Jaeyeon Jung1, Sujin Jang1, Seonmi Jo1, Sunhee Lee2. 1. Cardiac Care Unit, Seoul St. Mary's Hospital, Seoul, Korea. 2. College of Nursing, The Catholic University of Korea, Seoul, Korea. shlee418@catholic.ac.kr.
Abstract
PURPOSE: The study aimed to understand the delirium experience of intensive care unit (ICU) patients. METHODS: We performed a qualitative study using Colaizzi's phenomenological method. Eleven patients, who experienced delirium according to the Confusion Assessment Method for ICU, participated after transferring to general wards from the ICU. Individual in-depth semi-structured interviews ranging from 30 minutes to 2 hours in length were conducted between November 2018 and August 2019. RESULTS: Nine themes and four theme clusters emerged. The four theme clusters were: 1) "Overwhelmed by fear," which describes the experience of a patient close to death and the feeling of difficulty in understanding disorganized thinking; 2) "Anxious about not understanding the situation," which means that patients' sense of time and space were disordered in the ICU; 3) "Being deserted," which indicates the feeling of being separated from others and yourself; and 4) "Resistance to protect my dignity," which indicates that the dignity and autonomy of an individual in the patient's position at the ICU, are ignored. CONCLUSION: Nursing interventions are needed that would enable patients to maintain orientation and self-esteem in the ICU. In addition, healthcare providers need to provide information about the unfamiliar environment in the ICU in advance.
PURPOSE: The study aimed to understand the delirium experience of intensive care unit (ICU) patients. METHODS: We performed a qualitative study using Colaizzi's phenomenological method. Eleven patients, who experienced delirium according to the Confusion Assessment Method for ICU, participated after transferring to general wards from the ICU. Individual in-depth semi-structured interviews ranging from 30 minutes to 2 hours in length were conducted between November 2018 and August 2019. RESULTS: Nine themes and four theme clusters emerged. The four theme clusters were: 1) "Overwhelmed by fear," which describes the experience of a patient close to death and the feeling of difficulty in understanding disorganized thinking; 2) "Anxious about not understanding the situation," which means that patients' sense of time and space were disordered in the ICU; 3) "Being deserted," which indicates the feeling of being separated from others and yourself; and 4) "Resistance to protect my dignity," which indicates that the dignity and autonomy of an individual in the patient's position at the ICU, are ignored. CONCLUSION: Nursing interventions are needed that would enable patients to maintain orientation and self-esteem in the ICU. In addition, healthcare providers need to provide information about the unfamiliar environment in the ICU in advance.
Authors: Eva M Schmitt; Jacqueline Gallagher; Asha Albuquerque; Patricia Tabloski; Hyo Jung Lee; Lauren Gleason; Lauren S Weiner; Edward R Marcantonio; Richard N Jones; Sharon K Inouye; Dena Schulman-Green Journal: Gerontologist Date: 2019-03-14
Authors: Judith S L Partridge; Finbarr C Martin; Danielle Harari; Jugdeep K Dhesi Journal: Int J Geriatr Psychiatry Date: 2012-10-30 Impact factor: 3.485
Authors: Adam S Evans; Menachem M Weiner; Rakesh C Arora; Insung Chung; Ranjit Deshpande; Robin Varghese; John Augoustides; Harish Ramakrishna Journal: Ann Card Anaesth Date: 2016 Apr-Jun