使用身体约束的ICU患者心理体验的质性研究

Qualitative research on psychological experiences of patients using physical restraints in ICU

目的探讨在ICU中使用身体约束患者的真实心理体验。方法采用质性研究方法,对16例在ICU中使用过身体约束的患者进行深入访谈,运用Colaizzi分析程序进行资料分析。结果接受访谈的16例在ICU中使用过身体约束患者的心理体验主要包括:理解;自主性和尊严受到威胁;焦虑、抑郁;孤独、恐惧。结论针对ICU中使用身体约束患者的心理特点,护理人员应合理使用身体约束,主动引导、帮助患者改善不良情绪,促进康复。

Objective To explore the psychological experience of patients using physical restraints in ICU. Methods Qualitative research method was used,16 cases using physical restraints in ICU were involved in depth interview. The data were analyzed by Colaizzi procedure. Results Four themes were extracted, including understanding of physical restraint, feeling of autonomy and dignity threatened, anxiety and depression, loneliness and fear. Conclusion According to the characteristics of psychological experiences of ICU patients using physical restraints, nurses should use physical restraints reasonably, take good care of patients using physical restraints and help them alleviate negative moods to promote rehabilitation initiatively.