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Journal of Nursing ›› 2020, Vol. 27 ›› Issue (11): 33-39.doi: 10.16460/j.issn1008-9969.2020.11.033

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Psychological Experience of Family Members of ICU Patients during ICU Transfer: A Meta-synthesis

YE Dong-ting1, ZHANG Qin-lian2, JING Shuang1, GUO Jia1, XING Yan-fen1   

  1. 1. School of Nursing, Shanxi University of Chinese Medicine, Taiyuan 030024, China;
    2. Hospital Infection Control Office, Shanxi Provincial People's Hospital, Taiyuan 030012, China;
  • Received:2019-12-04 Online:2020-06-10 Published:2020-07-07

Abstract: Objective To systematically evaluate qualitative studies on psychological experience of ICU patients' family members during ICU transfer, and to provide reference for formulating effective ICU transfer strategies in line with China's national condition. Methods We searched databases including PubMed, CINAHL, The Cochrane Library, EMbase, Ovid and Chinese biomedical database (CBM), CNKI, VIP and Wanfang from the inception to June 2019, to collect qualitative studies on psychological experience of family members during patients' transfer from ICU. Quality evaluation standard of qualitative research papers in Australian JBI evidence-based health care center was used to evaluate the quality, and the meta-integration method for meta-integration. Results Twelve studies were enrolled with 74 results,10 new categories and 3 integrated results including transferring emotional experience; perceiving change events during transfer and transfer demand. Conclusion Family members have psychological pressure in the process of the patient's transfer. In addition to treating the patients, more attention should go to family caregivers. Positive and healthy guidance is helpful for family members to play an important support role in the treatment and rehabilitation of the patients.

Key words: ICU transfer, caregiver, inner experience, qualitative research, Meta-synthesis

CLC Number: 

