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Developing a theory of family care during critical illness

机译:发展重大疾病期间的家庭护理理论

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BACKGROUND: The critical illness of a loved one can negatively affect all family members (FMs), leading to the interruption of family functioning and integrity. Hospitalisation is a stressful, unplanned event for both the patient and FMs and is associated with psychological disturbances, emotional distress and altered family roles and functioningOBJECTIVE: To develop a theory of family care in critical care units (CCUs) for the South African settingMETHODS: Grounded theory, based on Strauss and Corbin's school of thought, was used. Audio-recorded in-depth interviews were conducted with 32 participants (9 FMs, 17 critical care nurses and 6 doctors) at a private hospital (3 CCUs) and a state hospital (10 CCUs). Data analysis involved open, axial and selective codingRESULTS: The theory of family care during critical illness was identified. The core concept of the theory is empowerment, informed by the underlying constructs of information sharing, proximity, garnering resources, and cultural and religious cooperationCONCLUSION: The concepts of this theory can equip healthcare professionals in CCUs to provide appropriate family care for meeting the needs of patients' FMs and, in so doing, contribute to families having a more manageable critical care experience during the illness of their loved one.
机译:背景:亲人的重病可能会对所有家庭成员(FM)产生负面影响,从而导致家庭功能和诚信受到干扰。住院对患者和FM来说都是压力大,计划外的事件,并且与心理障碍,情绪困扰,家庭角色和功能改变有关。目标:为南非环境发展重症监护病房(CCU)的家庭护理理论方法:扎根使用了基于施特劳斯和科宾思想流派的理论。在私立医院(3个CCU)和州立医院(10个CCU)对32位参与者(9名FM,17名重症监护护士和6位医生)进行了录音深度访谈。数据分析涉及开放,轴向和选择性编码。结果:确定了重症患者的家庭护理理论。该理论的核心概念是赋权,其基础是信息共享,亲近,获取资源以及文化和宗教合作的基础结构。结论:该理论的概念可以使CCU的医疗保健专业人员配备适当的家庭护理,以满足他们的需求。患者的FM,从而帮助家人在亲人生病期间获得更易于管理的重症监护经验。

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