[经历脑死亡，医生的观点——一种现象学方法]
[Experiencing brain death, physician view-a phenomenological approach].
作者信息
Drexler Sabine, Farin-Glattacker Erik, Kugler Christiane
机构信息
Klinik für Neurochirurgie, Klinik für Neurologie und Neurophysiologie, Universitätsklinikum Freiburg, Breisacher Str. 64, 79106, Freiburg, Deutschland.
Fakultät für Gesundheit, Department Pflegewissenschaft, Universität Witten/Herdecke, Witten, Deutschland.
出版信息
Med Klin Intensivmed Notfmed. 2023 Apr;118(3):214-219. doi: 10.1007/s00063-022-00905-9. Epub 2022 Mar 8.
AIM
The aim of the study was to examine how physicians experience caring for (potentially) brain-dead patients.
METHODS
Episodic interviews were conducted. Their evaluation was based on Benner's interpretative phenomenology.
RESULTS
Eleven physicians were interviewed. The following phenomena were extracted from the data: (1) encounter with the relatives, (2) making relatives understand brain death, (3) brain death is death, (4) experience of the nurses and (5) burdens.
CONCLUSION
The results show the complexity that is perceived by physicians when caring for a (potentially) brain-dead patient. The transition from saving the patient's life to preserving organs or switching off the equipment and informing the relatives requires a high level of expertise on the part of the physicians. The patients' symptoms provide the physicians with clear diagnostic procedures and any remaining ambiguities in the (treatment) process should be resolved.
目的
本研究旨在探讨医生在护理（潜在的）脑死亡患者时的体验。
方法
进行了情景访谈。其评估基于本纳的解释现象学。
结果
对11名医生进行了访谈。从数据中提取了以下现象：（1）与亲属接触；（2）让亲属理解脑死亡；（3）脑死亡即死亡；（4）护士的体验；（5）负担。
结论
结果显示了医生在护理（潜在的）脑死亡患者时所感受到的复杂性。从挽救患者生命到保存器官或关闭设备并告知亲属的转变，需要医生具备高水平的专业知识。患者的症状为医生提供了明确的诊断程序，并且（治疗）过程中任何剩余的模糊之处都应得到解决。
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