1 Neuroanæstesiologisk Klinik, Neurocentret, Rigshospitalet, The Capital Region of Denmark
INTRODUCTION. Current evidence indicates that emotional problems after intensive care are related both to subjective and objective indicators of a patient0s intensive care experience. Research of rehabilitation after critical illness has during the latest years focused on the use of diary and after-care. Several studies have investigated psychological consequences. Additionally, the meaning of dreams and follow-up care been explored. It may therefore seem appropriate to further investigate patients individual experiences in order to search for a deeper understanding of the dimensions that influence individuals during the trajectory of intensive care and after-care. This, in relation to further develop and targeting after-care interventions in an intensive care unit (ICU) which uses diary as well as after-care as telephone consultations, nurse conversations combined with visits in the ICU at four, eight and 12 months after discharge. OBJECTIVES. The aim is to illuminate patient experiences and perspective after intensive care during after-care. METHODS. The study design is qualitative and descriptive the approach was phenomenological- hermeneutic. Five patients who had undergone intensive care were included. Data was obtained using individual interviews twice during after-care: nurse conversations combined with visits in the ICU at 4 months after discharge. Additionally was field notes obtained during the visit in the ICU. Data were analyzed at three levels: naive reading, structural analysis and critical interpretation and discussion. RESULTS. The preliminary findings indicate that there are three categories of lived experiences of intensive care. CONCLUSIONS. This clinical nursing research provides new basic knowledge useful in the efforts to enhance patient psychological processing after intensive care and provides health professionals improved opportunities to target support, guide and inform the individual patient. REFERENCES. 1. Rattray JE, Hull AM. Emotional outcome after intensive care: literature review. J Adv Nursing 2008; 64(1):2–13. 2. Nilsson K, Berner S, Hertz I. Diary and follow-up dialoguepieces in the puzzle of recovery. World Crit Care Nursing 2011; 8(2):75. [(journal article - abstract) ISSN: 1748–6254]. 3. 4th EfCCNa & FSAIO Congress Copenhagen 2011 http://www.efccna.org/index.php?option=com_content&view=article&id=88&Itemid=96. 4. Storli SL, Lind R. The meaning of follow-up in intensive care: patients’ perspective. Scand J Caring Sci. 2009; 23:45–56. 5. Papathanassoglou EDE, Patiraki EI. Transformations of self: a phenomenological investigation into the lived experience of survivors of critical illness. Nursing Crit Care 2003; 8(1):13–21. 6. Ricoeur P. Interpretation Theory: Discourse and the surplus of meaning. Fort Worth: Christian University Press 1976.