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중환자실 환자의 섬망 경험

 Delirium Experience of the Intensive Care Unit Patients

Journal of Korean Academy of Nursing 2022년 52권 2호 p.134 ~ 143
KMID : 0806120220520020134
정재연 ( Jung Jae-Yeon ) - Seoul St. Mary’s Hospital Cardiac Care Unit

장수진 ( Jang Su-Jin ) - Seoul St. Mary’s Hospital Cardiac Care Unit
조선미 ( Jo Seon-Mi ) - Seoul St. Mary’s Hospital Cardiac Care Unit
이선희 ( Lee Sun-Hee ) - Catholic University College of Nursing

Abstract

Purpose: The purpose of the study was to understand the delirium experience of the intensive care unit (ICU) patients.
Methods: We performed a qualitative study using Colaizzi phenomenological method. Eleven patients who had delirium experience according to the Confusion Assessment method for ICU participated in this research after transferring to general wards from ICU. Individual in-depth semi-structured interviews were performed from 30 minutes to two hours in length from November 16, 2018 to August 24. 2019.

Results: Four theme clusters emerged including nine themes. 1) ‘Overwhelmed by fear’ describes experience as a patient close to death and feeling about difficulty in understanding disorganized thinking.
2) ‘Anxious about not understanding the situation’means that patients' senses of time and space were disordered in ICU. 3) ‘Being deserted’indicates the feeling of being separated from others and me. 4) ‘Resistance to protect my dignity’ shows that the dignity and autonomy of an individual are ignored in patient’s position at the ICU.

Conclusions: The nursing intervention that patients are able to maintain orientation and self-esteem in ICU is needed. In addition, Healthcare providers need to provide the information about the unfamiliar environment in ICU in advance.
KeyWords
섬망, 중환자실, 질적연구
Delirium, Intensive care units, Qualitative research
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SCI(E) MEDLINE 학술진흥재단(KCI) KoreaMed