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Objective <p>This study aims to systematically synthesise existing literature to explore the core themes related to trauma memory and care experiences among ICU-discharged patients, in order to identify key issues during their recovery process and highlight support needs from a nursing perspective.</p> Methods <p>This systematic review and meta-synthesis was conducted in accordance with the Joanna Briggs Institute (JBI) methodology for systematic reviews of qualitative evidence. We systematically searched PubMed, CINAHL, Embase, and Web of Science for relevant qualitative studies published up to April 2025. The reporting follows the ENTREQ (Enhancing Transparency in Reporting the Synthesis of Qualitative Research) statement. Methodological quality was assessed using the JBI Critical Appraisal Checklist for Qualitative Research, and thematic synthesis, guided by the approach of Thomas and Harden (2008), was used to integrate findings.</p> Results <p>A total of 10 high-quality qualitative studies were included. Three major themes and seven subthemes were identified: (1) Fragmented Traumatic Memories and Psychological Residue (e.g., Vague, Missing Memories and Cognitive Confusion; Fearful Hallucinations, Nightmares, and Trauma Re-experiencing); (2) Transitional Shock from Intensive Care to Regaining Autonomy (e.g., The Discrepancy of Transitioning from ICU; Uncertainty in Recovery and Lack of Support After Returning Home); (3) Chronic Reconstruction and Self-Healing of the Body and Mind (e.g., Functional Limitations and Disconnection from Daily Life; Emotional Fluctuations and Psychological Relapse; Emotional Conflict and Reconnection in Family Care). Many patients reported cognitive confusion, emotional fragility, and decreased social functioning, all of which significantly impacted their quality of life and identity restoration.</p> Conclusion <p>Recovery after ICU discharge extends beyond physiological stabilization, encompassing a continuous process of psychological and social reconstruction. Nursing care should shift from a survival-centred model to a life-centred approach, emphasizing continuity of care, discharge education, psychological support, and family involvement to facilitate a more holistic and humanistic recovery pathway.</p>

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Traumatic memories and nursing experiences of ICU discharged patients: a systematic review and meta-synthesis of qualitative studies

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年4月18日

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  • Ting Li,
  • Ying Wu,
  • Rui Li,
  • Shuyan Wang

摘要

Objective

This study aims to systematically synthesise existing literature to explore the core themes related to trauma memory and care experiences among ICU-discharged patients, in order to identify key issues during their recovery process and highlight support needs from a nursing perspective.

Methods

This systematic review and meta-synthesis was conducted in accordance with the Joanna Briggs Institute (JBI) methodology for systematic reviews of qualitative evidence. We systematically searched PubMed, CINAHL, Embase, and Web of Science for relevant qualitative studies published up to April 2025. The reporting follows the ENTREQ (Enhancing Transparency in Reporting the Synthesis of Qualitative Research) statement. Methodological quality was assessed using the JBI Critical Appraisal Checklist for Qualitative Research, and thematic synthesis, guided by the approach of Thomas and Harden (2008), was used to integrate findings.

Results

A total of 10 high-quality qualitative studies were included. Three major themes and seven subthemes were identified: (1) Fragmented Traumatic Memories and Psychological Residue (e.g., Vague, Missing Memories and Cognitive Confusion; Fearful Hallucinations, Nightmares, and Trauma Re-experiencing); (2) Transitional Shock from Intensive Care to Regaining Autonomy (e.g., The Discrepancy of Transitioning from ICU; Uncertainty in Recovery and Lack of Support After Returning Home); (3) Chronic Reconstruction and Self-Healing of the Body and Mind (e.g., Functional Limitations and Disconnection from Daily Life; Emotional Fluctuations and Psychological Relapse; Emotional Conflict and Reconnection in Family Care). Many patients reported cognitive confusion, emotional fragility, and decreased social functioning, all of which significantly impacted their quality of life and identity restoration.

Conclusion

Recovery after ICU discharge extends beyond physiological stabilization, encompassing a continuous process of psychological and social reconstruction. Nursing care should shift from a survival-centred model to a life-centred approach, emphasizing continuity of care, discharge education, psychological support, and family involvement to facilitate a more holistic and humanistic recovery pathway.