Paul Gunchan, Mahajan Rubina K, Gautam Parshotam L, Kaur Gursabeen, Paul Sidakbir S, Paul Birinder
Department of Critical Care Medicine, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.
Department of Clinical Psychology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.
Indian J Crit Care Med. 2024 Oct;28(10):923-929. doi: 10.5005/jp-journals-10071-24811. Epub 2024 Sep 30.
In the intensive care unit (ICU), relentless demands of immediate action, reliance on high-tech equipment, and weight of an overwhelming workload can obscure the patient's humanity. The impact of this dehumanization and humanization may be significant, hence the study aimed to understand experiences of ICU patients and their families and seek to understand the outcomes of such encounters during the course of ICU care. The study was based on inductive-grounded theory approach. After taking informed consent, the investigators invited the participants for the interview, in the vernacular language that was audio recorded and field notes were taken. Under the two main dimensions of humanization and dehumanization, the data yielded four main themes and eight sub-themes. The themes were communication, infrastructure, experience of care and patient autonomy. The dehumanizing behaviors contributed to patients feeling disregarded and undermined their sense of dignity and worth. To our understanding, this is the foremost barrier to a heathy patient-physician relationship. However, by prioritizing humanization in the ICU, healthcare professionals can create a more compassionate and supportive environment. Hence, it is essential to implement strategies that improve patient and family support in the ICU, such as providing regular updates on the patient's condition, offering emotional support through counseling services, and involving families in the care decision-making process. These measures can help alleviate the vulnerability experienced by patients and their families during such challenging times.
Paul G, Mahajan RK, Gautam PL, Kaur G, Paul SS, Paul B. Voices from the ICU: Perspectives on Humanization in Critical Care Settings. Indian J Crit Care Med 2024;28(10):923-929.
在重症监护病房（ICU）中，立即采取行动的持续需求、对高科技设备的依赖以及繁重工作量带来的压力，可能会使患者的人性被忽视。这种去人性化和人性化的影响可能很大，因此该研究旨在了解ICU患者及其家属的经历，并试图了解在ICU护理过程中此类接触的结果。该研究基于归纳性扎根理论方法。在获得知情同意后，研究人员邀请参与者进行访谈，用当地语言进行，访谈内容进行了录音并做了现场记录。在人性化和去人性化这两个主要维度下，数据产生了四个主要主题和八个子主题。这些主题是沟通、基础设施、护理体验和患者自主权。去人性化行为导致患者感到被忽视，并损害了他们的尊严感和价值感。据我们了解，这是健康医患关系的首要障碍。然而，通过在ICU中优先考虑人性化，医护人员可以营造一个更具同情心和支持性的环境。因此，实施改善ICU患者及其家属支持的策略至关重要，例如定期提供患者病情最新情况、通过咨询服务提供情感支持，以及让家属参与护理决策过程。这些措施有助于减轻患者及其家属在如此具有挑战性的时期所经历的脆弱感。
Paul G, Mahajan RK, Gautam PL, Kaur G, Paul SS, Paul B. 《ICU之声：重症监护环境中的人性化视角》。《印度重症监护医学杂志》2024年；28(10):923 - 929。
