Patients' Priorities and Goals of Care During Intensive Care Unit Recovery: A Multicenter Cohort Study.

IF 2.2 3区医学 Q2 CRITICAL CARE MEDICINE

American Journal of Critical Care Pub Date : 2025-09-01 DOI:10.4037/ajcc2025564

Elizabeth Smith, Pamela MacTavish, Martin Shaw, Pauline Murray, Peter O'Brien, Lucy Hogg, Marie Peck, Tara Quasim, Joanne McPeake

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引用次数: 0

Abstract

Background: Patients can experience physical, emotional, social, and cognitive challenges following discharge from critical care. Data regarding goals of care for intensive care unit recovery from a patient's perspective are limited.

Objectives: To use data from a multicenter intensive care unit recovery program to explore patients' goals during recovery from critical illness and to understand optimal models of care for future research design and care delivery.

Methods: This multicenter, descriptive cohort study recruited patients who attended critical care recovery services after hospital discharge. During attendance, patients set goals of care with health care professionals. These goals of care were evaluated with framework analysis.

Results: One hundred fifty-one patients were recruited from 3 hospital sites in Scotland. Of these patients, 134 (88.7%) set a total of 314 personal goals. Analysis of the goals revealed 5 categories: physical; health management; emotional and psychosocial; education, employment, and purpose; and social and interpersonal goals. Goals were related to both chronic disease management and acute recovery following critical illness.

Conclusions: Survivors of critical illness have various goals of care for recovery that span physical, social, and emotional needs. Clinicians and researchers should consider these goals of care when planning interventional research in this area to ensure that it meets patients' need and expectations.

查看原文本刊更多论文

重症监护病房康复期间患者的优先级和护理目标：一项多中心队列研究。

背景：重症监护出院后，患者可能会经历身体、情感、社会和认知方面的挑战。从患者的角度来看，关于重症监护病房康复护理目标的数据是有限的。目的：利用多中心重症监护病房康复项目的数据，探讨危重疾病患者康复期间的目标，并了解未来研究设计和护理提供的最佳护理模式。方法：这项多中心、描述性队列研究招募了出院后参加重症监护康复服务的患者。在就诊期间，患者与卫生保健专业人员一起设定护理目标。这些护理目标通过框架分析进行评估。结果：从苏格兰的3家医院招募了151名患者。其中134例（88.7%）患者共设定了314个个人目标。对目标的分析揭示了5类：物理目标；健康管理;情感和社会心理；教育、就业和宗旨；以及社会和人际目标。目标与慢性疾病管理和危重疾病后的急性康复有关。结论：危重疾病的幸存者有各种各样的康复护理目标，包括身体、社会和情感需求。临床医生和研究人员在规划该领域的介入性研究时应考虑这些护理目标，以确保其满足患者的需求和期望。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Journal of Critical Care 医学-护理

CiteScore

4.30

自引率

3.70%

发文量

103

审稿时长

6-12 weeks

期刊介绍： The editors of the American Journal of Critical Care (AJCC) invite authors to submit original manuscripts describing investigations, advances, or observations from all specialties related to the care of critically and acutely ill patients. Papers promoting collaborative practice and research are encouraged. Manuscripts will be considered on the understanding that they have not been published elsewhere and have been submitted solely to AJCC.