  • R473
[1] Chaboyer W, Kendall E, Kendall M, et al.Transfer Out of Intensive Care:A Qualitative Exploration of Patient and Family Perceptions[J].Aust Crit Care, 2005,18(4):138-145. DOI:10.1016/s1036-7314(05)80026-8.
[2] Hua M, Gong MN, Brady J, et al.Early and Late Unplanned Rehospitalizationsfor Survivors of Critical Illness*[J].Crit Care Med,2015,43(2):430-438.DOI:10.1097/CCM.0000000000000717.
[3] 中华人民共和国卫生健康委员.关于促进护理服务业改革与发展的指导意见:国卫医发[2018]20号[EB/OL].(2018-06-21)[2019-10-12].http://www.nhc.gov.cn/yzygj/s7659/201807/1a71c7bea4a04d5f82d1aea262ab465e.shtml.
[4] Lee S, Oh H, Suh Y, et al.A Tailored Relocation Stress Intervention Programme for Family Caregivers of Patients Transferred from A Surgical Intensive Care Unit to A General Ward[J].J Clin Nurs, 2017,26(5/6):784-794. DOI:10.1111/jocn.13568.
[5] 郭晓莉. 上海市某区二级医院ICU 患者家属需求及护士认知的研究[D].上海:第二军医大学,2017.
[6] Bench S, Day T.The User Experience of Critical Care Discharge: A Meta-Synthesis of Qualitative Research[J]. Int J Nurs Stud, 2010,47(4):487-499.DOI:10.1016/j.ijnurstu.2009.11.013.
[7] Joanna Briggs Institute. JBI Critical Appraisal Checklist for Qualitative Research2017[EB/OL].[2019-10-12].https://joannabriggs.org/sites/default/files/2019-05/JBI_Critical_Appraisal-Checklist_for_Qualitative_Research2017_0.pdf
[8] 胡雁. 循证护理学[M].北京:人民卫生出版社,2012:130-141.
[9] Leith BA.Patients' and Family Members' Perceptions of Transfer from Intensive Care[J].Heart Lung,1999,28(3):210-218. DOI:10.1016/s0147-9563(99)70061-0.
[10] Streater C, Golledge J.The Relocation Experiences of Relatives Leaving A Neuroscien Cescritical Care Unit:A Phenomenological Study[J]. Nurs in Crit Care,2001,6(4):163-170.
[11] Bench SD, Day T, Griffiths P.Involving Users in The Development of Effective Criti-calcare Discharge Information: A Focus Group Study[J].Am J Crit Care, 2011,20(6):443-452. DOI:10.4037/ajcc2011829.
[12] Häggström M, Asplund K, Kristiansen L.Important Quality Aspects in The Transfer Process[J].Int J Health Care Qual Assur,2014,27(2):123-139.DOI:10.1108/IJHCQA-09-2012-0090.
[13] Dehkordi LM, Babashahi M, Irajpour A.Nonprofessional Care in Chronic Critically Ill Patient: A Qualitative Study[J].Int J Prev Med, 2016(7):125.DOI:10.4103/2008-7802.195209.
[14] Gill M, Bagshaw SM, McKenzie E, et al.Patient and Family Member-led Research in the Intensive Care Unit: A Novel Approach to Patient-centered Research[J]. PLoS One, 2016,11(8):e0160947. DOI:10.1371/journal.pone.0160947.
[15] 韦秀霞,张秀伟,李青荷,等. 浙江省三级甲等医院ICU过渡护理服务内容需求的质性研究[J].中华现代护理杂志, 2017, 23(11):1539-1544.DOI:10.3760/cma.j.issn.1674-2907.2017.11.022.
[16] 孙顺霞,甘秀妮,张传来. ICU患者转出时家属内心体验的质性研究[J]. 护理学杂志, 2017,32(10):75-78.DOI:10.3870/j.issn.1001-4152.2017.10.075.
[17] de Grood C, Leigh JP, Bagshaw SM, et al. Patient, Family and Provider Experiences with Transfers from Intensive Care Unit to Hospital Ward:A Multicentre Qualitative Study[J].CMAJ, 2018,190(22):E669-E676. DOI:10.1503/cmaj.170588.
[18] 李文莉,赵静,迟园园,等.肿瘤重症患者家属迁移应激的质性研究[J].护士进修杂志, 2018, 33(18):72-75.
[19] Herling SF, Brix H, Andersen L, et al.Patient and Spouses Experiences with Transiti-on from Intensive Care Unit to Hospital Ward Qualitative Study[J]. Scand J Caring Sci,2020,34(1):206-214. DOI:10.1111/scs.12722.
[20] Cullinane JP, Plowright CI.Patients' and Relatives' Experiences of Transfer from Intensive Care Unit to Wards[J].Nurs Crit Care, 2013, 18(6):289-296.DOI:10.1111/nicc.12047.
[21] Yun SH, Oh EG, Yoo YS, et al.Development and Effects of a Transition Nursing Program for Patients and Family Caregivers at a Neurological ICU in Korea[J]. Clin Nurs Res,2017,26(1):27-46. DOI:10.1177/1054773815616973.
[22] Häggström M, Bäckström B.Organizing Safe Transitions from Intensive Care[J]. Nurs ResPract,2014,2014:175314. DOI:10.1155/2014/175314.
[23] Choi S, Lee J, Shin Y, et al.Effects of a Medical Emergency Team Follow-up Programme on Patients Discharged from The Medical Intensive Care Unit to The General Ward: A Single-Centre Experience[J]. J Eval Clin Pract, 2016,22(3):356-362. DOI:10.1111/jep.12485.
[24] Tel H, Tel H.The Effect of Individualized Education on The Transfer Anxiety of Patients with Myocardial Infarction and Their Families[J].Heart Lung,2006, 35(2):101-107. DOI:10.1016/j.hrtlng.2005.09.001.
[25] 刘瑞红,张霞,万晶晶.ICU患者日记的应用进展[J].护理学报,2017,24(23):28-31.
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