A qualitative exploration of acute care and psychological distress experiences of ECMO survivors

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• 作者：Ralph Tramm ; RN ; Dip (Nurs) ; BSc ; PGDip (ICU) ; MAppSc^a ; ^{ralph.tramm@monash.edu" class="auth_mail" title="E-mail the corresponding author} ; Dragan Ilic ; PhD^b ; Kerry Murphy ; PhD^b ; Jayne Sheldrake ; RN ; BEduc ; BArts (Honors) ; PGCert (Paed Critical C)^c ; Vincent Pellegrino ; MBBS ; FRACP ; FCICM^c ; Carol Hodgson ; PhD^a
• 关键词：Intensive care ; Intensive care experience ; Critical care ; Extracorporeal membrane oxygenation ; Stress disorder ; Stress ; Psychological ; Mental health ; Survivors ; Qualitative research
• 刊名：Heart & Lung: The Journal of Acute and Critical Care
• 出版年：2016
• 出版时间：May-June 2016
• 年：2016
• 卷：45
• 期：3
• 页码：220-226
• 全文大小：386 K

文摘

To explore the acute care experience of extracorporeal membrane oxygenation (ECMO) patients.

Background

ECMO is used in life-threatening scenarios of acute lung or heart failure. The patient's experience with ECMO treatment and the psychological distress are unknown.

Methods

Qualitative analysis of semi-structured interviews with ECMO survivors 12 months after discharge were conducted and thematically analyzed.

Results

Ten participants treated with ECMO for life-threatening acute heart or lung failure were interviewed. Six themes that captured the ICU experience of ECMO patients were identified including; dealing with crisis, critical care, memory, role of significant others and existence today and tomorrow. Deconditioning was the most frequently reported experience. Patchy factual memories contrasted with detailed delirious memories and paranoid ideations.

Conclusion

Patients treated with ECMO experienced deconditioning, perceived threats of serious injury or death and delusional episodes with recalls of psychological distress.