Purpose: The purpose of this study was to understand the meanings and nature of ICU admission experienced among patients with critical illness. The present study adopted a hermeneutic phenomenological method which was developed by van Manen. Methods: The participants for this study were 6 men and 3 ...
Purpose: The purpose of this study was to understand the meanings and nature of ICU admission experienced among patients with critical illness. The present study adopted a hermeneutic phenomenological method which was developed by van Manen. Methods: The participants for this study were 6 men and 3 women, who were over the age of 20 with ICU admission period more than 3 days. Data were collected by using in-depth interviews and observations from March, 2007 to September, 2007. The contents of the interviews were tape-recorded with the consent of the subject. Results: The essential themes that fit into the context of the 4 existential grounds of body, time, space and other people were as follows: a body that cannot react the way it wants, a wave of fear and insecurity everywhere, a struggle to survive, coming out from death's door, loss of time path, a long and continued waiting until escaping, more of machinery room than a patient's room, existence of life and death, an abyss of suffering seen thru another patient, taken care of by a doctor, trust and distrust, family, the ultimate safe zone. Conclusion: Critically ill patients in ICU experienced feelings of discomfort, unsafety, and insecurity. The result of this study can give nurses some insight into these experiences and help promote empathetic care.
Purpose: The purpose of this study was to understand the meanings and nature of ICU admission experienced among patients with critical illness. The present study adopted a hermeneutic phenomenological method which was developed by van Manen. Methods: The participants for this study were 6 men and 3 women, who were over the age of 20 with ICU admission period more than 3 days. Data were collected by using in-depth interviews and observations from March, 2007 to September, 2007. The contents of the interviews were tape-recorded with the consent of the subject. Results: The essential themes that fit into the context of the 4 existential grounds of body, time, space and other people were as follows: a body that cannot react the way it wants, a wave of fear and insecurity everywhere, a struggle to survive, coming out from death's door, loss of time path, a long and continued waiting until escaping, more of machinery room than a patient's room, existence of life and death, an abyss of suffering seen thru another patient, taken care of by a doctor, trust and distrust, family, the ultimate safe zone. Conclusion: Critically ill patients in ICU experienced feelings of discomfort, unsafety, and insecurity. The result of this study can give nurses some insight into these experiences and help promote empathetic care.
중환자실에 입원했던 환자들이 기억하는 실재적 사건들은 환자들에게 스트레스 요인으로 지각되는데 이러한 스트레스 요인은 건강관련 삶의 질을 떨어뜨리고 무엇을 발생시키기도 하는가?
중환자실에 입원했던 환자들이 기억하는 실재적 사건들은 의료진과 보호자들을 포함한 사람과, 소음, 조명 등의 환경, 그리고 삽관, 흡인 등의 절차 등이다 (Roberts, Rickard, Rajbhandari, & Reynolds, 2005; Todres, Fulbrook, & Albarran, 2000). 이러한 것들은 흔히 환자들에게 스트레스 요인으로 지각되며, 그러한 스트레스 요인들은 건강관련 삶의 질을 떨어뜨리며 외상 후 스트레스증후군(post traumatic stress syndrome) 을 발생시키기도 한다(Egerod, Schwartz-Nielsen, Hansen, & Larkner, 2006; Scragg, Jones, & Fauvel, 2001). 이것은 실재적이거나 위협적인 죽음, 심각한 부상을 경험한 개인에게 두려움, 무기력 또는 공포에 대한 반응으로 발생하는 심각한 불안장애이며, 기억체계를 포함한 정신생물학적 과정에 영향을 미치는 것으로 보고되었다(Corrigan, Samuelson, Fridlund, & Thome, 2007).
중환자실에 입원했던 환자들이 기억하는 실재적 사건들은 무엇이 있는가?
중환자실에 입원했던 환자들이 기억하는 실재적 사건들은 의료진과 보호자들을 포함한 사람과, 소음, 조명 등의 환경, 그리고 삽관, 흡인 등의 절차 등이다 (Roberts, Rickard, Rajbhandari, & Reynolds, 2005; Todres, Fulbrook, & Albarran, 2000). 이러한 것들은 흔히 환자들에게 스트레스 요인으로 지각되며, 그러한 스트레스 요인들은 건강관련 삶의 질을 떨어뜨리며 외상 후 스트레스증후군(post traumatic stress syndrome) 을 발생시키기도 한다(Egerod, Schwartz-Nielsen, Hansen, & Larkner, 2006; Scragg, Jones, & Fauvel, 2001).
중환자실 환자의 입원과 관련된 경험의 의미와 본질이 무엇인지 이해하고자 시도된 본 연구의 결과를 바탕으로 제언을 하면?
첫째, 중환자실 환자의 관점에서 체험된 신체, 시간, 공간 및 관계를 고려한 중환자 간호중재개발이 이루어질 필요가 있다.
둘째, 중환자실 환자의 입원경험의 포괄적인 이해를 위해 일반병실로 옮긴 시점 외에 퇴원 후 가정요양 기간에 따른 연구가 필요하다고 본다.
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