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“我在这里”-重症监护中关怀触摸的重要性。一项定性观察和访谈研究。

"I am Here"-The Importance of Caring Touch in Intensive Care. A Qualitative Observation and Interview Study.

机构信息

Ryhov County Hospital.

Karolinska Institute.

出版信息

J Holist Nurs. 2024 Sep;42(3):254-264. doi: 10.1177/08980101231198723. Epub 2023 Sep 21.

DOI:10.1177/08980101231198723
PMID:37735941
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11468109/
Abstract

The purpose of the study was to illuminate the experience of caring touch in intensive care from the perspectives of patients, next-of-kin, and healthcare professionals. This study was explorative, and data were collected through qualitative observations ( = 9) with subsequent interviews ( = 27) at two general intensive care units. An inductive approach was embraced to be open-minded to the participants' experiences. The results are presented in one generic category-caring touch creates presence-which generated five subcategories: to touch and be touched with respect, touch as guidance and communication, touch causes suffering, touch creates compassion, and touch creates security. When the ability to communicate with words is lost, it is body language that reveals what a person is trying to express. Nurses create a way of being present with the patients by touching them, to communicate I am here for you. Caring touch is a tool to show compassion and respect and to protect the integrity of the lived body. The caring touch is soothing and comforting for the patient and next-of-kin and creates security. It also helps to awaken the motivation to get healthy, which is needed in an environment that is foreign.

摘要

这项研究的目的是从患者、家属和医护人员的角度阐明重症监护中的关怀性触摸体验。本研究为探索性研究,数据通过在两家普通重症监护病房的 9 次定性观察( = 9)和随后的 27 次访谈收集。采用归纳法,对参与者的体验持开放态度。研究结果呈现为一个通用类别——关怀性触摸创造存在——产生了五个子类别:尊重地触摸和被触摸、触摸作为指导和沟通、触摸引起痛苦、触摸产生同情、触摸创造安全感。当失去用言语交流的能力时,身体语言揭示了一个人试图表达的东西。护士通过触摸患者来创造一种与患者同在的方式,传达“我在这里为你”的信息。关怀性触摸是表达同情和尊重以及保护生命完整性的工具。关怀性触摸对患者和家属来说是舒缓和安慰的,能带来安全感。它还有助于唤醒在陌生环境中恢复健康的动力。

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The Effect of Healing Touch on Critical Care Patients' Vital Signs: A Pilot Study.治愈性触摸对重症监护患者生命体征的影响:一项试点研究。
Holist Nurs Pract. 2020 Jul/Aug;34(4):244-251. doi: 10.1097/HNP.0000000000000394.
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The significance of hope as experienced by the next of kin to critically ill patients in the intensive care unit.重症监护病房危重症患者家属经历的希望的意义。
Scand J Caring Sci. 2021 Jun;35(2):521-529. doi: 10.1111/scs.12864. Epub 2020 May 4.
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Psychological Consequences of Admission to the ICU: Helping Patients and Families.入住重症监护病房的心理影响:帮助患者及家属
JAMA. 2019 Jul 16;322(3):213-215. doi: 10.1001/jama.2019.9059.
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