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重症监护中的丧亲之痛:对当前支持服务提供情况及未来挑战的叙述性综述与实践探索。

Bereavement in critical care: A narrative review and practice exploration of current provision of support services and future challenges.

作者信息

Pattison Natalie A, White Catherine, Lone Nazir I

机构信息

East and North Herts NHS Trust, Hertfordshire, UK; University of Hertfordshire, Hertfordshire, UK; the Florence Nightingale Foundation, London, UK.

ICU Steps, London, UK.

出版信息

J Intensive Care Soc. 2021 Nov;22(4):349-356. doi: 10.1177/1751143720928898. Epub 2020 Jun 8.

Abstract

This special article outlines the background to bereavement in critical care and scopes the current provision and evidence for bereavement support following death in critical care. Co-authored by a family member and former critical care patient, we aim to draw out the current challenges and think about how and where support can be implemented along the bereavement pathway. We draw on the literature to examine different trajectories of dying in critical care and explore how these might impact bereavement, highlighting important points and risk factors for complicated grief. We present graphic representation of the critical junctures for bereavement in critical care. Adjustment disorders around grief are explored and the consequences for families, including the existing evidence base. Finally, we propose new areas for research in this field.

摘要

这篇专题文章概述了重症监护中丧亲之痛的背景,并审视了目前重症监护患者死亡后丧亲支持的提供情况和相关证据。文章由一名家庭成员和一名曾在重症监护室接受治疗的患者共同撰写,旨在梳理当前面临的挑战,并思考如何以及在丧亲过程的哪些环节提供支持。我们借鉴文献来研究重症监护中不同的死亡轨迹,并探讨这些轨迹如何影响丧亲之痛,突出复杂悲伤的要点和风险因素。我们展示了重症监护中丧亲关键时刻的图表。探讨了围绕悲伤的适应障碍及其对家庭的影响,包括现有的证据基础。最后,我们提出了该领域新的研究方向。

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