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KMID : 0367019920040010091
Journal of Korean Academic of Adult Nursing
1992 Volume.4 No. 1 p.91 ~ p.105
Phenomenological Nursing Study on the Critically Ill Patients¡¯ Emotional Responses
Chon Mi-Young

Abstract
A human-being is an individual of complicated existence who continuously interacts with the outside together with the physically and psychologically and socially. To nurses who take care of patients requiring intensive care, considerable individual responsibility and deliberate performances are expected. In addition, they are apt to neglect psychological care due to the urgency in caring serious patients who need immediate physical care. To those who have serious illnesses, the stress can cause many kinds of the complications, moreover it should be treated in the clinical situations like an ICU(intensive care unit) in which high tension, quick responses and changes are required in care, and this emotional stress may cause many disorders in feeling and attitude. Therefore the nurses should pay their attentions to care of psychosocial fact in caring of patients requiring intensive care. As the nurses in ICU take a major role in caring of patients¡¯ physical and psychological facts, they might have the skill of the intervention to reduce stress efficiently if they notice the patients¡¯ stress. The phenomenological approach is intended for the assessment of the ICU patients¡¯ emotional responses itself, and this is intended to provide them with the basic data for the total patients care in ICU understanding deeply critically ill patients experiences. The data were collected from Mar. 7, 1992 to Apr. 12, 1992, by intensive interview. The subjects of study were five patients who admitted in ICU of one of the university hospitals in Seoul. The method for collecting this data is through the researcher¡¯s direct calling and interviewing the patients from their admission day to ICU to the day transferred to the general ward, and it is inducted for the patients, themselves to tell the researcher and afterwards observed by patients¡¯ reactions. For the prevention of the omission of the interview data, it was recorded under the patients¡¯ agreement and then it is described after the interview. The method for data-analysis is through the phenomenological approach suggested by Giorgi. The result of the study is as the followings. Though the variety of the emotional responses, the isolation caused by the separation from their family, the separation anxiety, the loneliness, he lonesomeness, and the aloneness, the patients experienced the interference in keeping their territory and privacy, the loss of insight, insomnia due to the environmental matters, and these resulted in helplessness, hopelessness, depression and maladaptation Additionally the patients were anxious of the diseases itself or change of their roles, the economic matters, and domestic matters, and experienced anxiety apprehension, dissatisfaction, regret, and disappointment. Besides these, the patients complained about uncomfortableness and pain, and also resented aggression and avoidance. As for the change responses followed by the patients transfer to the general ward, the activities and control over their minds are increased and safety, hope, pleasure from the expectation of recovery from the illnesses, relief, freedom, satisfaction, and self-confidence were seen. The reform the flexible limit of family visiting time to see the patients may possibly be allowed and transferring them to the general ward soon after the patients get better in ICU, the feelings of isolation, separation, loneliness, lonesomeness, and aloneness might be reduced. And it can also lessen negative emotional responses such as helplessness, hopelessness, depression, and maladaptation by reducing sensory stimulations such as lighting, noise, etc and procedures apt to cause disturbance of sleeping by increasing the sense of controlling. From the result of the research up to this time, it is desirable that preparing some counterplan which will be a base for caring psychological nursing in treating severe cases and settling negative emotional response of patients requiring intensive care effectively.
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