非语言沟通对神内机械通气患者影响的研究  

Study on the Impact of Non-verbal Communication on the Patients with Mechanical Ventilation

作　　者：刘洋[1] 王素凤[1] 宋红香 

机构地区：[1]北京市顺义区医院神经内一科,北京101300

出　　处：《中国医药导刊》2012年第5期906-907,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨非语言性沟通对神内机械通气患者的影响。方法:选择我院2009年10月至2010年10月入住神内重症监护病房的神志清楚,使用机械通气治疗的患者133例,随机分为实验组67例,对照组66例。对照组患者给予神经内科常规治疗和一般护理,遵医嘱调节呼吸模式及参数,使用机械通气。实验组在此基础上加强对患者的非语言性沟通,运用眼神,微笑,触摸,肢体语言等方法进行情感交流,了解机械通气患者的内心世界,增强患者战胜疾病的信心。结果:非语言性交流具有稳定机械通气患者心率,血压,呼吸等生命指标的作用。结论:通过非语言性沟通,患者对机械通气的认知发生改变,用积极的心态使用机械通气,更主动的配合各项护理操作,大大提高了临床治疗的效果,缩短了机械通气的时间,减轻了患者自身的痛苦,使患者更好的接受机械通气。Objective：To investigate the impact of non-verbal communication on the patients with mechanical ventilation.Methods：133 conscious cases from the intensive care unit in the department of Neurology during October 2009 to October 2010 whom were treated with mechanical ventilation were randomly divided into two groups.67 was in experimental group while 66 was in the control group.The control group was treated with conventional treatment and general care of the Department of Neurology,prescribed to regulate breathing patterns and parameters.Experimental group was treated by strengthening the non-verbal communication,such as using eyes,smiling,touching,body language,emotional exchange to understand the inner world of mechanically ventilated patients and to enhance the patients’ confidence to overcome the disease.Results： The non-verbal communication plays the role of stabling the heart rate,blood pressure,breathing and other vital indicators in mechanically ventilated patients.Conclusion： With the non-verbal communication,mechanical ventilation patient changed their cognitive to active coordinate with mechanical ventilation with a positive attitude,so that the effect of treatment was greatly enhanced and the duration of mechanical ventilation was shorten,the patient’s suffering was reduced.

关 键 词：非语言性沟通 机械通气 影响 

分 类 号：R473.74[医药卫生—护理学]