PDF(Pubmed)
Abstract：
UNASSIGNED: Intensive care units deliver care to a heterogeneous group of patients with pre-existing co-morbid disease. Focus has shifted to improving health related quality of life with more patients surviving beyond hospital discharge. Randomised controlled trials evaluating follow-up interventions, to improve physical recovery, have not demonstrated a health-related quality of life benefit. Qualitative research may provide the context to understand the experiences of intensive care survivors during follow-up care addressing physical limitations.
UNASSIGNED: To synthesise qualitative studies and explore Intensive Care survivors\' experiences and perspectives of physical symptoms in the context of follow-up care.
UNASSIGNED: A systematic search of electronic databases (MEDLINE, Cumulative Index of Nursing and Allied Health Literature, Web of Science, Applied Social Sciences Index and Abstracts, Ovid Nursing and Ovid Emcare) was conducted to identify peer-reviewed primary qualitative studies. No date parameters were applied. Inclusion/exclusion criteria guided the screening process.
UNASSIGNED: The data from eligible primary research studies was extracted into NVivo (v12).
UNASSIGNED: Critical appraisal was completed using the Joanna Briggs Critical Appraisal Tool. Thematic analysis, guided by Braun and Clarke (2022), informed the data synthesis.
UNASSIGNED: From 2457 studies, ten relevant studies were included. Two main themes were identified: 1. Recovery as uncertain; which outlines the uncertainty experienced by intensive care unit survivors during recovery. This theme pertained to system-level factors (role of healthcare professional and information provision) which provides the context for delivering follow-up care. 2. Self-determination of recovery; outlines individual characteristics in determining recovery which is conceptualised by patient-level factors (motivation, support network and perception of health).
UNASSIGNED: For intensive care survivors, the recovery trajectory is uncertain with a gap in information provision during the acute phase following hospital discharge. Patients\' self-determination of recovery is an important consideration to ensure follow-up care addresses the needs of individual patients. The impact of pre-existing co-morbid disease and subgroups of patients deriving benefit from follow-up care remains uncertain.
UNASSIGNED: PROSPERO Registration no. CRD42022355711.
UNASSIGNED: Patients\' experiences of post-hospital follow-up care to improve physical recovery for intensive care survivors: A Systematic Review of Qualitative Research.
UNASSIGNED: To synthesise qualitative studies and explore Intensive Care survivors\' experiences and perspectives of physical symptoms in the context of follow-up care.
UNASSIGNED: A systematic search of electronic databases (MEDLINE, Cumulative Index of Nursing and Allied Health Literature, Web of Science, Applied Social Sciences Index and Abstracts, Ovid Nursing and Ovid Emcare) was conducted to identify peer-reviewed primary qualitative studies. No date parameters were applied. Inclusion/exclusion criteria guided the screening process.
UNASSIGNED: The data from eligible primary research studies was extracted into NVivo (v12).
UNASSIGNED: Critical appraisal was completed using the Joanna Briggs Critical Appraisal Tool. Thematic analysis, guided by Braun and Clarke (2022), informed the data synthesis.
UNASSIGNED: From 2457 studies, ten relevant studies were included. Two main themes were identified: 1. Recovery as uncertain; which outlines the uncertainty experienced by intensive care unit survivors during recovery. This theme pertained to system-level factors (role of healthcare professional and information provision) which provides the context for delivering follow-up care. 2. Self-determination of recovery; outlines individual characteristics in determining recovery which is conceptualised by patient-level factors (motivation, support network and perception of health).
UNASSIGNED: For intensive care survivors, the recovery trajectory is uncertain with a gap in information provision during the acute phase following hospital discharge. Patients\' self-determination of recovery is an important consideration to ensure follow-up care addresses the needs of individual patients. The impact of pre-existing co-morbid disease and subgroups of patients deriving benefit from follow-up care remains uncertain.
UNASSIGNED: PROSPERO Registration no. CRD42022355711.
UNASSIGNED: Patients\' experiences of post-hospital follow-up care to improve physical recovery for intensive care survivors: A Systematic Review of Qualitative Research.
摘要：
■重症监护病房为一组先前存在的共病患者提供护理。重点已转移到改善与健康相关的生活质量，使更多的患者出院后幸存下来。评估随访干预措施的随机对照试验，为了改善身体恢复，没有表现出与健康相关的生活质量益处。定性研究可以提供背景，以了解重症监护幸存者在解决身体限制的后续护理期间的经历。
■综合定性研究并探索重症监护幸存者在后续护理背景下的身体症状的经验和观点。
■对电子数据库的系统搜索(MEDLINE，护理和相关健康文献的累积指数，WebofScience,应用社会科学索引和摘要，进行了OvidNursing和OvidEmcare）以确定同行评审的主要定性研究。未应用日期参数。纳入/排除标准指导筛选过程。
■来自符合条件的主要研究研究的数据被提取到NVivo（v12）中。
■关键评估是使用JoannaBriggs关键评估工具完成的。专题分析,布劳恩和克拉克(2022)告知数据综合。
■来自2457项研究，纳入了10项相关研究。确定了两个主要主题：1.恢复不确定；概述了重症监护病房幸存者在恢复期间所经历的不确定性。这个主题涉及系统级因素（医疗保健专业人员的作用和信息提供），为提供后续护理提供了背景。2.自我决定恢复；概述了确定恢复的个体特征，这些特征是由患者水平因素概念化的(动机，支持网络和健康感知)。
■对于重症监护幸存者，康复轨迹不确定,出院后急性期信息提供存在差距.患者自我决定康复是确保后续护理满足个体患者需求的重要考虑因素。预先存在的合并症和从随访护理中获益的患者亚组的影响仍然不确定。
■PROSPERO注册号。CRD420223555711。
■患者接受院后随访护理以改善重症监护幸存者身体康复的经验：定性研究的系统评价。
■综合定性研究并探索重症监护幸存者在后续护理背景下的身体症状的经验和观点。
■对电子数据库的系统搜索(MEDLINE，护理和相关健康文献的累积指数，WebofScience,应用社会科学索引和摘要，进行了OvidNursing和OvidEmcare）以确定同行评审的主要定性研究。未应用日期参数。纳入/排除标准指导筛选过程。
■来自符合条件的主要研究研究的数据被提取到NVivo（v12）中。
■关键评估是使用JoannaBriggs关键评估工具完成的。专题分析,布劳恩和克拉克(2022)告知数据综合。
■来自2457项研究，纳入了10项相关研究。确定了两个主要主题：1.恢复不确定；概述了重症监护病房幸存者在恢复期间所经历的不确定性。这个主题涉及系统级因素（医疗保健专业人员的作用和信息提供），为提供后续护理提供了背景。2.自我决定恢复；概述了确定恢复的个体特征，这些特征是由患者水平因素概念化的(动机，支持网络和健康感知)。
■对于重症监护幸存者，康复轨迹不确定,出院后急性期信息提供存在差距.患者自我决定康复是确保后续护理满足个体患者需求的重要考虑因素。预先存在的合并症和从随访护理中获益的患者亚组的影响仍然不确定。
■PROSPERO注册号。CRD420223555711。
■患者接受院后随访护理以改善重症监护幸存者身体康复的经验：定性研究的系统评价。
