Institute of Health and Social Care, London South Bank University, London, UK.
Royal National Orthopaedic Hospital NHS Trust, London, UK.
J Adv Nurs. 2021 Dec;77(12):4836-4846. doi: 10.1111/jan.14995. Epub 2021 Aug 7.
To explore adult experiences of fatigue after discharge from an intensive care unit and identify potential management strategies.
An exploratory qualitative study.
One to one audio-recorded semi-structured interviews with 17 adult survivors of critical illness in the United Kingdom, lasting up to 1 h, between September 2019 and January 2020. Anonymised and verbatim-transcribed interview data underwent a standard process of inductive thematic analysis as described by Braun and Clarke.
Three themes were identified: fatigue is different for everyone; complex interrelating interactions; and personalised fatigue strategies. Fatigue was described as a distressing symptom, unique to the individual that causes an array of complex, often long-term interrelating impacts on the survivor and their wider family, made worse by a lack of understanding, empathy and support resources. Support from others, alongside interventions such as exercise, good nutrition, information and alternative therapies are used by survivors with variable degrees of success.
This qualitative study reports peoples' experiences of fatigue after critical illness. Findings highlight the significant impact it has on people's lives and those of their family and friends.
探索重症监护病房出院后成人的疲劳体验，并确定潜在的管理策略。
探索性定性研究。
2019 年 9 月至 2020 年 1 月期间，在英国对 17 名重症疾病幸存者进行了一对一的录音半结构化访谈，每次访谈持续长达 1 小时。对匿名和逐字转录的访谈数据进行了 Braun 和 Clarke 所述的标准归纳主题分析。
确定了三个主题：疲劳因人而异；复杂的相互作用；以及个性化的疲劳策略。疲劳被描述为一种令人痛苦的症状，对个体来说是独特的，会对幸存者及其更广泛的家庭造成一系列复杂的、常常是长期的相互影响，而缺乏理解、同理心和支持资源会使情况变得更糟。幸存者会根据个人情况，使用来自他人的支持以及锻炼、良好的营养、信息和替代疗法等干预措施，取得不同程度的成功。
这项定性研究报告了重症疾病后人们的疲劳体验。研究结果强调了它对人们及其家人和朋友生活的重大影响。
