病人对护士撰写的重症监护病房日记干预措施的体验:横断面调查。

IF 4.9 2区 医学 Q1 NURSING Intensive and Critical Care Nursing Pub Date : 2024-10-03 DOI:10.1016/j.iccn.2024.103846
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引用次数: 0

摘要

背景:为重症监护患者撰写日记可能有助于填补记忆空白并促进心理康复。在挪威,重症监护日记主要由护士撰写,国家建议确保采用系统的干预方法。需要对护士撰写的重症监护日记的患者体验进行研究:这项探索性研究的目的是调查患者接受和阅读护士撰写的日记的体验:这是一项横断面多中心调查,调查对象为从挪威七家重症监护病房出院的患者:在88名患者中,90%的人对日记交接过程表示满意。多达88%的受访者认为,日记体现了良好的护理,帮助他们认识到自己的病情有多危重,并理解为什么康复需要时间(76%),还让他们对幸存下来心存感激(74%)。三分之一的受访者(30%)表示,日记让他们感到悲伤,6%的受访者表示,日记让他们想起了生命中一段他们宁愿遗忘的时光,17%的受访者表示,日记中缺少关键事件。然而,几乎所有患者都赞成继续进行日记干预(98%):总的来说,受访者对护士撰写的日记、交接和内容都表示满意,并建议继续进行干预:对临床实践的启示:日记的交接在时间和方式上应符合患者的个人偏好,因为日记干预不一定适合所有患者。干预措施的改进措施可以是在日记中更完整地叙述重症监护过程中的积极和关键事件。
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The patient experience of a nurse-written ICU-diary intervention: A cross sectional survey

Background

A diary written for intensive care patients might help fill in memory gaps and promote psychological recovery. In Norway intensive care diaries are mainly authored by nurses and national recommendations ensure a systematic approach to the intervention. Studies describing the patient experience of nurse-written intensive care diaries are needed.

Objectives

The aim of this exploratory study is to investigate patientś experience of receiving and reading a nurse-written diary.

Design and setting

This is a cross-sectional multicentre survey among patients discharged from seven intensive care units in Norway.

Results

Among the 88 patients included, 90 % were satisfied with the diary handover process. As many as 88 % of the respondents agreed that the diary demonstrated good care, helped them realize how critically ill they had been and understand why recovery takes time (76 %), and made them grateful for surviving (74 %). One third of the respondents (30 %) reported that the diary saddened them, 6 % reported that the diary reminded them of a time in their lives they would rather forget, while 17 % reported that critical events were missing in the diary. However, nearly all patients were in favour of continuing the diary intervention (98 %).

Conclusion

Overall, the respondents were satisfied with the nurse-written diary, the handover as well as the content, and they recommended that the intervention should be sustained.

Implications for clinical practice

The handover of the diary should be tailored to meet the individual preferences of the patients in terms of timing and approach, since the diary intervention may not suit all patients. Improvements to the intervention could be a more complete narrative in the diary including both positive and critical events during the intensive care trajectory.
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来源期刊
CiteScore
6.30
自引率
15.10%
发文量
144
审稿时长
57 days
期刊介绍: The aims of Intensive and Critical Care Nursing are to promote excellence of care of critically ill patients by specialist nurses and their professional colleagues; to provide an international and interdisciplinary forum for the publication, dissemination and exchange of research findings, experience and ideas; to develop and enhance the knowledge, skills, attitudes and creative thinking essential to good critical care nursing practice. The journal publishes reviews, updates and feature articles in addition to original papers and significant preliminary communications. Articles may deal with any part of practice including relevant clinical, research, educational, psychological and technological aspects.
期刊最新文献
“I will get out of this” - The patients’ experiences of early mobilisation in intensive care. A hermeneutic study Flexible ICU visiting: Improving family outcomes while navigating implementation challenges How to prevent ventilator-associated pneumonia (VAP) in trauma patients Early changes in skin surface temperature to predict fever – Response to Xie et al. Intensive care nurses’ provision of culturally sensitive care through communication at the end-of-life
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