Experiences of inner strength in critically ill patients - A hermeneutical approach

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• 作者：Lise-Merete Alpers^a ; ^{lisemal@hotmail.com} ; ^{lise-merete.alpers@oslo-universitetssykehus.no} ; Sø ; lvi Helseth^b ; ¹ ; ^{solvi.helseth@su.hio.no} ; Ingegerd Bergbom^c ; ² ; ^{ingegerd.bergbom@gu.se}
• 关键词：Inner strength ; Ventilator ; Intensive ; Critically ill ; Hermeneutics
• 刊名：Intensive and Critical Care Nursing
• 出版年：2012
• 期刊代码：146_09643397
• 类别：med
• 出版时间：June, 2012
• 卷：28
• 期：3
• 页码：150-158
• 文件大小：351 K

摘要

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Summary

Becoming critically ill and in need of ventilator treatment is a considerable burden. Fear and anxiety are natural reactions and it is not uncommon for patients to experience hopelessness, withdrawal and depression. In situations like these the possession of inner strength can be of vital importance.

Objectives

To gain knowledge on what factors contribute to inner strength in critically ill patients cared for in an intensive care unit. The depth interviews were conducted with six former ventilator-treated patients aged 60-72 years.

Setting

The informants were recruited through the ICU at an urban hospital in Norway.

Research methodology/design

The study has an exploratory and descriptive design. A hermeneutic approach was used to interpret the data, in which Kvale's self-perception, critical common sense and theoretical levels were applied.

Results

The study clearly demonstrates that there are certain factors that promote the inner strength of patients undergoing ventilator treatment. These are: 鈥淭o have the support of next of kin鈥? 鈥淭he wish to go on living鈥? 鈥淭o be seen鈥?and 鈥淪igns of progress鈥? Amongst these patients it appears that the presence of one's next of kin has prime significance in promoting inner strength.