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

作　　者：饶佳琴 霍俊云 朱珠 郭庆娇 顾颖 姚其辉 邱健 唐藜洪 RAO Jiaqin;HUO Junyun;ZHU Zhu;GUO Qingjiao;GU Ying;YAO Qihui;QIU Jian;TANG Lihong(School of Nursing,Guizhou Medical University,Guiyang 550004,Guizhou,China;The Affiliated Hospital of Guizhou Medical University,Guiyang 550004,Guizhou,China)

机构地区：[1]贵州医科大学护理学院,贵州贵阳550004 [2]贵州医科大学附属医院,贵州贵阳550004

出　　处：《护士进修杂志》2024年第14期1549-1553,共5页Journal of Nurses Training

基　　金：贵州医科大学附属医院护理基金项目(编号:gyfyh1-2022-B14,gyfyhl-2023-15)。

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。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 awake patients in emergency ICU in a third-class general hospital in Guiyang from August 2022 to July 2023 were interviewed 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 promoting 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 

分 类 号：R473[医药卫生—护理学]