Abstract：
OBJECTIVE: To determine how the perception of physical function 6-months following critical illness compares to objectively measured function, and to identify key concerns for patients during recovery from critical illness.
UNASSIGNED: A nested convergent parallel mixed methods study assessed physical function during a home visit 6-months following critical illness, with semi-structured interviews conducted at the same time.
METHODS: Participants were recruited from two hospitals at one healthcare network in Melbourne, Australia from September 2017 to October 2018 with follow-up data completed in April 2019.
METHODS: Physical function was assessed through four objective outcomes: the functional independence measure, six-minute walk test, functional reach test, and grip strength. Semi structured interviews focused on participants function, memories of the intensive care and hospital stay, assistance required on discharge, ongoing limitations, and the recovery process.
RESULTS: Although many participants (12/20, 60%) stated they had recovered from their critical illness, 14 (70%) had function below expected population norms. Decreased function on returning home was commonly reported, although eleven participants were described as independent and safe for discharge from hospital-based staff. The importance of family and social networks to facilitate discharge was highlighted, however participants often described wanting more support and issues accessing services. The effect of critical illness on the financial well-being of the family network was confirmed, with difficulties accessing financial support identified.
CONCLUSIONS: Survivors of critical illness perceived a better functional state than measured, but many report new limitations 6-months after critical illness. Family and friends play a crucial role in facilitating transition home and providing financial support.
CONCLUSIONS: Implementation of specific discharge liaison personnel to provide education, support and assist the transition from hospital-based care to home, particularly in those without stable social supports, may improve the recovery process for survivors of critical illness.
UNASSIGNED: A nested convergent parallel mixed methods study assessed physical function during a home visit 6-months following critical illness, with semi-structured interviews conducted at the same time.
METHODS: Participants were recruited from two hospitals at one healthcare network in Melbourne, Australia from September 2017 to October 2018 with follow-up data completed in April 2019.
METHODS: Physical function was assessed through four objective outcomes: the functional independence measure, six-minute walk test, functional reach test, and grip strength. Semi structured interviews focused on participants function, memories of the intensive care and hospital stay, assistance required on discharge, ongoing limitations, and the recovery process.
RESULTS: Although many participants (12/20, 60%) stated they had recovered from their critical illness, 14 (70%) had function below expected population norms. Decreased function on returning home was commonly reported, although eleven participants were described as independent and safe for discharge from hospital-based staff. The importance of family and social networks to facilitate discharge was highlighted, however participants often described wanting more support and issues accessing services. The effect of critical illness on the financial well-being of the family network was confirmed, with difficulties accessing financial support identified.
CONCLUSIONS: Survivors of critical illness perceived a better functional state than measured, but many report new limitations 6-months after critical illness. Family and friends play a crucial role in facilitating transition home and providing financial support.
CONCLUSIONS: Implementation of specific discharge liaison personnel to provide education, support and assist the transition from hospital-based care to home, particularly in those without stable social supports, may improve the recovery process for survivors of critical illness.
摘要：
目的：确定危重病后6个月对身体功能的感知与客观测量功能的比较，并确定患者在重症疾病康复期间的关键问题。
■一项嵌套融合平行混合方法研究评估了危重疾病后6个月的家庭访视期间的身体功能，同时进行半结构化访谈。
方法：参与者来自墨尔本一家医疗保健网络的两家医院，澳大利亚从2017年9月至2018年10月，随访数据于2019年4月完成。
方法：通过四个客观结果评估身体功能：功能独立性测量，六分钟步行测试,功能达到测试，和握力。半结构化访谈侧重于参与者的功能，重症监护和住院的记忆，出院时需要的援助，持续的限制，和恢复过程。
结果：尽管许多参与者（12/20，60％）表示他们已经从危重疾病中康复，14人(70%)的功能低于预期的人口标准。通常有报道称回家后功能下降，尽管有11名参与者被描述为独立且安全地从医院工作人员中出院。强调了家庭和社会网络对促进出院的重要性，然而，参与者经常描述想要更多的支持和访问服务的问题。危重病对家庭网财务状况的影响得到确认,难以获得财政支持。
结论：危重病幸存者感觉到比测量更好的功能状态，但许多报告在危重疾病后6个月出现新的限制。家人和朋友在促进家庭过渡和提供财政支持方面发挥着至关重要的作用。
结论:落实具体的出院联络人员提供教育,支持和协助从医院护理过渡到家庭，特别是那些没有稳定社会支持的人，可以改善危重疾病幸存者的康复过程。
■一项嵌套融合平行混合方法研究评估了危重疾病后6个月的家庭访视期间的身体功能，同时进行半结构化访谈。
方法：参与者来自墨尔本一家医疗保健网络的两家医院，澳大利亚从2017年9月至2018年10月，随访数据于2019年4月完成。
方法：通过四个客观结果评估身体功能：功能独立性测量，六分钟步行测试,功能达到测试，和握力。半结构化访谈侧重于参与者的功能，重症监护和住院的记忆，出院时需要的援助，持续的限制，和恢复过程。
结果：尽管许多参与者（12/20，60％）表示他们已经从危重疾病中康复，14人(70%)的功能低于预期的人口标准。通常有报道称回家后功能下降，尽管有11名参与者被描述为独立且安全地从医院工作人员中出院。强调了家庭和社会网络对促进出院的重要性，然而，参与者经常描述想要更多的支持和访问服务的问题。危重病对家庭网财务状况的影响得到确认,难以获得财政支持。
结论：危重病幸存者感觉到比测量更好的功能状态，但许多报告在危重疾病后6个月出现新的限制。家人和朋友在促进家庭过渡和提供财政支持方面发挥着至关重要的作用。
结论:落实具体的出院联络人员提供教育,支持和协助从医院护理过渡到家庭，特别是那些没有稳定社会支持的人，可以改善危重疾病幸存者的康复过程。
