Jung Jaeyeon, Jang Sujin, Jo Seonmi, Lee Sunhee
Cardiac Care Unit, Seoul St. Mary's Hospital, Seoul, Korea.
College of Nursing, The Catholic University of Korea, Seoul, Korea.
J Korean Acad Nurs. 2022 Apr;52(2):134-143. doi: 10.4040/jkan.21240.
The study aimed to understand the delirium experience of intensive care unit (ICU) patients.
We performed a qualitative study using Colaizzi's phenomenological method. Eleven patients, who experienced delirium according to the Confusion Assessment Method for ICU, participated after transferring to general wards from the ICU. Individual in-depth semi-structured interviews ranging from 30 minutes to 2 hours in length were conducted between November 2018 and August 2019.
Nine themes and four theme clusters emerged. The four theme clusters were: 1) "Overwhelmed by fear," which describes the experience of a patient close to death and the feeling of difficulty in understanding disorganized thinking; 2) "Anxious about not understanding the situation," which means that patients' sense of time and space were disordered in the ICU; 3) "Being deserted," which indicates the feeling of being separated from others and yourself; and 4) "Resistance to protect my dignity," which indicates that the dignity and autonomy of an individual in the patient's position at the ICU, are ignored.
Nursing interventions are needed that would enable patients to maintain orientation and self-esteem in the ICU. In addition, healthcare providers need to provide information about the unfamiliar environment in the ICU in advance.
本研究旨在了解重症监护病房（ICU）患者的谵妄体验。
我们采用科莱齐的现象学方法进行了一项定性研究。11名根据ICU意识模糊评估方法被判定经历过谵妄的患者，在从ICU转至普通病房后参与了研究。在2018年11月至2019年8月期间进行了时长从30分钟到2小时不等的个体深度半结构化访谈。
出现了9个主题和4个主题群。这4个主题群分别是：1）“被恐惧淹没”，描述了濒死患者的体验以及理解混乱思维的困难感；2）“因不了解情况而焦虑”，意味着患者在ICU中的时间和空间感紊乱；3）“被抛弃”，表明与他人及自我分离的感觉；4）“为维护尊严而抗拒”，表明处于ICU患者位置的个体的尊严和自主权被忽视。
需要采取护理干预措施，使患者在ICU中能够保持定向力和自尊。此外，医护人员需要提前提供有关ICU陌生环境的信息。
