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Dependency in Critically Ill Patients: A Meta-Synthesis

机译:重症患者的依赖性:元合成

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By necessity, critically ill patients admitted to intensive care units (ICUs) have a high level of dependency, which is linked to a variety of negative feelings, such as powerlessness. However, the term dependency is not well defined in the critically ill patients. The concept of a??dependencya?? in critically ill patients was analyzed using a meta-synthesis approach. An inductive process described by Deborah Finfgeld-Connett was used to analyze the data. Overarching themes emerged that reflected critically ill patientsa?? experience and meaning of being in dependency were (a) antecedents: dependency in critically ill patients was a powerless and vulnerable state, triggered by a life-threatening crisis; (b) attributes: the characteristic of losing a??selfa?? was featured by dehumanization and disembodiment, which can be alleviated by a a??selfa??-restoring process; and (c) outcomes: living with dependency and coping with dependency. The conceptual model explicated here may provide a framework for understanding dependency in critically ill patients.
机译:必要时,重症监护病房(ICU)所收治的重症患者具有很高的依赖性,这与各种负面感觉(如无能为力)有关。但是,在重症患者中术语“依存关系”的定义不明确。依赖性的概念在危重病人中,使用荟萃综合方法进行分析。 Deborah Finfgeld-Connett描述的归纳过程用于分析数据。出现了反映危重病人的总体主题a?依赖的经验和含义是:(a)先例:危重病人的依赖是一种无能为力的脆弱状态,是由危及生命的危机引发的; (b)属性:失去“自我”的特征特点是非人性化和个体化,可以通过“自我”恢复过程得到缓解。 (c)结果:与依赖共存并应对依赖。这里阐述的概念模型可以为理解重症患者的依赖性提供一个框架。

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