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体外膜肺氧合支持患者出院后的体验:一项定性研究。

Post-discharge experiences of patients with extracorporeal membrane oxygenation support: A qualitative study.

机构信息

Department of Heart Center, The First Affiliated Hospital of Gannan Medical University, Ganzhou City, Jiangxi, China.

Department of Critical Care Medicine, West China Hospital of Sichuan University, Chengdu, Sichuan, China.

出版信息

Perfusion. 2024 Jan;39(1):189-200. doi: 10.1177/02676591221135165. Epub 2022 Oct 25.

DOI:10.1177/02676591221135165
PMID:36282873
Abstract

PURPOSE

To explore the life experiences of patients who have been discharged after undergoing extracorporeal membrane oxygenation (ECMO) support.

DESIGN

A qualitative descriptive approach was used.

METHODS

Patients who have undergone ECMO support and have been discharged were recruited. Thirteen participants were involved in this study. The data were collected through a semi-structured interview and analyzed using the Colaizzi method.

FINDINGS

Four major themes in life experiences were reported by the participants: changes in physical function, changes in psychological state, active adaptation to daily life, and substantial rehabilitation needs.

CONCLUSION

Different, continuous, and convenient post-discharge physical and mental interventions, social support, spiritual support, and rehabilitation services should be provided according to the patient's circumstances. We also call on the government to increase the patient reimbursement rate for ECMO treatment. These measures may help to improve the quality of life of patients.

摘要

目的

探讨体外膜肺氧合(ECMO)支持治疗后出院患者的生活体验。

设计

采用定性描述方法。

方法

招募接受 ECMO 支持治疗并已出院的患者。本研究共纳入 13 名参与者。通过半结构式访谈收集数据,并采用 Colaizzi 方法进行分析。

结果

参与者报告了生活体验中的四个主要主题:身体功能的变化、心理状态的变化、积极适应日常生活、以及大量康复需求。

结论

根据患者的情况,应提供不同、持续和便捷的出院后身心干预、社会支持、精神支持和康复服务。我们还呼吁政府增加 ECMO 治疗的患者报销率。这些措施可能有助于提高患者的生活质量。

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