Chinese Journal of Nursing ›› 2021, Vol. 56 ›› Issue (3): 347-352.DOI: 10.3761/j.issn.0254-1769.2021.03.005

• Special Planning——Critical Care Nursing • Previous Articles     Next Articles

A qualitative research on post-traumatic growth experience of family members of ICU patients in neurosurgery

LIN Qi,ZENG Li,REN Junhong   

  • Received:2020-05-15 Online:2021-03-15 Published:2021-03-16

ICU患者家属创伤后成长体验的质性研究

林琪,曾莉,任君红   

  1. 200072 上海市 同济大学附属第十人民医院神经重症监护病房(林琪,曾莉),眼科(任君红)
  • 作者简介:林琪:女,硕士,主管护师,E-mail: 395494936@qq.com
  • 基金资助:
    国家自然科学基金(72004162);上海市第十人民医院国家自然基金院内培育项目(04.03.19.152)

Abstract:

Objective To deeply understand the real post-traumatic growth experience of the family members of ICU patients in neurosurgery. Methods The descriptive phenomenological method in qualitative research was used to conduct in-depth interviews with the family members of 12 ICU patients from neurosurgery of a tertiary hospital in Shanghai. Nvivo11 software was used to manage the interview data,and Colaizzi 7-step analysis was used to summarize and extract the topics. Results 4 themes are extracted:the change of philosophy of life,including the appreciation of life,attention to their own health,the establishment of life priorities,the uncertainty of the future;the enhancement of personal strength,including the exploitation of advantage potential,the enhancement of sense of responsibility,the enhancement of sense of self-dependence;improving relationships with others,including "altruistic behavior",and benefiting from interpersonal communication;coping effectively involves setting expectations,comparing downward,and learning to adjust. Conclusion Family members of neurosurgery ICU patients in the fight against adversity can experience the process of posttraumatic growth,present the positive self-change phenomenon;clinical medical personnel should pay attention to patients' family members experience actively,integrating posttraumatic growth and clinical psychological nursing care,clinical intervention to inspire potential and cultivate positive energy,promote growth,as the theme of paradigm shift.

Key words: Intensive Care Units, Family Member, Post-Traumatic Growth, Qualitative Research, Psychological Nursing

摘要:

目的 深入了解神经外科ICU患者家属创伤后成长的真实体验。方法 采用质性研究中描述性现象学研究法,于2019年4月—8月对12名上海市某三级甲等综合医院神经外科ICU患者家属进行深入访谈,借助Nvivo 11软件管理访谈资料,采用Colaizzi 7步分析法进行归纳分析并提炼主题。 结果 共提炼出4个主题:人生哲学的改变,包括对生命的欣赏、关注自身健康、确立生活的优先次序、不确定的未来;个人力量增强,包括挖掘优势潜能、责任感增强、自我依靠感增强;与他人关系改善,包括“为己利他”行为、人际交往中获益;有效应对,包括设定希望、向下比较、学会自我调适。 结论 神经外科ICU患者家属在对抗逆境的过程中能体验到创伤后成长,呈现积极的自我变化现象,临床医护人员应关注患者家属的积极体验,将创伤后成长与临床心理护理整合,促成临床干预向以激发潜能、培养积极力量、促进成长为主题的范式转变。

关键词: 重症监护病房, 家属, 创伤后成长, 质性研究, 心理护理