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重回正轨:COVID-19 所致危重症后的康复意义

Getting Back on Track: Meanings of Recovery After Critical Illness Caused by COVID-19.

作者信息

Juuso Päivi, Engström Åsa, Strömbäck Ulrica, Andersson Maria, Nordin Anna

机构信息

Division of Nursing and Medical Technology, Department of Health, Education and Technology, Lulea University of Technology, Luleå, Sweden.

Faculty of Health, Science, and Technology, Department of Health Science, Karlstad University, Karlstad, Sweden.

出版信息

SAGE Open Nurs. 2024 Oct 14;10:23779608241282922. doi: 10.1177/23779608241282922. eCollection 2024 Jan-Dec.

Abstract

INTRODUCTION

Being critically ill in need of intensive care, lead to a challenging way back after survival, so also for survivors of COVID-19. The process to recovery can be long.

OBJECTIVES

The aim of our qualitative study was to elucidate meanings of recovery for people who were once critically ill with COVID-19.

METHOD

We conducted qualitative individual interviews with 13 individuals who had been critically ill with COVID-19, following a narrative approach. The data collected from the interviews, were analyzed according to phenomenological hermeneutic interpretation.

RESULTS

The participants, although feeling alone in the process of recovery, had willpower to return to normal life but struggled to keep pace with others. They strived for balance in everyday life and to regain strength despite being exhausted after having COVID-19. The participants were grateful for their survival but displayed a need to understand what had happened. They longed for social contact, expressed feelings of abandonment, and wished for follow-up dialogues with healthcare professionals to better understand their situation. However, because support from healthcare was insufficient, the participants ultimately needed to develop their own strategies to cope with their questions, fears, and weakness.

CONCLUSION

Meanings of recovery for people once critically ill with COVID-19, is to strive for balance in everyday life. In their recovery process, healthcare professionals should seek to understand what the illness means for the ill person, and in mutual understanding support them based on their needs.

摘要

引言

危重症患者需要重症监护,康复之路充满挑战,新冠疫情康复者亦是如此。康复过程可能漫长。

目的

我们这项定性研究的目的是阐明新冠疫情重症康复者对康复的理解。

方法

我们采用叙事法对13名新冠疫情重症康复者进行了定性个人访谈。访谈收集的数据按照现象学诠释学进行分析。

结果

参与者在康复过程中虽感到孤独,但有回归正常生活的意志力,不过难以跟上他人的步伐。他们在日常生活中努力寻求平衡,尽管感染新冠后精疲力竭,但仍努力恢复体力。参与者对自己的存活心怀感激,但表示需要了解所发生的事情。他们渴望社交,表达了被遗弃的感觉,并希望与医护人员进行后续对话,以更好地了解自己的状况。然而,由于医护支持不足,参与者最终需要制定自己的策略来应对自身的问题、恐惧和脆弱。

结论

新冠疫情重症康复者对康复的理解是在日常生活中努力寻求平衡。在他们的康复过程中,医护人员应设法了解疾病对患者意味着什么,并在相互理解的基础上根据患者需求提供支持。

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Getting Back on Track: Meanings of Recovery After Critical Illness Caused by COVID-19.重回正轨:COVID-19 所致危重症后的康复意义
SAGE Open Nurs. 2024 Oct 14;10:23779608241282922. doi: 10.1177/23779608241282922. eCollection 2024 Jan-Dec.

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