机械通气治疗患者重症监护经历的质性研究  

Qualitative research in intensive care experience of patients receiving mechanical ventilation at intensive care units

作　　者：王克芳[1] 王辰[2] 

机构地区：[1]山东大学护理学院,济南250012 [2]北京呼吸病研究所北京朝阳医院ICU

出　　处：《中国实用护理杂志（中旬版）》2009年第1期10-13,共4页Chinese Journal of Practical Nursing

摘　　要：目的了解和理解ICU机械通气治疗患者的重症监护经历，为促进机械通气治疗患者的整体护理提供依据。方法采用深入访谈法收集11例经历机械通气治疗存活患者的资料，围绕主要问题为“请跟我谈谈你这次住ICU的经历好吗？”并用现象学分析方法进行分析。结果机械通气治疗患者的重症监护经历可提炼出5个主题：身处怪异的环境、忍受躯体痛苦、遭遇心理威胁、为自己鼓劲、自我反思。结论机械通气治疗的患者经历了令人痛苦、恐惧的监护治疗过程，但患者的自我鼓劲与自我反思增强了患者战胜病魔的信心。Objective To understand patients＇ experience of intensive care with mechanical ventilation at intensive care units to provide a more holistic approach to patient care. Methods Indepth interviews were applied to 11 participants who survived from mechanical ventilation. The pa- tients were asked to describe their experience by responding to the research question ＂what is it like to experience mechanical ventilation treatment at an ICU？＂The data were analyzed by Giorgi＇s ph enomenological procedures. Results Five mutually exclusive themes emerged, which were titled ＂be- ing in an unconventional environment＂, ＂suffering from physical discomfort＂ , ＂encountering psycho- logical crisis＂, ＂self-encouragement＂, and＂self-reflection＂. Conclusions Patientst experiences while receiving mechanical ventilation at an intensive unit were poignant and afeard, but ＂self- encour- agement＂ and ＂self-reflection＂ will enhance patientst self-confidence which will be beneficial for their recovery of critical illness.

关 键 词：机械通气 重症监护 患者 经历 质性研究 

分 类 号：R563.8[医药卫生—呼吸系统] R459.7[医药卫生—内科学]