Krotsetis Susanne, Deffner Teresa-Maria, Nydahl Peter
Pflegeentwicklung und Pflegewissenschaft, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Lübeck, Deutschland.
Klinisches Kriseninterventionsteam, Klinik für Anästhesiologie und Intensivmedizin, Universitätsklinikum Jena, Jena, Deutschland.
Med Klin Intensivmed Notfmed. 2022 Nov;117(8):607-611. doi: 10.1007/s00063-022-00967-9. Epub 2022 Oct 11.
Diaries in intensive care units (ICU) are mostly written by families and nurses for patients with impaired consciousness. In the diary, the development of the patients is described in plain language by daily reports. Patients can read the diary later and process their experiences and, if necessary, reframe them differently. ICU diaries reduce the risks of psychosocial sequelae of patients and families and are now used worldwide. Diaries have different purposes and also serve as a communication tool: words are written to a person who will hopefully read them later. This can help families to stay connected and better cope with the situation. However, writing a diary can also be perceived as a burden by some relatives and nurses due to lack of time or because it seems to be too close. ICU diaries can serve as a tool for patient- and family-centered care.
重症监护病房（ICU）的日记大多由家属和护士为意识障碍患者撰写。在日记中，通过每日报告用通俗易懂的语言描述患者的病情发展。患者日后可以阅读日记，梳理自己的经历，必要时还可以重新构建不同的认知。ICU日记降低了患者及其家属出现心理社会后遗症的风险，目前在全球范围内得到应用。日记有不同的用途，还可作为一种沟通工具：写下的文字是给一个日后有望读到它们的人。这有助于家属保持联系，更好地应对这种情况。然而，由于时间不足或觉得此事过于贴近自身，一些亲属和护士可能会将写日记视为一种负担。ICU日记可作为以患者和家庭为中心的护理工具。
