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ICU清醒患者创伤成长体验的质性研究

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目的 探讨重症监护病房(intensive care unit,ICU)清醒患者创伤后成长(post-traumatic growth,PTG)的真实体验。方法 采用描述性质性研究法,借鉴PTG模型设计访谈提纲,选取2022年8月—2023年7月贵阳市某三级甲等综合医院的15例急诊ICU清醒患者进行深入访谈,用Colaizzi现象学方法分析资料。结果 萃取出承受多重创伤反应、与他人的关系改善、自我转变、创伤后的人生转变4项一级主题及15项二级主题。结论 临床医护要关注清醒患者的积极经历,并根据其PTG心路历程制定心理干预措施,促进临床干预范式转变,促进康复。
Qualitative study of traumatic growth experiencein awake ICU patients
Objective To explore the real experience of post-traumatic growth(PTG)of sober patients in intensive care unit(ICU).Methods Using descriptive research method and PTG model to design an interview outline,15 a-wake patients in emergency ICU in a third-class general hospital in Guiyang from August 2022 to July 2023 were in-terviewed in depth,and the data were analyzed by Colaizzi phenomenology.Results Four first-level themes and 15 second-level themes are extracted,which are suffering from multiple traumatic reactions,improving relations with others,self-change and post-traumatic life change.Conclusion Clinical staffshould focus on the positive experiences of sober patients,and develop psychological interventionsmeasures according to their PTG cardiac coursefor promo-ting a paradigm shift in clinical interventions and enhancing rehabilitation

awake ICU patientspost-traumatic growthpost-traumatic growth modelexperiencequalitative research

饶佳琴、霍俊云、朱珠、郭庆娇、顾颖、姚其辉、邱健、唐藜洪

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贵州医科大学护理学院,贵州贵阳 550004

贵州医科大学附属医院,贵州贵阳 550004

ICU清醒患者 创伤后成长 创伤后成长模型 体验 质性研究

贵州医科大学附属医院护理基金项目贵州医科大学附属医院护理基金项目

gyfyh1-2022-B14gyfyhl-2023-15

2024

护士进修杂志
贵州省医药卫生学会办公室

护士进修杂志

CSTPCD
影响因子:2.59
ISSN:1002-6975
年,卷(期):2024.39(14)