护士进修杂志2024,Vol.39Issue(14) :1549-1553.DOI:10.16821/j.cnki.hsjx.2024.14.016

ICU清醒患者创伤成长体验的质性研究

Qualitative study of traumatic growth experiencein awake ICU patients

饶佳琴 霍俊云 朱珠 郭庆娇 顾颖 姚其辉 邱健 唐藜洪
护士进修杂志2024,Vol.39Issue(14) :1549-1553.DOI:10.16821/j.cnki.hsjx.2024.14.016

ICU清醒患者创伤成长体验的质性研究

Qualitative study of traumatic growth experiencein awake ICU patients

饶佳琴 1霍俊云 2朱珠 2郭庆娇 3顾颖 2姚其辉 2邱健 2唐藜洪2
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作者信息

  • 1. 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
  • 2. 贵州医科大学附属医院,贵州贵阳 550004
  • 3. 贵州医科大学护理学院,贵州贵阳 550004
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摘要

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.

Abstract

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

关键词

ICU清醒患者/创伤后成长/创伤后成长模型/体验/质性研究

Key words

awake ICU patients/post-traumatic growth/post-traumatic growth model/experience/qualitative research

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基金项目

贵州医科大学附属医院护理基金项目(gyfyh1-2022-B14)

贵州医科大学附属医院护理基金项目(gyfyhl-2023-15)

出版年

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

CSTPCDCSCD
影响因子:2.59
ISSN:1002-6975
参考文献量18
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