Centre for Movement, Occupational and Rehabilitation Sciences (MOReS), Oxford Institute of Allied Health Research (OxINAHR), Faculty of Health and Life Sciences, Oxford Brookes University, Oxford, UK.
Oxford Allied Health Professions Research & Innovation Unit, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Nurs Crit Care. 2024 May;29(3):622-627. doi: 10.1111/nicc.12972. Epub 2023 Aug 29.
Survivors of critical care are at risk of long-term disability from musculoskeletal (MSK) impairments. These can have a biopsychosocial impact on the patient and their families with a reduction in health-related quality of life, increased health care utilization, caregiving roles and associated psychological distress.
To understand the experiences of patients living with MSK impairments following critical illness, and family and health care professionals supporting them, to inform the development of a future intervention to improve MSK health following critical illness.
A four-site qualitative case study approach will be taken, with each of the four hospital sites and associated community services representing a case site. We will conduct semi-structured interviews with 10-15 patients/family members and 10-15 health care professionals about their experiences of MSK impairment following critical illness. Interviews will be audio recorded, transcribed verbatim and analysed using reflexive thematic analysis within a descriptive phenomenological approach. Alongside interview data, analysis of publicly available policy documentation, patient-facing materials and information from service leads at the four sites will be conducted. Discourse analysis will be used for this case study documentation.
This protocol describes a qualitative study exploring the experiences of patients living with MSK impairments following critical illness, and the family and health care professionals supporting them.
Data analysis will illuminate their experiences and enable data richness to contribute to the qualitative body of evidence of intensive care unit (ICU) survivors. These findings will inform the development of a complex intervention for MSK rehabilitation after critical illness.
重症监护幸存者面临着肌肉骨骼（MSK）损伤导致长期残疾的风险。这些损伤会对患者及其家庭造成心理社会影响，降低健康相关生活质量，增加医疗保健利用，增加照顾角色和相关心理困扰。
了解重症疾病后患有 MSK 损伤的患者及其家庭和医疗保健专业人员的经历，为未来改善重症疾病后 MSK 健康的干预措施的发展提供信息。
采用四个地点的定性案例研究方法，每个医院地点和相关社区服务代表一个案例地点。我们将对 10-15 名患者/家庭成员和 10-15 名医疗保健专业人员进行半结构化访谈，了解他们在重症疾病后 MSK 损伤的经历。访谈将进行录音，逐字转录，并使用描述性现象学方法中的反思主题分析进行分析。除了访谈数据外，还将对四个地点的公共政策文件、面向患者的材料和服务负责人的信息进行分析。此案例研究文档将使用话语分析。
本方案描述了一项定性研究，探讨了重症疾病后患有 MSK 损伤的患者及其家庭和医疗保健专业人员的经历。
数据分析将阐明他们的经历，并使数据丰富度为重症监护病房（ICU）幸存者的定性证据体做出贡献。这些发现将为重症疾病后 MSK 康复的复杂干预措施的发展提供信息。
