关键词: COVID-19 Thailand critical illness near-death phenomenological study

Mesh : Humans COVID-19 / psychology Critical Illness / psychology Male Female Thailand Middle Aged Adult Survivors / psychology statistics & numerical data Adaptation, Psychological SARS-CoV-2 Intensive Care Units / organization & administration Aged Qualitative Research Pandemics

来  源:   DOI:10.1177/10436596241229487

Abstract:
The COVID-19 pandemic has resulted in severe illnesses worldwide. Around 655.5 million cases were having been confirmed, including 6.6 million deaths. The extreme cases experienced near death in the intensive care unit (ICU). This study explored the survivors\' experience of being near death while critically ill with the infection.
A descriptive phenomenological study was employed. Data were collected through in-depth interviews with 14 participants from Northeastern Thailand. Content analysis was applied by using Creswell\'s strategy.
Four themes emerged: (a) anxiety and fear of dying alone, (b) environmental chaos, (c) using Thai Buddhist teaching in coping, and (d) returning from the brink of death. Moreover, the patients felt great gratitude and were grateful to the health care team.
Traumas experienced by patients in the ICU included physical and psychological distress, coping strategies, and an understanding of cultural awareness.
Psychological and culturally congruent care should be implemented for patients in the ICU.
摘要:
COVID-19大流行在全球范围内导致了严重的疾病。已确认约6.555亿例病例,包括660万人死亡。极端病例在重症监护病房(ICU)中濒临死亡。这项研究探讨了幸存者在感染危重时濒临死亡的经历。
采用描述性现象学研究。数据是通过对来自泰国东北部的14名参与者的深入访谈收集的。采用Creswell策略进行内容分析。
出现了四个主题:(a)焦虑和害怕独自死亡,(b)环境混乱,(c)利用泰国佛教教义应对,(d)从死亡的边缘回来。此外,病人感到非常感谢,并感谢医疗团队。
ICU患者经历的创伤包括身体和心理困扰,应对策略,以及对文化意识的理解。
应对ICU患者实施心理和文化上一致的护理。
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