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新冠病毒肺炎老年患者亲属的住院体验:一项质性访谈研究

Relatives' experiences of the hospitalisation of older people with COVID-19: A qualitative interview study.

作者信息

Hoffmann Eva, Specht Kirsten, Elkjaer Mette, Kjaer Maria, Primdahl Jette

机构信息

University College South Denmark, Aabenraa, Denmark.

Hospital Sønderjylland, University Hospital of Southern Denmark, Aabenraa, Denmark.

出版信息

Int J Older People Nurs. 2022 Jul;17(4):e12451. doi: 10.1111/opn.12451. Epub 2022 Feb 14.

Abstract

BACKGROUND

During the COVID-19 pandemic, visitors were restricted from hospitals, separating them from hospitalised friends and family to reduce the infection risk.

OBJECTIVES

The objective was to explore how relatives of older people acutely admitted to hospital with COVID-19 experienced being a relative, and how they felt about their contact with health care professionals (HCPs) when visitor restrictions prevented their physical presence in the ward.

METHOD

This study employed a qualitative design. We used individual qualitative semi-structured interviews and the participants were relatives of acutely admitted older people from three COVID-19 wards in Denmark. A total of 18 relatives participated, 14 female and 4 male, aged between 45 and 83 years. The analysis was guided by Graneheim and Lundman's qualitative content analysis.

RESULTS

The analysis derived the following three themes: (1) the importance of trust in a period of uncertainty; (2) the meaning of contact with HCPs, and (3) active but at a distance-a balancing act. The participants' feelings of uncertainty were prominent. The unknown nature of the disease and the unusual situation challenged relatives' trust in HCPs and the health care system.

CONCLUSIONS AND RELEVANCE TO PRACTICE

The findings highlight relatives' stress when the possibilities for visiting are restricted and the importance of trust in, and the relationship with HCPs. This study can strengthen HCPs' understanding of relatives' situation when older people are hospitalised during and after the COVID-19 pandemic.

摘要

背景

在新冠疫情期间,医院限制访客进入,使住院患者与亲朋好友分离,以降低感染风险。

目的

探讨新冠疫情期间急性入院的老年人的亲属作为亲属的经历,以及当访客限制使他们无法亲自到病房探视时,他们对与医护人员接触的感受。

方法

本研究采用定性设计。我们进行了个人定性半结构化访谈,参与者是丹麦三个新冠病房中急性入院老年人的亲属。共有18名亲属参与,其中14名女性,4名男性,年龄在45至83岁之间。分析以格拉内海姆和伦德曼的定性内容分析法为指导。

结果

分析得出以下三个主题:(1)在不确定时期信任的重要性;(2)与医护人员接触的意义;(3)积极但保持距离——一种平衡行为。参与者的不确定感很突出。疾病的未知性质和特殊情况挑战了亲属对医护人员和医疗保健系统的信任。

结论及与实践的相关性

研究结果凸显了探视受限时期亲属的压力,以及信任医护人员和与医护人员关系的重要性。本研究可以增强医护人员对新冠疫情期间及之后老年人住院时亲属情况的理解。

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