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使用重症监护病房日记与新冠肺炎重症监护病房患者家属沟通:一例报告

Using an ICU Diary to Communicate With Family Members of COVID-19 Patients in ICU: A Case Report.

作者信息

Haruna Junpei, Tatsumi Hiroomi, Kazuma Satoshi, Kuroda Hiromitsu, Goto Yuya, Aisaka Wakiko, Terada Hirofumi, Masuda Yoshiki

机构信息

Department of Intensive Care Medicine, Sapporo Medical University, School of Medicine, Sapporo, Hokkaido, Japan.

出版信息

J Patient Exp. 2021 Jul 28;8:23743735211034094. doi: 10.1177/23743735211034094. eCollection 2021.

DOI:10.1177/23743735211034094
PMID:34377772
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8323441/
Abstract

Visitation restrictions for family members are problematic in intensive care management due to the COVID-19 pandemic. We analyzed the usefulness of an intensive care unit (ICU) diary about the experiences of family members of critical COVID-19 patients. Four family members of 2 COVID-19 patients participated in this report. Both patients were transferred to our ICU after 2 weeks of treatment at another ICU. An ICU diary was given to their family members post-transfer. The family members were interviewed before and after the patients' discharge; the recorded interviews were analyzed and categorized into several clusters using a text mining method. Five categories regarding their anxious feelings were classified before the use of the ICU diary, and 3 categories were based on their positive feelings after the use of the ICU diary. Intensive care unit diaries may be beneficial for disclosing patients' information when visitation restrictions are exercised due to the COVID-19 pandemic.

摘要

由于新冠疫情,重症监护管理中对家庭成员的探视限制存在问题。我们分析了一本重症监护病房(ICU)日记对新冠重症患者家庭成员经历的有用性。两名新冠患者的四名家庭成员参与了本报告。两名患者均在另一家ICU接受了两周治疗后转至我们的ICU。转院后给他们的家庭成员提供了一本ICU日记。在患者出院前后对家庭成员进行了访谈;对记录的访谈进行分析,并使用文本挖掘方法将其分类为几个类别。在使用ICU日记之前,将他们的焦虑情绪分为五类,在使用ICU日记之后,基于他们的积极情绪分为三类。在因新冠疫情实施探视限制时,重症监护病房日记可能有助于披露患者信息。

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Int J Nurs Stud. 2021 May;117:103858. doi: 10.1016/j.ijnurstu.2020.103858. Epub 2020 Dec 24.
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Family Presence for Patients with Severe Acute Brain Injury and the Influence of the COVID-19 Pandemic.家属在严重急性脑损伤患者中的存在及 COVID-19 大流行的影响。
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COVID-19 大流行期间限制家属探视对危重症患者、家属和重症监护临床医生的影响:定性系统评价。
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