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首页> 外文期刊>Scandinavian journal of caring sciences. >How do patients with exacerbated chronic obstructive pulmonary disease experience care in the intensive care unit?
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How do patients with exacerbated chronic obstructive pulmonary disease experience care in the intensive care unit?

机译：重症慢性阻塞性肺疾病患者如何在重症监护室进行护理？

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The aim was to gain insight into how patients with advanced chronic obstructive pulmonary disease (COPD) experience care in the acute phase. The study has a qualitative design with a phenomenological approach. The empirics consist of qualitative in-depth interviews with ten patients admitted to the intensive care units in two Norwegian hospitals. The interviews were carried out from November 2009 to June 2011. The data have been analysed through meaning condensation, in accordance with Amadeo Giorgi's four-step method. Kari Martinsen's phenomenological philosophy of nursing has inspired the study. An essential structure of the patients' experiences of care in the intensive care unit by acute COPD-exacerbation may be described as: Feelings of being trapped in a life-threatening situation in which the care system assumes control over their lives. This experience is conditioned not only by the medical treatment, but also by the entire interaction with the caregivers. The essence of the phenomenon is presented through three themes which describe the patient's lived experience: preserving the breath of life, vulnerable interactions and opportunities for better health. Acute COPD-exacerbation is a traumatic experience and the patients become particularly vulnerable when they depend on others for breathing support. The phenomenological analysis shows that the patients experience good care during breath of life preservation when the care is performed in a way that gives patients more insight into their illness and gives new opportunities for the future.
机译：目的是了解晚期慢性阻塞性肺疾病（COPD）患者如何在急性期进行护理。该研究采用现象学方法进行定性设计。经验包括对两家挪威医院的10名重症监护病房住院患者进行定性深入访谈。访谈于2009年11月至2011年6月进行。根据Amadeo Giorgi的四步法，通过意义汇总对数据进行了分析。 Kari Martinsen的护理现象学哲学启发了这项研究。急性COPD急性加重患者在重症监护病房的护理经历的基本结构可描述为：陷入危及生命的境地的感觉，在这种情况下，护理系统控制了他们的生活。这种经验不仅取决于药物治疗，还取决于与护理人员的整个互动。该现象的实质通过三个主题来描述，这些主题描述了患者的生活经历：保持生命呼吸，脆弱的互动以及获得更好健康的机会。急性COPD恶化是一种创伤性经历，当患者依赖他人进行呼吸支持时，他们变得特别脆弱。现象学分析表明，以某种方式进行护理时，患者可以在生命的呼吸中得到良好的护理，使患者对疾病有更多的了解，并为未来提供了新的机会。

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