{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T10:31:09Z","timestamp":1788949869229,"version":"build-2803163510"},"reference-count":30,"publisher":"Hogrefe Publishing Group","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pflege"],"published-print":{"date-parts":[[2018,12,1]]},"abstract":"<jats:p>Zusammenfassung. Hintergrund: Patientinnen und Patienten mit einer chronisch kritischen Erkrankung (chronic critical illness = CCI) sind Personen, welche nach einer lebensbedrohlichen, akuten Erkrankung l\u00e4ngerfristig auf lebensunterst\u00fctzende Therapien auf der Intensivstation angewiesen sind. Dort sind sie \u00fcber lange Zeit vielen physischen und psychischen Belastungen ausgesetzt. Ein kaum untersuchtes, h\u00e4ufiges und belastendes Symptom ist Angst. Ziel: Mit der Studie sollte ein Einblick in das Angsterleben erwachsener Patientinnen und Patienten, welche w\u00e4hrend des Intensivstation-Aufenthaltes eine CCI entwickelten, gewonnen werden. Methode: Ein interpretierender ph\u00e4nomenologischer Ansatz wurde verwendet. In einem iterativen Prozess wurden die Daten aus leitfadengest\u00fctzten Interviews von sieben Teilnehmenden analysiert. Ergebnisse: Die intensiven Angsterfahrungen der Teilnehmenden gingen mit ihrem Bewusstseinszustand einher: \u00c4ngste in einer anderen Wirklichkeit, Angst durch Albtr\u00e4ume, Angst beim ersten Erwachen und \u00c4ngste der wachen Patientinnen und Patienten. Angst war h\u00e4ufig mit Gef\u00fchlen wie Ohnmacht, Verlorensein, Unsicherheit, Hilflosigkeit und Ungewissheit gekoppelt. Schlussfolgerungen: Die Ergebnisse der Studie lassen vermuten, dass anwesende Personen, vor allem Pflegefachpersonen, zum Teil Einfluss auf das Angsterleben der Patientinnen und Patienten mit CCI haben k\u00f6nnen. Das Wissen aus dieser Studie kann Gesundheitsfachleute sensibilisieren, diese Patientinnen und Patienten entsprechend aufmerksam zu betreuen und Angst wahrzunehmen.<\/jats:p>","DOI":"10.1024\/1012-5302\/a000643","type":"journal-article","created":{"date-parts":[[2018,8,29]],"date-time":"2018-08-29T10:37:25Z","timestamp":1535539045000},"page":"311-318","source":"Crossref","is-referenced-by-count":5,"title":["Angst w\u00e4hrend der chronisch kritischen Erkrankung auf der Intensivstation \u2013 eine interpretierende ph\u00e4nomenologische Studie"],"prefix":"10.1024","volume":"31","author":[{"given":"Michaela","family":"Moser","sequence":"first","affiliation":[{"name":"Pflegewissenschaft \u2013 Nursing Science, Departement Public Health, Medizinische Fakult\u00e4t, Universit\u00e4t Basel"},{"name":"Solothurner Spit\u00e4ler AG (soH), Standorte B\u00fcrgerspital Solothurn und Kantonsspital Olten"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie-Madlen","family":"Jeitziner","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinik f\u00fcr Intensivmedizin, Universit\u00e4tsspital Bern (Inselspital), Bern"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabeth","family":"Spichiger","sequence":"additional","affiliation":[{"name":"Pflegewissenschaft \u2013 Nursing Science, Departement Public Health, Medizinische Fakult\u00e4t, Universit\u00e4t Basel"},{"name":"Bereich Fachentwicklung, Direktion Pflege \/ MTT, Insel Gruppe, Bern"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"101","reference":[{"key":"c1","doi-asserted-by":"crossref","unstructured":"Benner, P. 