Clarke Rachel, Weare Victoria, Chow Homen, Bowering-Sheehan Lydia, Hitchcock Clark
Critical Care, Derriford Hospital, University Hospitals Plymouth NHS Trust, Plymouth, UK.
J Intensive Care Soc. 2024 Mar 26;25(3):288-295. doi: 10.1177/17511437241241243. eCollection 2024 Aug.
ICU-survivors are likely to struggle with psychological wellbeing. Providing post-ICU therapeutic interventions is a relatively novel field and little is known about patients' experiences.
Thematic analysis was used to analyze semi-structured interviews with 20 ICU-survivors who had accessed psychological therapy following discharge from an ICU in the Southwest of Britain. Descriptive statistics were used to summarize data to provide service related contextual information.
Five themes emerged from the data: the impact of critical illness, value of therapy, accessing therapy, process of therapy and role of psychologist. Psychological therapy is viewed as an important part of recovery. Critical illness is a complex experience. Therapy supported sense-making, acceptance and moving forwards. Although therapy could be initially difficult, there were lasting positive effects. There were different challenges to and facilitators of accessing therapy and offering ongoing support provided reassurance. A safe therapeutic relationship and an ICU-specific service was important.
Psychological therapy, alongside other rehabilitation interventions, can facilitate recovery. Considerations for local and wider service development are discussed.
重症监护病房（ICU）幸存者可能在心理健康方面存在困难。提供ICU后治疗干预是一个相对较新的领域，人们对患者的经历了解甚少。
采用主题分析法对20名英国西南部ICU幸存者进行半结构化访谈，这些幸存者在从ICU出院后接受了心理治疗。使用描述性统计方法总结数据，以提供与服务相关的背景信息。
数据中出现了五个主题：危重病的影响、治疗的价值、获得治疗、治疗过程以及心理学家的角色。心理治疗被视为康复的重要组成部分。危重病是一种复杂的经历。治疗有助于理解、接受和向前发展。尽管治疗最初可能很困难，但有持久的积极效果。获得治疗存在不同的挑战和促进因素，持续提供支持能让人安心。安全的治疗关系和针对ICU的服务很重要。
心理治疗与其他康复干预措施一起，可以促进康复。讨论了地方和更广泛服务发展的考虑因素。
