重症监护室护士视角下临终患者需求的质性研究

Intensive care unit nurses' perspective for the needs of dying patients in ICU:a qualitative study

目的探讨重症监护室(intensive care unit,ICU)护士视角下临终患者的需求状况。方法采用质性研究中现象学描述性定性研究方法,对本市某3家三级甲等综合医院的11名ICU护士进行一对一的半结构式深入访谈,并运用Colaizzi分析程序进行资料分析,了解ICU护士对临终患者需求的描述。结果ICU护士对临终患者的需求描述为:没有痛苦的生理负担;维护尊严,能得到理解并满足其心愿;在临终期间有家属的陪伴和支持;亲人能够平静接受患者即将离开的事实。结论依据ICU临终患者的需求,医务人员应进一步关注对ICU临终患者的人文关怀,并提供优质的临终护理服务,帮助其舒适安宁地走完人生最后阶段。

Objective To explore the needs of intensive care unit（ICU） patients in the intensive care unit from nurses ＇perspectives. Methods A descriptive qualitative study of data generated from individual in-depth interviews of eleven intensive care nurses was to learn about the needs of ICU dying patients. Colaizzi analysis was used to analysis the data. Result The ICU nurses＇ description for needs of ICU dying patients are described as： have no physical burden of pain, to maintain dignity, to be understood and to fulfill their wishes, and family members are able to calmly accept the fact that the patient is about to leave. Conclusion According to the needs of ICU dying patients, medical staff should further concern about the humane care for ICU dying patients,and provide quality nursing care to help them live peacefully through the final stages of life.