医学
缓和医疗
四分位间距
重症监护室
感觉
定性研究
危重病
重症监护
家庭医学
护理部
精神科
老年学
病危
心理学
重症监护医学
内科学
社会学
社会心理学
社会科学
作者
Tammy L. Eaton,Anna Lewis,Heidi Donovan,Brian Davis,Brad W. Butcher,Sheila Alexander,Theodore J. Iwashyna,Leslie P. Scheunemann,Jennifer B. Seaman
标识
DOI:10.1016/j.iccn.2022.103362
摘要
To examine the needs of adult survivors of critical illness through a lens of palliative care.A qualitative study of adult survivors of critical illness using semi-structured interviews and framework analysis.Participants were recruited from the post-intensive care unit clinic of a mid-Atlantic academic medical center in the United States.Seventeen survivors of critical illness aged 34-80 (median, 66) participated in the study. The majority of patients were female (64.7 %, n = 11) with a median length of index ICU stay of 12 days (interquartile range [IQR] 8-19). Interviews were conducted February to March 2021 and occurred a median of 20 months following the index intensive care stay (range, 13-33 months). We identified six key themes which align with palliative care principles: 1) persistent symptom burden; 2) critical illness as a life-altering experience; 3) spiritual changes and significance; 4) interpreting/managing the survivor experience; 5) feelings of loss and burden; and 6) social support needs.Our findings suggest that palliative care components such as symptom management, goals of care discussions, care coordination, and spiritual and social support may assist in the assessment and treatment of survivors of critical illness.
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