来自重症监护室的声音:重症监护中的人性化视角。

IF 1.5 Q3 CRITICAL CARE MEDICINE Indian Journal of Critical Care Medicine Pub Date : 2024-10-01 Epub Date: 2024-09-30 DOI:10.5005/jp-journals-10071-24811
Gunchan Paul, Rubina K Mahajan, Parshotam L Gautam, Gursabeen Kaur, Sidakbir S Paul, Birinder Paul
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引用次数: 0

摘要

在重症监护室(ICU)中,对立即行动的无情要求、对高科技设备的依赖以及不堪重负的工作量都会掩盖病人的人性。这种非人化和人性化可能会产生重大影响,因此本研究旨在了解重症监护室病人及其家属的经历,并寻求了解重症监护室护理过程中这种遭遇的结果。本研究采用归纳式基础理论方法。在征得知情同意后,研究人员邀请参与者进行访谈,访谈以方言进行,并进行了录音和现场记录。在人性化和非人性化这两个主要维度下,数据产生了四个主要主题和八个次主题。这些主题分别是沟通、基础设施、护理体验和病人自主权。非人性化行为让病人感到被忽视,损害了他们的尊严和价值感。据我们了解,这是医患关系和谐的首要障碍。然而,通过在重症监护室优先考虑人性化,医护人员可以创造一个更具同情心和支持性的环境。因此,在重症监护病房实施改善患者和家属支持的策略至关重要,例如定期提供患者病情的最新信息,通过咨询服务提供情感支持,以及让家属参与护理决策过程。这些措施有助于减轻患者及其家属在这种充满挑战的时刻所经历的脆弱:Paul G, Mahajan RK, Gautam PL, Kaur G, Paul SS, Paul B. Voices from the ICU:重症监护中的人性化视角》。Indian J Crit Care Med 2024;28(10):923-929.
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Voices from the ICU: Perspectives on Humanization in Critical Care Settings.

In the intensive care unit (ICU), relentless demands of immediate action, reliance on high-tech equipment, and weight of an overwhelming workload can obscure the patient's humanity. The impact of this dehumanization and humanization may be significant, hence the study aimed to understand experiences of ICU patients and their families and seek to understand the outcomes of such encounters during the course of ICU care. The study was based on inductive-grounded theory approach. After taking informed consent, the investigators invited the participants for the interview, in the vernacular language that was audio recorded and field notes were taken. Under the two main dimensions of humanization and dehumanization, the data yielded four main themes and eight sub-themes. The themes were communication, infrastructure, experience of care and patient autonomy. The dehumanizing behaviors contributed to patients feeling disregarded and undermined their sense of dignity and worth. To our understanding, this is the foremost barrier to a heathy patient-physician relationship. However, by prioritizing humanization in the ICU, healthcare professionals can create a more compassionate and supportive environment. Hence, it is essential to implement strategies that improve patient and family support in the ICU, such as providing regular updates on the patient's condition, offering emotional support through counseling services, and involving families in the care decision-making process. These measures can help alleviate the vulnerability experienced by patients and their families during such challenging times.

How to cite this article: Paul G, Mahajan RK, Gautam PL, Kaur G, Paul SS, Paul B. Voices from the ICU: Perspectives on Humanization in Critical Care Settings. Indian J Crit Care Med 2024;28(10):923-929.

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来源期刊
CiteScore
3.50
自引率
10.00%
发文量
299
期刊介绍: Indian Journal of Critical Care Medicine (ISSN 0972-5229) is specialty periodical published under the auspices of Indian Society of Critical Care Medicine. Journal encourages research, education and dissemination of knowledge in the fields of critical and emergency medicine.
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