Problems and health needs of adult extracorporeal membrane oxygenation patients following hospital discharge: A qualitative study

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• 作者：Kang-Hua Chen ; RN ; PhD^a ; Feng-Chun Tsai ; MD^b ; Chien-Sung Tsai ; MD^c ; Shu-Ling Yeh ; RN ; MSN^b ; ^e ; Li-Chueh Weng ; RN ; PhD^a ; Li-Chyun Yeh ; RN ; PhD^d ; ^{sub29990@gmail.com" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Extracorporeal membrane oxygenation ; Qualitative study ; Physical problem ; Psychosocial problem ; Health needs
• 刊名：Heart & Lung: The Journal of Acute and Critical Care
• 出版年：2016
• 出版时间：March-April 2016
• 年：2016
• 卷：45
• 期：2
• 页码：147-153
• 全文大小：241 K

文摘

To explore problems and health needs of adult extracorporeal membrane oxygenation (ECMO) patients during a one-year period following hospital discharge.

Background

ECMO functions as life support during treatment of advanced cardiac and respiratory failure. Knowledge regarding the problems and health needs of discharged adult patients who have undergone ECMO is lacking.

Methods

This study used a qualitative descriptive interview design. Fourteen adult ECMO patients were recruited by purposive sampling prior to discharge. Data were generated from semi-structure in-depth interviews at 3-month intervals following hospital discharge.

Results

Four themes described problems and needs post-discharge: stress resulting from ECMO surgery; making health a priority; support from family friends and health care professionals; and emotional support.

Conclusions

Multidisciplinary evidence-based interventions should be implemented prior to or soon after discharge to help with the physical, psychological and social problems that ECMO survivors experience, which can help improve their quality of life.