Stabilizing life: A grounded theory of surviving critical illness

被引:8
|
作者
Vogel, Gisela [1 ]
Joelsson-Alm, Eva [1 ]
Forinder, Ulla [2 ]
Svensen, Christer [1 ]
Sandgren, Anna [3 ]
机构
[1] Karolinska Inst, Dept Clin Sci & Educ, Unit Anaesthesiol & Intens Care, Sodersjukhuset, Sjukhusbacken 10, S-11883 Stockholm, Sweden
[2] Univ Gavle, Fac Hlth & Occupat Studies, Kungsbacksvagen 47, S-80176 Gavle, Sweden
[3] Linnaeus Univ, Ctr Collaborat Palliat Care, Dept Hlth & Caring Sci, Univ Platsen 1, S-35252 Vaxjo, Vaxjo, Sweden
关键词
Critical care; Critically ill patients; Grounded theory; Intensive care units; Rehabilitation; INTENSIVE-CARE-UNIT;
D O I
10.1016/j.iccn.2021.103096
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Objectives: The experience of critical illness among patients is both complex and multifaceted. It can make patients vulnerable to long-term consequences such as impairment in cognition, mental health and physical functional ability which affects health related quality of life. This study aims to explore patients' patterns of behaviour during the process from becoming critical ill to recovery at home. Design: We used a classic grounded theory methodology to explore the main concern for intensive care patients. Thirteen participants were interviewed and seven different participants were observed. Setting: Three general intensive care units in Sweden, consisting of a university hospital, a county hospital and a district hospital. Findings: The theory Stabilizing life explains how patients' main concern, being out of control, can be resolved. This theory involves two processes, recapturing life and recoding life, and one underlying strategy, emotional balancing that is used during the whole process. Conclusion: The process from becoming critically ill until recovery home is perceived as a constant fight in actions and mind to achieve control and stabilize life. This theory can form the basis for further qualitative and quantitative research about interventions that promotes wellbeing during the whole process. (c) 2021 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (http:// creativecommons.org/licenses/by/4.0/).
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页数:8
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