通过家庭合作探索重症患者的功能恢复：描述性定性研究。

IF 2.6 3区医学 Q2 CRITICAL CARE MEDICINE

Australian Critical Care Pub Date : 2025-01-01 DOI:10.1016/j.aucc.2024.06.007

Julie Cussen MN, BN , Sasithorn Mukpradab RN, PhD , Georgia Tobiano RN, PhD , Kimberley J. Haines BHSc, PhD , Lauren O’Connor MPhil, BPhty , Andrea P. Marshall RN, PhD

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引用次数: 0

摘要

背景：早期动员干预在预防重症监护病房危重病人获得性虚弱方面发挥着作用，并可能有助于改善康复。以患者和家属为中心的护理包括医护人员和家属之间的合作，是促进重症监护早期动员的潜在策略；然而，我们目前还不知道家属对合作和参与早期动员干预的偏好：本研究的目的是探讨家庭成员对与医护人员合作对成年重症患者进行早期动员干预的可接受性和可行性的看法：方法：描述性定性设计。对入住重症监护病房的成年重症患者的家属进行了半结构化访谈。数据通过个人录音访谈收集。访谈数据采用布劳恩和克拉克所描述的主题分析的六个阶段进行分析。本研究按照《定性研究报告综合标准》进行报告：大多数危重病人的家庭成员都认为与医护人员合作进行早期动员干预的想法是可以接受和可行的，尽管他们之前都没有考虑过合作。参与者认为他们参与早期动员会对患者和他们自己的健康产生积极的影响。所发现的主题表明，在早期动员干预中，家庭成员与医护人员合作之前，需要了解家庭成员的准备情况以及他们在陌生的重症监护环境中感受到欢迎和融入的需求：家庭成员认为在早期动员干预中与医护人员合作是可以接受的，也是可行的，但其实施受到家庭成员的准备程度和归属感的影响。

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Exploring critically ill patients’ functional recovery through family partnerships: A descriptive qualitative study

Background

Early mobilisation interventions play a role in preventing intensive care unit–acquired weakness in critically ill patients and may contribute to improved recovery. Patient-and-family-centred care includes collaborative partnerships between healthcare professionals and families and is a potential strategy to promote early mobilisation in critical care; however, we currently do not know family member preferences for partnering and involvement in early mobilisation interventions.

Objectives

The objective of this study was to explore family member perspectives on the acceptability and feasibility of partnering with healthcare professionals in early mobilisation interventions for adult critically ill patients.

Methods

A descriptive qualitative design. Semistructured interviews were conducted with family members of adult critically ill patients admitted to an intensive care unit. Data were collected through individual audio-recorded interviews. Interview data were analysed using the six phases of thematic analysis described by Braun and Clark. This study is reported following the Consolidated Criteria for Reporting Qualitative Research guidelines.

Results

Most family members of critically ill patients found the idea of partnering with healthcare professionals in early mobilisation interventions acceptable and feasible, although none had ever considered a partnership before. Participants thought their involvement in early mobilisation would have a positive impact on both the patient's and their own wellbeing. Themes uncovered showed that understanding family-member readiness and their need to feel welcome and included in the unfamiliar critical care environment are required before family member and healthcare professional partnerships in early mobilisation interventions can be enacted.

Conclusions

Family members found partnering with healthcare professionals in early mobilisation interventions acceptable and feasible to enact, but implementation is influenced by their readiness and sense of belonging.

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来源期刊

Australian Critical Care NURSING-NURSING

CiteScore

4.90

自引率

9.10%

发文量

148

审稿时长

>12 weeks

期刊介绍： Australian Critical Care is the official journal of the Australian College of Critical Care Nurses (ACCCN). It is a bi-monthly peer-reviewed journal, providing clinically relevant research, reviews and articles of interest to the critical care community. Australian Critical Care publishes peer-reviewed scholarly papers that report research findings, research-based reviews, discussion papers and commentaries which are of interest to an international readership of critical care practitioners, educators, administrators and researchers. Interprofessional articles are welcomed.