J Korean Crit Care Nurs Search


Journal of Korean Critical Care Nursing 2017;10(1):13-30.
Published online February 28, 2017.

집중치료 후 증후군 경험에 관한 질적 통합 연구
강지연, 정연진, 윤선영, 이민주, 백민정, 신소영, 홍희진, 김수경, 조영신
1동아대학교 간호학과
2동아대학교 간호학과
3영산대학교 간호학과
4동아대학교 간호학과
5고신대학교 복음병원
6동아대학교 병원
7부산대학교 병원
Post-Intensive Care Syndrome Experience among Critical Care Survivors: A Meta-synthesis of Qualitative Research
Jiyeon Kang, Yeon Jin Jeong, Sun Young Yun, Min Ju Lee, Min Jung Baek, So Yeung Shin, Hee Jin Hong, Soo Kyung Kim, Young Shin Cho
1Professor, Department of Nursing, Dong-A University, Busan, Korea.
2Doctoral Student, Department of Nursing, Dong-A University, Busan, Korea. yjjeong233@hanmail.net
3Professor, Department of Nursing, Young-San University, Busan, Korea.
4Doctoral Candidate, Department of Nursing, Dong-A University, Busan, Korea.
5Staff Nurse, Kosin University Gospel Hospital, Busan, Korea.
6Staff Nurse, Dong-A University Hospital, Busan, Korea.
7Staff Nurse, Busan National University Hospital, Busan, Korea.
The purpose of this study was to integrate the results of qualitative studies to understand critical care survivors' experience of the post-intensive care syndrome (PICS).
This was a meta-synthesis of primary studies that used qualitative methods. We reviewed 26 qualitative studies on PICS selected from 8 international and Korean databases and from a manual search. Thomas and Harden's 3 stages (free coding, development of descriptive themes, generation of analytical themes) for thematic synthesis were utilized to analyze the collected qualitative data.
Four descriptive themes emerged from the thematic synthesis: weak physical conditions, psycho-emotional changes, the painful-memory of intensive care units, and social vulnerability. The analytical theme for the current study was “unfamiliarity with the vulnerable self.” Critical care survivors had to confront entirely different “selves” after discharge from intensive care units. They had become physically weak, psychologically unstable, and the critical memories continued to create distress. These changes increased their social vulnerability by making them dependent on others, causing family conflicts, and changing interpersonal relationships.
Finding from this qualitative synthesis and other related literature highlight the severity of PICS and the importance of rehabilitative intervention for critical care survivors.
Key Words: Intensive care units, Post-Intensive care syndrome, Experience, Qualitative research

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