Centre Régional du Psychotraumatisme Auvergne-Rhône-Alpes, Hôpital Edouard Herriot, Hospices Civils de Lyon, F-69003 Lyon, France.
Research on Healthcare Performance (RESHAPE), INSERM U1290 & Université Claude Bernard Lyon 1, Domaine Rockefeller, F-69008 Lyon, France.
Int J Environ Res Public Health. 2023 Mar 6;20(5):4660. doi: 10.3390/ijerph20054660.
The first wave of the COVID-19 epidemic led to a rapid and unexpected saturation of the French ICU, forcing the health care system to adapt. Among other emergency measures, inter-hospital transfers were carried out.
To assess the psychological experience of patients and their relatives regarding inter-hospital transfers.
Semi-structured interviews were conducted with transferred patients and their relatives. A phenomenological study design was used to examine subjective experiences and their meanings for the participants.
The analysis found nine axes pertaining to the experiences of IHT (inter-hospital transfers), grouped in three super-ordinate themes: Information about inter-hospital transfers, differences in patients' and relatives' experiences, and host hospital experience. It appears that patients felt little impacted by the transfers, unlike relatives who experienced intense anxiety when the transfer was announced. Good communications between patients and their relatives resulted in a good level of satisfaction regarding their host hospitals. COVID-19 and its somatic consequences seem to have had more psychological impact on the participants than the transfers by themselves.
Our results suggest that there are limited current psychological consequences of the IHT implemented during the first wave of COVID-19, although the involvement of patients and their relatives in the organization of the IHT at the time of transfer could further limit them.
COVID-19 疫情的第一波浪潮导致法国 ICU 迅速且出人意料地饱和，迫使医疗保健系统做出调整。除了其他紧急措施外，还进行了医院间转院。
评估患者及其家属对医院间转院的心理体验。
对转院患者及其家属进行半结构化访谈。采用现象学研究设计来研究参与者的主观体验及其意义。
分析发现与医院间转院（IHT）相关的九个轴，分为三个超主题：关于医院间转院的信息、患者和家属经历的差异以及接收医院的经历。患者似乎对转院影响不大，而家属在宣布转院时则经历了强烈的焦虑。患者和家属之间良好的沟通使他们对接收医院的满意度很高。COVID-19 及其躯体后果似乎对参与者的心理影响超过了转院本身。
我们的结果表明，在 COVID-19 疫情的第一波浪潮中，实施的医院间转院目前几乎没有造成心理影响，尽管在转院时让患者及其家属参与转院的组织工作可能会进一步限制这些影响。
