Hayes Kati, Harding Sam, Buckley Kirsten, Blackwood Bronagh, Latour Jos M
Research and Development Department, North Bristol NHS Trust, Westbury on Trym, Bristol BS10 5NB, UK.
Learning and Research Centre, North Bristol NHS Trust, Westbury on Trym, Bristol BS10 5NB, UK.
J Clin Med. 2023 Jun 21;12(13):4197. doi: 10.3390/jcm12134197.
The needs of family members of patients in the intensive care unit (ICU) with a severe traumatic brain injury (TBI) remain unmet. To date, no review has been performed to explore the experiences of relatives of adults who have been admitted to the ICU for treatment of a TBI. The aim of this scoping review is to explore and map the evidence of the experiences of family members when an adult relative is admitted to an ICU with a severe TBI. This review follows a combination of guidelines from Arksey and O'Malley and the Joanna Briggs Institute. Five electronic databases, Medline, Emcare, Embase, CINAHL, and PsycInfo were searched in February 2023, as were a number of grey literature sources. The population, concepts, and context framework were used to define the inclusion and exclusion criteria. From 4077 records, nine studies were retained, which represented seven discrete studies. The experiences of family members were thematically analyzed. The narrative synthesis of findings revealed three themes: communication with the clinical team, uncertainty, and involvement in care. These results offer richness and depth of understanding to clinicians regarding the experiences of families during this traumatic time. This review provides direction for targeted interventions aimed at supporting family members while in the ICU.
重症监护病房（ICU）中重型创伤性脑损伤（TBI）患者家属的需求仍未得到满足。迄今为止，尚未进行过综述来探究因TBI而入住ICU接受治疗的成年患者亲属的经历。本范围综述的目的是探究并梳理成年亲属因重型TBI入住ICU时家属经历的相关证据。本综述遵循了阿克西和奥马利以及乔安娜·布里格斯研究所的指南组合。2023年2月检索了五个电子数据库，即医学索引数据库（Medline）、循证医学数据库（Emcare）、荷兰医学文摘数据库（Embase）、护理学与健康领域数据库（CINAHL）和心理学文摘数据库（PsycInfo），还检索了一些灰色文献来源。采用人群、概念和背景框架来界定纳入和排除标准。从4077条记录中筛选出9项研究，这些研究代表了7项独立研究。对家属的经历进行了主题分析。研究结果的叙述性综合揭示了三个主题：与临床团队的沟通、不确定性以及参与护理。这些结果为临床医生深入了解这一创伤时期家属的经历提供了丰富内容。本综述为旨在支持ICU期间家属的针对性干预提供了方向。
