目的 深入了解重症监护病房（ICU）医务人员对热射病全周期康复的认知与实践,揭示他们在实际工作中面临的困惑、挑战与需求,为优化热射病患者的临床管理和康复服务提供理论支持。方法 采用现象学研究方法,于2024年6—8月在急诊医学科对15名医务人员进行半结构式访谈,运用Colaizzi七步分析法对资料进行分析,提炼主题。结果 本组ICU医务人员对热射病全周期康复存在认知差异,尤其在康复时机把握上面临挑战,同时高度重视心理支持的重要性。受访者对于热射病康复策略的认知存在显著的个体差异,对于何时开始康复持有不同看法,并且普遍认同心理支持在患者康复过程中的核心地位。结论 本研究强调了基于ICU医务人员视角的热射病全周期康复面临的现实问题和需求,对提升患者整体康复效果具有重要的理论和实践意义。研究发现有助于改善热射病患者的预后和生活质量,并为临床实践的改进和康复服务质量的提升提供关键见解。

Objective To understand the knowledge and practice of full-cycle rehabilitation of heat stroke among intensive care unit （ICU） medical staff, reveal their confusion, challenges, and needs at work, and provide theoretical support for optimizing clinical management and rehabilitation services of patients with heat stroke. Methods Using the phenomenological research method, a semi-structured interview was conducted with 15 medical staff in the Emergency Medicine Department from June to August 2024. The data were analyzed with Colaizzi seven procedural steps and the theme was revealed. Results The ICU medical staff had cognitive differences in the full-cycle rehabilitation of heat stroke, especially in the timing of rehabilitation, and attached great importance to psychological support. The respondents had significant individual differences in their understanding of heat stroke rehabilitation strategies, hold different views on when to start rehabilitation, and generally agreed with the core position of psychological support in patients' rehabilitation process. Conclusion The study findings emphasize the practical problems and needs of the full-cycle rehabilitation of heat stroke based on the perspective of ICU medical staff, which has important theoretical and practical significance for improving the overall rehabilitation effect of patients. These findings contribute to improved prognosis and quality of life in patients with heat stroke and provide key insights into improved clinical practice and improved quality of rehabilitation services.