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Post-intensive care syndrome (PICS) is defined as mental, physical, cognitive, and social sequelae in survivors of critical illness. Survivors of liver transplantation exhibit a complex clinical condition following discharge from the intensive care unit (ICU). There is a lack of knowledge about the lived experience of PICS in survivors after liver transplantation.
Describe the lived experiences of PICS in ICU survivors following liver transplantation.
A phenomenological study was carried out using interpretative phenomenological analysis (IPA). Semi-structured interviews were conducted with ICU survivors one month after discharge.
Twenty ICU survivors were enrolled and interviewed after critical illness. The main themes that emerged from the data analysis were: (1) Profound life reorientation, (2) Physical impairment, (3) Psychological distress experiences, (4) Human-Centred Nursing Care, and (5) Return to daily life. Our results showed a particular impact of the dimensions of PICS, such as mental, physical, and social dimensions, on ICU survivors after liver transplantation.
The study concludes that ICU survivors experience profound life reorientation, physical impairment, and psychological distress experiences, yet benefit from human-centred nursing care, which facilitates their eventual return to daily life.
The findings highlight the importance of human-centred nursing care in the post-ICU recovery process, where the multidisciplinary team plays a critical role in addressing both psychological distress and physical rehabilitation, supporting survivors' reintegration into daily life.
Post-liver transplant ICU survivors experience profound physical, psychological, and social impacts. Life reorientation, altered body image, and emotional distress emerge. Human-centred nursing facilitates rehabilitation, reintegration, and overall recovery.
Reporting was structured based on the COREQ checklist.
Prot. N. 00014635–31/05/2023
Stroke represents the second leading cause of death worldwide after cardiovascular disease and the first cause of disability in adults. Only 25% of stroke survivors fully recover, 75% survive with some form of disability, and half of them lose self-sufficiency, negatively impacting their quality of life. This study aims to understand the experiences of stroke survivors and caregivers of training needs and support during the transitional care phase from hospital to home; it also investigates the experience of health care professionals (HCPs) of providing support and training to the dyad during this phase.
Meta-synthesis was conducted following a critical-interpretative approach. The SPIDER method was used for sample selection, and the PRISMA research question was adopted for article selection. The search for studies on CINAHL, Pubmed, Scopus, ERIC, PsycInfo and OVID was conducted until August 2024.
Of the 1123 articles found, 32 met the inclusion criteria and were included in the meta-synthesis. Text analysis revealed two main thematic areas: (1) the training need is a new awareness in the transition of care from hospital to home and (2) moulding oneself to new life. The first theme had six subthemes: need for information and training, uncertainty, involvement, evaluation of training needs, individual discharge planning and physical-psychological problems. The second theme included three subthemes: different role perception, support after discharge and adaptation to change.
Knowing the training and support needs in the stroke survivor caregiver dyad guides HCPs to structure tailored discharge plans. Multi-method and multidisciplinary training and support interventions such as health coaching, weekend passes and early supported discharge are satisfactory outcomes for the triad involved in the transition of care, as continuous feedback on the needs of the new reality at home fortifies the relationship between the dyad and HCPs. A transitional care pathway based on the dynamic needs of the triad can improve the quality of care in the community.
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