Sundararajan Krishnaswamy, Dafoe Simone, Hayres Kristin, Koronis Andre, Doherty Sarah, Manchanda Shaad, Phelan Caroline, Mahmood Mohammad Afzal
Intensive Care Unit, Critical Care and Perioperative Services, Royal Adelaide Hospital, Central Adelaide Local Health Network, Adelaide, Australia; Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, Australia.
Intensive Care Unit, Critical Care and Perioperative Services, Royal Adelaide Hospital, Central Adelaide Local Health Network, Adelaide, Australia.
Patient Educ Couns. 2025 Aug;137:108795. doi: 10.1016/j.pec.2025.108795. Epub 2025 Apr 25.
This study aims to explore ICU survivors' and caregivers' (i.e., consumers') perspectives on the utility of an ICU peer support groups (PSG).
A qualitative study using focus group discussions (FGDs) of former patients (i.e., Survivors) and caregivers (i.e., adult mixed medical-surgical intensive care unit (ICU) in a quaternary referral centre in Adelaide, South Australia. Purposive sampling was conducted to identify participants. The semi-structured guide was utilised to facilitate discussion with group members. Four focus group discussions were conducted with former ICU patients (i.e., survivors) and caregivers. Thematic analysis identified themes and subthemes that informed us about the utility of the ICU peer support group and identified system-level areas for improvement. ICU survivors and their caregivers were recruited via the hospital-run ICU peer support group.
Thirteen survivors (five females, mean age 56, and nine caregivers (seven females, mean age 39 (SD 33.6)) consented to participate in the focus group discussions. The study identified six themes relevant to the utility of the peer support group: (1) Dealing with the impact of ICU, (2) Information on peer support groups and post-intensive care syndrome whilst in ICU, (3) Information provided during peer support group meetings (4) Leadership (5) Managing challenging situations and expectations of caregivers and (6) Opportunities for organisational improvement.
ICU survivors and their caregivers value the ICU peer support model of care and can identify unit and system-level improvement opportunities to meet consumers' unmet needs.
ICU survivors and their caregivers' perspectives and viewpoints regarding this ICU peer support group identifies themes on the utility of peer support and survivorship. This is beneficial in further defining a peer support program and offering a platform for structuring and operationalising ICUs by partnering with consumers.
本研究旨在探讨重症监护病房（ICU）幸存者及其照顾者（即消费者）对ICU同伴支持小组（PSG）效用的看法。
采用定性研究方法，在南澳大利亚阿德莱德一家四级转诊中心的成人综合内科-外科重症监护病房，对 former patients（即幸存者）和照顾者进行焦点小组讨论（FGD）。采用目的抽样法确定参与者。使用半结构化指南促进与小组成员的讨论。对 former ICU患者（即幸存者）和照顾者进行了四次焦点小组讨论。主题分析确定了主题和子主题，这些主题和子主题让我们了解了ICU同伴支持小组的效用，并确定了系统层面需要改进的领域。通过医院运营的ICU同伴支持小组招募ICU幸存者及其照顾者。
13名幸存者（5名女性，平均年龄56岁）和9名照顾者（7名女性，平均年龄39岁（标准差33.6））同意参加焦点小组讨论。该研究确定了与同伴支持小组效用相关的六个主题：（1）应对ICU的影响，（2）在ICU期间关于同伴支持小组和重症监护后综合征的信息，（3）同伴支持小组会议期间提供的信息，（4）领导力，（5）应对具有挑战性的情况和照顾者的期望，以及（6）组织改进的机会。
ICU幸存者及其照顾者重视ICU同伴支持护理模式，并能确定病房和系统层面的改进机会，以满足消费者未满足的需求。
ICU幸存者及其照顾者对这个ICU同伴支持小组的看法和观点确定了同伴支持和生存效用的主题。这有助于进一步定义同伴支持计划，并通过与消费者合作提供一个平台，用于构建和运营ICU。
