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首次前往新冠重症监护病房探视亲属的家庭成员的亲身经历:一项现象学研究。

The lived experiences of family members who visit their relatives in Covid-19 intensive care unit for the first time: A phenomenological study.

作者信息

Bartoli Davide, Trotta Francesca, Pucciarelli Gianluca, Simeone Silvio, Miccolis Rosa, Cappitella Carmen, Rotoli Daniele, Rocco Monica

机构信息

Unit of Anesthesia, Intensive Care and Pain Medicine, Sant'Andrea University Hospital, 00189 Rome, Italy; Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, Italy.

Unit of Anesthesia, Intensive Care and Pain Medicine, Sant'Andrea University Hospital, 00189 Rome, Italy; Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, Italy.

出版信息

Heart Lung. 2022 Jul-Aug;54:49-55. doi: 10.1016/j.hrtlng.2022.03.012. Epub 2022 Mar 21.

Abstract

BACKGROUND

COVID-19 patient experiences in the intensive care unit (ICU) are marked by family separation. Families understand the importance of isolation and hospital visiting policies, but they consider it necessary to visit their loved ones and use personal protective equipment.

OBJECTIVE

To describe the lived experiences of family members in their first contact with a relative in a COVID-ICU.

METHODS

A phenomenological study was conducted using Cohen's method. The subjects were interviewed using an open-question format to allow them full freedom of expression. Twelve family members were recruited between February and March 2021.

RESULTS

Analysis of the qualitative data resulted in five major themes: (1) fear of contagion related to donning/doffing procedures, (2) positive emotions related to first contact with the hospitalized relative, (3) concern for the emotional state of the hospitalized relative, (4) impact of the COVID-ICU and comparisons between imagination and reality regarding the severity of the disease, and (5) recognition of and gratitude toward healthcare professionals.

CONCLUSIONS

It has been confirmed that visits to the ICU reduce anxiety among family members. Our findings constitute an internationally relevant contribution to understanding of the needs of relatives who meet loved ones for the first time while wearing personal protective equipment.

摘要

背景

新冠病毒疾病(COVID-19)患者在重症监护病房(ICU)的经历以与家人分离为特征。家属理解隔离和医院探视政策的重要性,但他们认为探视亲人并使用个人防护装备是必要的。

目的

描述家庭成员首次接触COVID-ICU中亲属的实际经历。

方法

采用科恩方法进行现象学研究。通过开放式问题的形式对受试者进行访谈,以使他们能够充分自由地表达。2021年2月至3月招募了12名家庭成员。

结果

对定性数据的分析得出了五个主要主题:(1)与穿脱程序相关的感染恐惧,(2)与首次接触住院亲属相关的积极情绪,(3)对住院亲属情绪状态的担忧,(4)COVID-ICU的影响以及关于疾病严重程度的想象与现实的比较,(5)对医护人员的认可和感激。

结论

已证实探视ICU可减轻家庭成员的焦虑。我们的研究结果为理解首次在穿戴个人防护装备时与亲人见面的亲属的需求做出了具有国际相关性的贡献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1e7/8934716/d3b4353cb2ca/gr1_lrg.jpg

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