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《生活被打乱:5 年后照顾者对院内心搏骤停幸存者康复的体验》

Disrupted Lives: Caregivers' Experiences of In-Hospital Cardiac Arrest Survivors' Recovery 5 Years Later.

机构信息

Lieutenant Colonel Charles S. Kettles VA Medical Center Center for Clinical Management Research Ann Arbor MI USA.

Department of Sociology Population Studies Center University of Michigan Ann Arbor MI USA.

出版信息

J Am Heart Assoc. 2023 Sep 19;12(18):e028746. doi: 10.1161/JAHA.122.028746. Epub 2023 Sep 6.

Abstract

Background Survivors of in-hospital cardiac arrest (IHCA) experience ongoing physical and cognitive impairments, often requiring support from a caregiver at home afterwards. Caregivers are important in the survivor's recovery, yet there is little research specifically focused on their experiences once the survivor is discharged home. In this study, we highlight how caregivers for veteran IHCA survivors described and experienced their caregiver role, the strategies they used to fulfill their role, and the additional needs they still have years after the IHCA event. Methods and Results Between March and July 2019, semistructured telephone interviews were conducted with 12 caregivers for veteran IHCA survivors. Interviews were transcribed, and content analysis was performed. Patterns within the data were further analyzed and grouped into themes. A predominant theme of "disruption" was identified across 3 different domains including the following: (1) disruption in caregiver's life, (2) disruption in caregiver-patient relationship, and (3) disruption in caregiver's well-being. Disruption was associated with both positive and negative caregiver experiences. Strategies caregivers used and resources they felt would have helped them adjust to their caregiver role were also identified. Conclusions Caregivers for veteran IHCA survivors experienced a disruption in many facets of their lives. Caregivers felt the veterans' IHCA impacted various aspects of their lives, and they continued to need additional support in order to care for the IHCA survivor and themselves. Although some were able to procure coping strategies, such as counseling and engaging in stress-relieving activities, most indicated additional help and resources were still needed.

摘要

背景

院内心搏骤停(IHCA)幸存者会持续出现身体和认知障碍,通常在出院后需要在家中得到照顾者的支持。照顾者在幸存者的康复过程中很重要,但针对幸存者出院后照顾者的经历,相关研究甚少。在这项研究中,我们重点介绍了退伍 IHCA 幸存者的照顾者如何描述和体验他们的照顾者角色、他们用来履行角色的策略,以及在 IHCA 事件发生多年后他们仍存在的额外需求。

方法和结果

2019 年 3 月至 7 月期间,对 12 名退伍 IHCA 幸存者的照顾者进行了半结构化电话访谈。对访谈进行了转录,并进行了内容分析。对数据中的模式进行了进一步分析,并分为主题。在包括以下三个不同领域的主题中确定了一个主要的“破坏”主题:(1)照顾者生活的破坏,(2)照顾者-患者关系的破坏,以及(3)照顾者幸福感的破坏。破坏与照顾者的积极和消极体验都有关联。还确定了照顾者使用的策略以及他们认为有助于他们适应照顾者角色的资源。

结论

退伍 IHCA 幸存者的照顾者在生活的许多方面都经历了破坏。照顾者感到退伍军人的 IHCA 影响了他们生活的各个方面,他们仍然需要额外的支持来照顾 IHCA 幸存者和他们自己。尽管有些人能够采用应对策略,如咨询和参与缓解压力的活动,但大多数人表示仍需要额外的帮助和资源。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/beb2/10547269/eb2253ffa851/JAH3-12-e028746-g001.jpg

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