-2-e0273-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/437a/8191690/7061d5738757/cc9-2-e0273-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/437a/8191690/7061d5738757/cc9-2-e0273-g001.jpg

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