Green A
Intensive Crit Care Nurs. 1996 Jun;12(3):131-7. doi: 10.1016/s0964-3397(96)80435-6.
This study carried forward an exploration to determine if there is a need to visit patients in a ward following discharge from an adult intensive therapy unit (ITU), by ascertaining what patients remember of their stay and their ability to cope with this experience. Data were collected during interviews 48 hours following subjects' discharge from the ITU, and collated using an adaptation of thematic content analysis as described by Burnard (1991). Twenty-six subjects were studied over a 6-month period. The findings suggest that patients have vivid recollections of their stay in an ITU, and are consistent with previous research in respect of patients continuing to experience dreams, pain, sleep deprivation and worries about transfer out of an ITU to a ward. New themes suggest that ITU patients do not recall their "named nurse", but do recall detailed explanations given to them by nurses in the ITU. Patients also believe they would benefit from a follow-up visit to discuss and clarify aspects of their stay which were unclear or are causing them concern.
本研究进行了一项探索,通过确定患者对其住院经历的记忆以及应对这种经历的能力,来判断是否有必要在成人重症监护病房(ITU)出院后探访病房中的患者。在受试者从ITU出院48小时后的访谈中收集数据,并采用Burnard(1991)所述的主题内容分析改编方法进行整理。在6个月的时间里对26名受试者进行了研究。研究结果表明,患者对其在ITU的住院经历有清晰的回忆,并且与之前关于患者持续经历梦境、疼痛、睡眠剥夺以及对从ITU转至病房的担忧的研究一致。新的主题表明,ITU患者记不起他们的“责任护士”,但能回忆起ITU护士给他们的详细解释。患者还认为,他们将受益于一次随访,以讨论并澄清其住院期间不清楚或令他们担忧的方面。