老年ICU转出患者早期心理体验变化的纵向质性研究
Longitudinal qualitative study of the change on early psychological experience in elderly ICU survivors
张丰 1陈贞 2王剑 2程云2
作者信息
- 1. 复旦大学附属华东医院,上海 200040;复旦大学护理学院,上海 200032
- 2. 复旦大学附属华东医院,上海 200040
- 折叠
摘要
目的 探讨重症监护病房(ICU)老年转出患者的纵向真实心理体验及变化轨迹,以期为老年ICU转出患者心理健康管理提供依据.方法 采用现象学研究方法,于2022年3-9月对13例老年ICU转出患者进行3次半结构化访谈(转出后1周,1个月,3个月),使用Colaizzi现象学资料分析方法分析资料.结果 资料分析归纳出4个主题:危重病负担持续存在(深刻感受到死亡的威胁、对未来的治疗感到恐惧、持续存在的健康问题、持续存在的经济负担、平静接受这段经历);自我认知改变(心理落差、贬低自我价值、疾病不确定感、逐渐增加独立性);家庭理解改变(对家人感到愧疚、渴望家人的陪伴,依赖感增强、感知来自家庭的力量);社会支持需求增加(社会孤立和孤独感、信息需求增加).结论 我们的研究结果有助于为医护人员提供参考,为ICU转出患者制定适当的康复、护理干预措施和心理支持.
Abstract
Objective To explore the longitudinal real psychological experience and change track of the elderly pa-tients after intensive care unit(ICU),so as to provide a reference for the mental health management of the elderly patients after ICU.Methods Using the phenomenological research method,13 elderly ICU survivors were inter-viewed 3 semi-structured interviews(1 week,1 month,and 3 months after ICU)from March to September 2022.The data were analyzed by using the phenomenological data analysis method of Colaizzi.Results A total of 4 themes were extracted as follow:The persistent burden of critical illness(deep feeling of death threat,fear of future treat-ment,persistent health problems,persistent economic burden,and calm acceptance of the experience);Changes in self-cognition(psychological gap,devaluation of self-value,disease uncertainty,and gradual increase of independ-ence);Change in family understanding(feeling guilty about the family,longing for the company of the family,and increased sense of dependence,and perceived strength from family);The increased demand for social support(social isolation and loneliness,increased information demand).Conclusion Our research results expand the overall under-standing of patients'early psychological experience after ICU from the perspective of elderly patients.The findings of this study will help to provide reference for medical staff and develop appropriate rehabilitation,nursing interven-tions,and psychological support for patients after ICU.
关键词
重症监护病房/老年人/心理体验/纵向研究/质性研究Key words
intensive care unit/the elderly/psychological experience/longitudinal study/qualitative study引用本文复制引用
基金项目
上海市科学技术委员会立项课题(16411951200)
上海市医学院高水平地方高校建设项目(FNDG202118)
出版年
2024
NETL
NSTL
维普
万方数据