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Psychological experience of patients 3 months after a stay in the intensive care unit: A descriptive and qualitative study. Journal of Critical Care, 30 (3), 599 \u2013 605.","DOI":"10.1016\/j.jcrc.2015.02.016"},{"key":"c5","doi-asserted-by":"crossref","unstructured":"Chlan, L. (2003). Description of anxiety levels by individual differences and clinical factors in patients receiving mechanical ventilatory support. Heart and Lung, 32 (4), 275 \u2013 282.","DOI":"10.1016\/S0147-9563(03)00096-7"},{"key":"c6","doi-asserted-by":"crossref","unstructured":"Chlan, L. Savik, K. (2011). Patterns of anxiety in critically ill patients receiving mechanical ventilatory support. Nursing Research, 60 (3 Suppl), 50 \u2013 57.","DOI":"10.1097\/NNR.0b013e318216009c"},{"key":"c7","doi-asserted-by":"crossref","unstructured":"Cutler, L. R. Hayter, M. Ryan, T. (2013). A critical review and synthesis of qualitative research on patient experiences of critical illness. Intensive and Critical Care Nursing, 29 (3), 147 \u2013 157.","DOI":"10.1016\/j.iccn.2012.12.001"},{"key":"c8","doi-asserted-by":"crossref","unstructured":"Egerod, I. Bergbom, I; Lindahl, B. Henricson, M. Granberg-Axell, A. Storli, S. L. (2015). The patient experience of intensive care: A meta-synthesis of Nordic studies. International Journal of Nursing Studies, 52 (8), 1354 \u2013 1361.","DOI":"10.1016\/j.ijnurstu.2015.04.017"},{"key":"c9","unstructured":"Gadamer, H.G. (2010). Angst und \u00c4ngste. In: Hontschik, B. (Hrsg.). \u00dcber die Verborgenheit der Gesundheit: Aufs\u00e4tze und Vortr\u00e4ge (medizinHuman, Bd.10). Frankfurt am Main: Suhrkamp, 189 \u2013 200."},{"key":"c10","unstructured":"Girard, K. Raffin, T. A. (1985). The chronically critically ill: to save or let die? Respiratory Care, 30 (5), 339 \u2013 347."},{"key":"c11","doi-asserted-by":"crossref","unstructured":"Holm, A. Dreyer, P. (2017). Intensive care unit patients\u2019 experience of being conscious during endotracheal intubation and mechanical ventilation. Nursing in Critical Care, 22 (2), 81 \u2013 88.","DOI":"10.1111\/nicc.12200"},{"key":"c12","unstructured":"H\u00fclshoff, Th. (2001). Angst, Furcht, Panik. In: H\u00fclshoff, Th. (Hrsg.). Emotionen: eine Einf\u00fchrung f\u00fcr beratende, therapeutische, p\u00e4dagogische und soziale Berufe. 2. Aufl. M\u00fcnchen, Basel: Reinhardt, 58 \u2013 85."},{"key":"c13","doi-asserted-by":"crossref","unstructured":"Inouye, S. K. van Dyck, C. H. Alessi, C. A. Balkin, S. Siegal, A. P. Horwitz, R. I. (1990). Clarifying confusion: the confusion assessment method. A new method for detection of delirium. Annals of Internal Medicine, 113 (12), 941 \u2013 948.","DOI":"10.7326\/0003-4819-113-12-941"},{"key":"c14","doi-asserted-by":"crossref","unstructured":"Kahn, J. M. Le, T. Angus, D. C. Cox, C. E. Hough, C. L. White, D. B. \u2026 Carson, S. S. (2015). The epidemiology of chronic critical illness in the United States. Critical Care Medicine, 43 (2), 282 \u2013 287.","DOI":"10.1097\/CCM.0000000000000710"},{"key":"c15","doi-asserted-by":"crossref","unstructured":"Leonard, V.W. (1994). A Heideggerian phenomenological perspective on the concept of person. In: Benner, P. (Ed.), Interpretive Phenomenology: Embodiment, Caring, and Ethics in Health and Illness. Thousand Oaks, CA: Sage, 43 \u2013 