|
håller på med just nu
Forsker på sederingsnivåer og
intensivpasienters opplevelser.
Sedation
- Intensive care patients’ experience of analgesic and sedative therapy over
time.
The
purpose of this study is to increase the knowledge about intensive care
patient’s experiences when they undergo analgesic and sedative treatment. As
well as to set focus on the concept of sedation in the ICU, the study aims
at describing the lived experience of the sedated intensive care patients
The theoretical framework and method:
From a phenomenological perspective, this study will investigate the
lived experiences of intensive care patients undergoing acute medical
treatment under medically controlled and induced sedation.
The study is based on qualitative in-depth-interviews.
The data obtains from
7 semistructured interviews of former intensive care patients, 3-6 months
after discharge from ICU. These interviews where written down, organized,
synthesized and analysed according to Kvale’s qualitative content analysis
and 3 steps of interpretation. There has been an ongoing analysis through
the process leading to describe intensive care patients perceptions of their
time as sedated.
Results:
Contrary to existing research and literature, the patients reported few
experiences of pain.
They were either
ambivalent towards questions concerning pain or denied remembering it.
Instead they described discomfort in rich and nuanced way. They experienced
various strange or fearful dreams, telling they where fighting for their
lives. The respondents described that they experienced a rather disoriented
and “foggy” mind while the surroundings consider them as aware and awake.
They slided in and out from states of awakeness to dream states, and felt
frustrated about not having the grip on what was real life and what was
fantasy.
Conclusion:
Intensive care patients experience a great deal of discomfort undergoing
sedation treatment in ICU.
The most unpleasant
time is when they are half awake.
This
knowledge about patients lived experiences has to be consider when planning
sedation procedures in ICU.
Key
words:
Sedation, Pain, Confusion, Intensive care nurse, Intensive care patient,
Lived experience.
Intensive Care Unit
(ICU ), Life experience, Lived experience, Analgesia, Qualitative
descriptive study
|
