摘要
目的了解ICU护士认识和应对住院期间患者家属ICU后综合征的体验,为应对患者家属ICU后综合征提供参考依据。方法采用质性研究中的现象学研究方法,对湖南省衡阳市某三级甲等综合医院重症医学科3个病区的15名ICU护士进行半结构式深入访谈,运用Colaizzi 7步分析法对访谈资料进行分析、提炼主题。结果最终归纳为3个主题,9个亚主题,即ICU护士对患者家属ICU后综合征的认识不足(对家属ICU后综合征认识较局限、难以识别或忽略患者家属ICU后综合征的症状、不确定患者家属ICU后综合征的影响)、积极应对患者家属ICU后综合征(应对以聆听与解释为主、应对以语言与动作为主、尽职尽责护理患者)、多种因素阻碍护士认识家属ICU后综合征(共情疲劳、ICU工作强度高、与患者家属的接触时间较为有限)。结论ICU护士对住院期间患者家属ICU后综合征的认识不足,需加强ICU护士对患者家属ICU后综合征的全面认识,并优化应对策略,缓解家属负性情绪,同时也应积极克服阻碍护士认识患者家属ICU后综合征的因素,促进医护患的和谐关系。
Objective To understand the recognition and coping strategies of ICU nurses on post-ICU syndrome in family members of patients during hospitalisation so as to provide a reference for handling post-ICU syndrome of the family members of patients.Methods A phenomenological approach within qualitative research was adopted.Semi-structured in-depth interviews were conducted with 15 ICU nurses from 3 wards of the Second Affiliated Hospital of South China University.Colaizzi 7-step method was applied to analyse and refine the interview data themes.Results Three main themes and nine sub-themes were identified and they were insufficient cognition of post-ICU syndrome of the family members(limited understanding of post-ICU syndrome in family members,difficulty in recognising or ignoring symptoms,uncertainty about the impact of post-ICU syndrome),active coping with post-ICU syndrome of the family members(coping mainly through listening and explaining,coping mainly through verbal and physical actions,diligent patient care)and various factors hindering nurses’coping with post-ICU syndrome of the family members(compassion fatigue,high ICU work intensity,limited contact time with family members).Conclusion ICU nurses have insufficient understanding of post-ICU syndrome with the family members of patients during hospitalisation.It requires to enhance a comprehensive understanding in ICU nurses about post-ICU syndrome of the family members of patients and to optimise coping strategies to alleviate negative emotions of the family members.Additionally,efforts should be made to overcome factors that hinder nurses’coping with post-ICU syndrome of the family members of patients and to promote a harmonious relationship between medical staff and patients.
作者
陈灿
李丹丹
彭艳红
杨许艳
谢超丽
田玉洁
王志敏
Chen Can;Li Dandan;Peng Yanhong;Yang Xuyan;Xie Chaoli;Tian Yujie;Wang Zhimin(School of Nursing,University of South China,Hengyang 421000,Hunan Province,China;Department of Urology,Changsha Central Hospital,University of South China;Department of Critical Care Medicine,The Second Affiliated Hospital of University of South Hengyang 421000,Hunan Province,China)
出处
《现代临床护理》
2024年第9期24-30,共7页
Modern Clinical Nursing
基金
湖南省卫生健康委2022年度科研立项课题,项目编号为202214023942
2020年衡阳市第一批科技计划项目,项目编号为202010071555。
关键词
重症监护病房
护士
家属ICU后综合征
认识
应对
质性研究
intensive care unit
nurses
post intensive care syndrome in family members
recognition
coping
qualitative study