63.","DOI":"10.4135\/9781452204727.n3"},{"key":"c16","doi-asserted-by":"crossref","unstructured":"Li, D. T. Puntillo, K. (2006). A pilot study on coexisting symptoms in intensive care patients. Applied Nursing Research, 19 (4), 216 \u2013 219.","DOI":"10.1016\/j.apnr.2006.01.003"},{"key":"c17","unstructured":"Neikes, M. Lude, P. (2015). Besondere Erlebnisformen und ausgew\u00e4hlte Traumafolgest\u00f6rungen. In: Strubreither, W. Neikes, M. Stirnimann, D. Eisenhuth, J. Schulz, B. Lude, P. (Hrsg.). Klinische Psychologie bei Querschnittl\u00e4hmung: Psychologische und psychotherapeutische Interventionen bei psychischen, somatischen und psychosozialen Folgen. Wien: Springer, 327 \u2013 336."},{"key":"c18","doi-asserted-by":"crossref","unstructured":"Nelson, J. E. Cox, C. E. Hope, A. A. Carson, S. S. (2010). Chronic critical illness. American Journal of Respiratory and Critical Care Medicine, 182 (4), 446 \u2013 454.","DOI":"10.1164\/rccm.201002-0210CI"},{"key":"c19","doi-asserted-by":"crossref","unstructured":"Nelson, J. E. Meier, D. E. Litke, A. Natale, D. A. Siegel, R. E. Morrison, R. S. (2004). The symptom burden of chronic critical illness. Critical Care Medicine, 32 (7), 1527 \u2013 1534.","DOI":"10.1097\/01.CCM.0000129485.08835.5A"},{"key":"c20","doi-asserted-by":"crossref","unstructured":"Parker, A. M. Sricharoenchai, T. Raparla, S. Schneck, K. W. Bienvenu, O. J. Needham, D. M. (2015). Posttraumatic stress disorder in critical illness survivors: a metaanalysis. Critical Care Medicine, 43 (5), 1121 \u2013 1129.","DOI":"10.1097\/CCM.0000000000000882"},{"key":"c21","doi-asserted-by":"crossref","unstructured":"Schmidt-Degenhard, M. (1992). Die oneiroide Erlebnisform: Zur Problemgeschichte und Psychopathologie des Erlebens fiktiver Wirklichkeiten. Berlin: Springer.","DOI":"10.1007\/978-3-642-84647-2"},{"key":"c22","unstructured":"Schr\u00f6ter-Kunhardt, M. (2006). Oneiroidales Erleben Bewusstloser. In: Kammerer, Th. (Hrsg.). Traumland Intensivstation: Ver\u00e4nderte Bewusstseinszust\u00e4nde und Koma. Norderstedt: Books on Demand, 171 \u2013 229."},{"key":"c23","unstructured":"Schweizerische Akademie der Medizinischen Wissenschaften (SAMW, 2015). Medizin-ethische Richtlinien \u2013 Zwangsmassnahmen in der Medizin. www.samw.ch\/de\/Publikationen\/Richtlinien.html [30.03.2018]."},{"key":"c24","doi-asserted-by":"crossref","unstructured":"Spichiger, E. Prakke, H. (2003). Interpretierende Ph\u00e4nomenologie: eine qualitative Forschungsmethode f\u00fcr die Pflege. Pflege, 16 (3), 128 \u2013 134.","DOI":"10.1024\/1012-5302.16.3.128"},{"key":"c25","doi-asserted-by":"crossref","unstructured":"Tate, J. A. Devito Dabbs, A. Hoffman, L. A. Milbrandt, E. Happ, M. B. (2012). Anxiety and agitation in mechanically ventilated patients. Qualitative Health Research, 22 (2), 157 \u2013 173.","DOI":"10.1177\/1049732311421616"},{"key":"c26","doi-asserted-by":"crossref","unstructured":"Van Rompaey, B. Van Hoof, A. van Bogaert, P. Timmermans, O. Dilles, T. (2016). The patient\u2019s perception of a delirium: A qualitative research in a Belgian intensive care unit. Intensive and Critical Care Nursing, 32, 66 \u2013 74.","DOI":"10.1016\/j.iccn.2015.03.002"},{"key":"c27","unstructured":"Wade, D. Hardy, R. Howell, D. Mythen, M. (2013). Identifying clinical and acute psychological risk factors for PTSD after critical care: a systematic review. 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