Haemato-oncology patients’ perceptions of health-related quality of life after critical illness: A qualitative phenomenological study
Intensive and Critical Care Nursing(2018)
摘要
Introduction
Haemato-oncology patients often require critical care support due to side-effects of treatment. Discharge can mark the start of an uncertain journey due to the impact of critical illness on health-related quality of life. Qualitatively establishing needs is a priority as current evidence is limited.
Aims
To qualitatively explore perceptions of haemato-oncology patients’ health-related quality of life after critical illness and explore how healthcare professionals can provide long-term support.
Methods
Nine in-depth interviews were conducted three to eighteen months post-discharge from critical care. Phenomenology was used to gain deeper understanding of the patients’ lived experience.
Setting
A 19-bedded Intensive Care Unit in a specialist cancer centre.
Findings
Five major themes emerged: Intensive care as a means to an end; Rollercoaster of illness; Reliance on hospital; Having a realistic/sanguine approach; Living in the moment. Haemato-oncology patients who experience critical illness may view it as a small part of a larger treatment pathway, thus health-related quality of life is impacted by this rather than the acute episode.
Conclusions
Discharge from the intensive care unit can be seen as a positive end-point, allowing personal growth in areas such as relationships and living life to the full. The contribution of health-care professionals and support of significant others is regarded as critical to the recovery experience.
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关键词
Health-related quality of life,Haemato-oncology,Critical care,Post-traumatic growth,Phenomenology
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