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中国背景下ICU患者体验要素的进一步探索:一项描述性定性研究

A Further Exploration of the Elements of ICU Patient Experience in the Chinese Context: A Descriptive Qualitative Study.

作者信息

Tao YuChen, Pan WenYan, Chen Xiao, Zhang YuXia

机构信息

Department of Nursing, Zhongshan Hospital Fudan University, Shanghai, China.

School of Nursing, Fudan University, Shanghai, China.

出版信息

J Patient Exp. 2025 Jun 25;12:23743735251353691. doi: 10.1177/23743735251353691. eCollection 2025.

Abstract

Advances in sedation management and early rehabilitation have enabled intensive care unit (ICU) patients to recall and form their own care experiences. However, existing patient-reported experience measures often draw from general inpatient populations, lacking specificity to the ICU context. This study aimed to explore the key elements, in order to help shape the framework of ICU patients' experience. A descriptive qualitative study was conducted with 18 patients from 4 ICUs at Fudan University Zhongshan Hospital, China. Semistructured interviews were carried out within 1 week of ICU discharge between January and February 2024. Data were analyzed using thematic analysis following the COREQ checklist. The analysis identified 5 functional domains encompassing 8 themes: organizational (Rapid Response, ICU-managed Transfer), informational (Information Provision), relational (Caring Respect), clinical (Professionalism in Healthcare), and logistical (ICU Environment, Physical Comfort, Family Visitation). These domains and themes were derived from participants' narratives, revealing how ICU patients perceived and made sense of their care experiences. The study provides a patient-centered perspective on critical care experience, contributing to the conceptual framework of ICU patient experience. Findings underscore the importance of addressing both clinical and nonclinical aspects of care. Further research is needed to translate these experiential elements into a structured patient-reported experience measure tailored for ICU populations, ultimately supporting more responsive and compassionate critical care practices.

摘要

镇静管理和早期康复方面的进展使重症监护病房(ICU)患者能够回忆并形成自己的护理经历。然而,现有的患者报告体验测量方法通常借鉴普通住院患者群体的数据,缺乏针对ICU环境的特异性。本研究旨在探索关键要素,以帮助构建ICU患者体验的框架。在中国复旦大学附属中山医院的4个ICU对18名患者进行了一项描述性定性研究。于2024年1月至2月在ICU出院后1周内进行了半结构化访谈。按照COREQ清单使用主题分析法对数据进行了分析。分析确定了5个功能领域,涵盖8个主题:组织方面(快速反应、ICU管理的转运)、信息方面(信息提供)、关系方面(关怀尊重)、临床方面(医疗保健中的专业精神)和后勤方面(ICU环境、身体舒适度、家属探视)。这些领域和主题源自参与者的叙述,揭示了ICU患者如何感知并理解他们的护理经历。该研究提供了一个以患者为中心的重症护理体验视角,并为ICU患者体验的概念框架做出了贡献。研究结果强调了关注护理临床和非临床方面的重要性。需要进一步研究将这些体验要素转化为针对ICU人群量身定制的结构化患者报告体验测量方法,最终支持更具响应性和同情心的重症护理实践。

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