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对中国重症监护病房患者难忘的死亡故事的叙事研究:八年经验

A narrative study of unforgettable dying stories of Chinese patients in the intensive care unit: an eight-year experience.

作者信息

Zhao Peng, Li Huaying, Miao Li, Ai Hongzhen

机构信息

Intensive Care Unit of The Second Affiliated Hospital of Soochow University Suzhou 215101, Jiangsu, P. R. China.

Department of Nursing, The Second Affiliated Hospital of Soochow University Suzhou 215101, Jiangsu, P. R. China.

出版信息

Am J Transl Res. 2023 Apr 15;15(4):2977-2984. eCollection 2023.

Abstract

To describe individual perspectives and reflections on unforgettable stories about dying over an eight-year period, in a mixed surgical and general intensive care unit (ICU) in China. The study was carried out at the Second Affiliated Hospital of Soochow University. The research was based on personal experience and reflection. Narrative and experiential reflection synthesis were performed for the data analysis. This was done to understand the current situation regarding dying, then to identify and analyze, and finally to put forward some suggestions regarding the experience. The discussion and preparation for death in the ICU may still require further discussion. For a better acceptance of hospice care and high quality and dignity of death and even the donation of organs, it is important that health care providers learn to talk about death with their patients, and to encourage the patients to participate in the decision-making process.

摘要

描述在中国一家外科与综合重症监护病房(ICU)八年期间关于濒死难忘故事的个人观点与反思。该研究在苏州大学附属第二医院开展。研究基于个人经历与反思。采用叙事与经验反思综合法进行数据分析。这样做是为了了解濒死的现状,进而识别与分析,并最终就这些经历提出一些建议。在ICU中关于死亡的讨论与准备可能仍需进一步探讨。为了更好地接受临终关怀以及实现高质量且有尊严的死亡乃至器官捐献,医护人员学会与患者谈论死亡并鼓励患者参与决策过程非常重要。

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