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解释性结构建模方法:对重症监护病房心脏手术患者不良经历的影响因素分析

Interpretative structural modeling method: An analysis of influencing factors analysis on the adverse experiences of cardiac surgery patients in the intensive care units.

作者信息

Wang Yan, Yu Yun, Xu Tingting, Wang Zheyun, Fang Yating

机构信息

Nanjing Drum Tower Hospital The Affiliated Hospital to Nanjing University Medicine School, 210008, Nanjing, China.

出版信息

Heliyon. 2024 Aug 22;10(17):e36511. doi: 10.1016/j.heliyon.2024.e36511. eCollection 2024 Sep 15.

DOI:10.1016/j.heliyon.2024.e36511
PMID:39281500
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11402133/
Abstract

OBJECTIVE

To construct an interpretation structure model of adverse experiences of cardiac surgery patients in intensive care unit, so as to provide a reference for optimizing the experience of critical patients step by step.

METHODS

Literature review, semi-structured interviews, questionnaires and Delphi method were used to summarize and analyze the influencing factors of intensive care experience in cardiac surgery. The explanatory structural model was used to divide the influencing factors into levels and construct the explanatory structural model of adverse experience of cardiac surgery patients in intensive care.

RESULTS

A hierarchical structure model containing 34 elements and 15 levels was constructed, which were divided into Surface level, middle level and root level.

CONCLUSION

The intensive care experience of patients in cardiac surgery department is mainly affected by 34 factors. There are direct or indirect correlations between the influencing factors, and different levels have different effects.

摘要

目的

构建心脏外科重症监护病房患者不良体验的解释结构模型,为逐步优化重症患者体验提供参考。

方法

采用文献回顾、半结构化访谈、问卷调查及德尔菲法,对心脏外科重症监护体验的影响因素进行总结分析。运用解释结构模型将影响因素划分为不同层次,构建心脏外科重症监护病房患者不良体验的解释结构模型。

结果

构建了一个包含34个要素、15个层次的层次结构模型,分为表层、中层和根层。

结论

心脏外科患者的重症监护体验主要受34个因素影响。各影响因素之间存在直接或间接关联,不同层次的影响作用不同。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4293/11402133/af025d65a75a/fx2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4293/11402133/12f540ee5944/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4293/11402133/88acafb23471/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4293/11402133/af025d65a75a/fx2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4293/11402133/12f540ee5944/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4293/11402133/88acafb23471/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4293/11402133/af025d65a75a/fx2.jpg

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Lived experience of patients in ICU after cardiac surgery: A phenomenological study.心脏手术后 ICU 患者的生活体验:一项现象学研究。
Nurs Crit Care. 2022 Mar;27(2):204-213. doi: 10.1111/nicc.12562. Epub 2020 Oct 15.
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