关键词: discharge experience family members intensive care unit perceptions qualitative

来  源:   DOI:10.3390/nursrep14020113   PDF(Pubmed)

Abstract:
BACKGROUND: Improving the understanding of the post-discharge experiences of family members after their loved ones leave the Intensive Care Unit (ICU) is essential for developing effective follow-up strategies. These strategies are crucial for mitigating potential negative outcomes for both patients and their families. The aim of this study was to explore the lived experiences of family members after the discharge of their loved ones from the ICU.
METHODS: In September 2023, we conducted a systematic search of qualitative studies across the following databases: CINAHL, MEDLINE, Scopus and Web of Science. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) was used to guide this review.
RESULTS: Eight articles met the inclusion criteria. Four themes were identified following evidence synthesis: (1) grappling with a weighty burden; (2) recognizing and confronting adversities along the way; (3) seeking support beyond one\'s own resources; and (4) addressing comprehensive care requirements.
CONCLUSIONS: Family members face significant psychological and physical challenges while caring for their loved ones recovering from an ICU stay. Adequate formal and informal help is imperative to provide support both during hospitalization and after discharge. A refined understanding of the distinct requirements and experiences of family members can serve as a strategic framework for informing educational interventions and follow-up programs during the transition from hospital settings to community-based care. This study was not registered.
摘要:
背景:在亲人离开重症监护病房(ICU)后,提高对家庭成员出院后经历的了解对于制定有效的随访策略至关重要。这些策略对于减轻患者及其家人的潜在负面结果至关重要。这项研究的目的是探索家庭成员从ICU出院后的生活经历。
方法:在2023年9月,我们对以下数据库中的定性研究进行了系统的搜索:CINAHL,MEDLINE,Scopus和WebofScience系统评价和荟萃分析(PRISMA)的首选报告项目用于指导本综述。
结果:8篇文章符合纳入标准。根据证据综合确定了四个主题:(1)克服沉重的负担;(2)认识并面对逆境;(3)寻求超出自己资源的支持;(4)解决全面的护理要求。
结论:家庭成员在照顾他们的亲人从ICU住院后恢复时面临重大的心理和生理挑战。必须在住院期间和出院后提供足够的正式和非正式帮助。对家庭成员的不同要求和经验的精确理解可以作为从医院环境过渡到社区护理期间告知教育干预和后续计划的战略框架。这项研究未注册。
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