ICU同伴支持小组对第四医院ICU幸存者和护理人员出院后的效用（ICU同伴支持研究）

IF 2.9 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Patient Education and Counseling Pub Date : 2025-04-25 DOI:10.1016/j.pec.2025.108795

Krishnaswamy Sundararajan , Simone Dafoe , Kristin Hayres , Andre Koronis , Sarah Doherty , Shaad Manchanda , Caroline Phelan , Mohammad Afzal Mahmood

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引用次数: 0

摘要

目的本研究旨在探讨ICU幸存者和护理者（即消费者）对ICU同伴支持小组（PSG）效用的看法。方法采用焦点小组讨论（fgd）对南澳大利亚阿德莱德一家四级转诊中心的前患者（即幸存者）和护理人员（即成人混合内科-外科重症监护病房（ICU））进行定性研究。进行了有目的的抽样以确定参与者。半结构化的指南被用来促进小组成员之间的讨论。与前ICU患者（即幸存者）和护理人员进行了四次焦点小组讨论。专题分析确定了主题和次级主题，使我们了解了ICU同伴支持小组的效用，并确定了需要改进的系统级领域。ICU幸存者及其护理人员通过医院运营的ICU同伴支持小组招募。结果13名幸存者（5名女性，平均年龄56岁）和9名照顾者（7名女性，平均年龄39岁（SD 33.6））同意参加焦点小组讨论。该研究确定了与同伴支持小组的实用性相关的六个主题：(1)处理ICU的影响，(2)在ICU时同伴支持小组和重症监护后综合症的信息，(3)在同伴支持小组会议期间提供的信息(4)领导力(5)管理具有挑战性的情况和照顾者的期望以及(6)组织改进的机会。结论ICU幸存者及其护理人员重视ICU同伴支持护理模式，并能识别单位和系统层面的改进机会，以满足消费者未满足的需求。实践意义ICU幸存者及其护理者对ICU同伴支持小组的观点和观点确定了同伴支持和幸存者效用的主题。这有助于进一步定义同行支持计划，并通过与消费者合作，为构建和运营icu提供平台。

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Utility of an ICU peer support group for ICU survivors and caregivers post-discharge from a quaternary hospital (ICU Peer Support Study)

Objectives

This study aims to explore ICU survivors' and caregivers' (i.e., consumers') perspectives on the utility of an ICU peer support groups (PSG).

Methods

A qualitative study using focus group discussions (FGDs) of former patients (i.e., Survivors) and caregivers (i.e., adult mixed medical-surgical intensive care unit (ICU) in a quaternary referral centre in Adelaide, South Australia. Purposive sampling was conducted to identify participants. The semi-structured guide was utilised to facilitate discussion with group members. Four focus group discussions were conducted with former ICU patients (i.e., survivors) and caregivers. Thematic analysis identified themes and subthemes that informed us about the utility of the ICU peer support group and identified system-level areas for improvement. ICU survivors and their caregivers were recruited via the hospital-run ICU peer support group.

Results

Thirteen survivors (five females, mean age 56, and nine caregivers (seven females, mean age 39 (SD 33.6)) consented to participate in the focus group discussions. The study identified six themes relevant to the utility of the peer support group: (1) Dealing with the impact of ICU, (2) Information on peer support groups and post-intensive care syndrome whilst in ICU, (3) Information provided during peer support group meetings (4) Leadership (5) Managing challenging situations and expectations of caregivers and (6) Opportunities for organisational improvement.

Conclusion

ICU survivors and their caregivers value the ICU peer support model of care and can identify unit and system-level improvement opportunities to meet consumers' unmet needs.

Practice implications

ICU survivors and their caregivers' perspectives and viewpoints regarding this ICU peer support group identifies themes on the utility of peer support and survivorship. This is beneficial in further defining a peer support program and offering a platform for structuring and operationalising ICUs by partnering with consumers.

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来源期刊

Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

11.40%

发文量

384

审稿时长

46 days

期刊介绍： Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.