Transitions of Care After Critical Illness-Challenges to Recovery and Adaptive Problem Solving.
Transitions of Care After Critical Illness-Challenges to Recovery and Adaptive Problem Solving.
复制标题
关键疾病挑战后的护理过渡到康复和适应性问题解决。
DOI：
10.1097/ccm.0000000000005095
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发表时间：
2021-11-01
影响因子：
8.8
通讯作者：
Society of Critical Care Medicine’s Thrive Initiative
中科院分区：
文献类型：
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作者：
Haines KJ;Hibbert E;Leggett N;Boehm LM;Hall T;Bakhru RN;Bastin AJ;Butcher BW;Eaton TL;Harris W;Hope AA;Jackson J;Johnson A;Kloos JA;Korzick KA;Mactavish P;Meyer J;Montgomery-Yates A;Quasim T;Slack A;Wade D;Still M;Netzer G;Hopkins RO;Iwashyna TJ;Mikkelsen ME;McPeake J;Sevin CM;Society of Critical Care Medicine’s Thrive Initiative
调查危重疾病幸存者及其护理人员在从重症监护到社区护理过渡过程中所经历的挑战，以及用于应对这些挑战的潜在问题解决策略。定性设计 - 通过访谈生成数据，并通过框架分析方法进行数据分析。来自三大洲的患者和护理人员，通过重症监护医学协会的 THRIVE 国际合作网站（后续诊所和同伴支持小组）确定。重症患者和护理人员。无 从 86 次访谈（66 名患者，20 名护理人员）中，我们确定了以下主要主题： 1. 患者面临的挑战 – 与卫生系统的互动和护理方面的差距；管理他人对疾病和康复的期望； 2. 护理人员面临的挑战——卫生系统不足和沟通不充分；缺乏对护理人员的支持。 3. 在护理转变过程中患者和护理人员驱动的问题解决——个人属性、资源和主动性；获得支持并帮助他人；和验收。幸存者和护理人员在护理过渡过程中经历了一系列挑战。与护理人员的体验相关的主题截然不同且形成鲜明对比。幸存者和护理人员使用类似的问题解决策略来应对护理过渡过程中遇到的挑战。
Investigate the challenges experienced by survivors of critical illness and their caregivers across the transitions of care from intensive care to community, and the potential problem-solving strategies used to navigate these challenges. Qualitative design - data generation via interviews and data analysis via the Framework Analysis method. Patients and caregivers from three continents, identified through the Society of Critical Care Medicine’s THRIVE international collaborative sites (follow-up clinics and peer support groups). Patients and caregivers following critical illness. Nil From 86 interviews (66 patients, 20 caregivers), we identified the following major themes: 1. Challenges for patients – Interacting with the health system and gaps in care; Managing others’ expectations of illness and recovery; 2. Challenges for caregivers – Health system shortfalls and inadequate communication; and Lack of support for caregivers. 3. Patient and caregiver-driven problem solving across the transitions of care – Personal attributes, resources, and initiative; Receiving support and helping others; and Acceptance. Survivors and caregivers experienced a range of challenges across the transitions of care. There were distinct and contrasting themes related to the caregiver experience. Survivors and caregivers used comparable problem-solving strategies to navigate the challenges encountered across the transitions of care.