机械通气过程中患者感受与护士感知的差异分析  

Comparative study of perception between nurses and patients during the process of mechanical ventilation

作　　者：周意[1] 笃铭丽[2] 孙菊芳[3] 王秋莉[2] 

机构地区：[1]上海交通大学附属第一人民医院泌尿科,200080 [2]上海交通大学附属第一人民医院心内科,200080 [3]上海交通大学附属第一人民医院心外科,200080

出　　处：《中华现代护理杂志》2015年第6期666-669,共4页Chinese Journal of Modern Nursing

摘　　要：目的：探讨机械通气过程中患者与护士对机械通气过程中各种不适因素的感知差异。方法采用自制的机械通气过程中患者不适感问卷和护士感知调查问卷分别对我院监护室接受机械通气治疗的220例患者和有1年以上护理机械通气患者经历的68名护士进行调查，对两组的感知程度进行比较分析。结果患者舒适度总分为（48．956±7．136）分，其中生理舒适度为（27．816±4．158）分，心理舒适度为（14．475±4．335）分，社会舒适度为（8．141±3．895）分；护士感知患者舒适度总分为（59．110±9.002）分，其中生理舒适度为（30．089±4．637）分，心理舒适度为（18．974±4．978）分，社会舒适度为（11．032±4．076）分；患者与护士对机械通气不适感知在各方面比较差异均有统计学意义（ t值分别为－8．512，－3．618，－6．708，－5．165；P＜0．05）。结论护士与患者对机械通气不适感的感知不一致，影响护士对患者不适状态的评估及护理工作的有效开展。临床护士应准确评估并掌握机械通气患者的不适，以便提供舒适的护理。Objective To investigate the differences of all discomfort perceived by patients and with mechanical ventilation and nursing care .Methods A total number of 220 patients admitted to ICU accepted mechanical ventilation , and 68 nurses with over 1 year experience conducting ventilation were investigated on their perception with self-designed questionnaires .Results The total score of patients′comfort was （48.956 ± 7.136）, of which physiological comfort was （27.816 ±4.158）, psychological comfort （14.475 ±4.335）, society comfort （8.141 ±3.895）, while total patients′comfort score of nurses′perception was （59.110 ± 9.002）, of which physiological comfort was （30.089 ±4.637）, psychological comfort （11.032 ±4.076）.The perception between nurses and patients had statistically differences （t=-8.512,-3.618,-6.708,-5.165, respectively;P〈0.05）.Conclusions The inconformity of perception between patients and nurses affects both evaluation of patients′discomfort and nursing care .Nurses should access discomfort of patients precisely in order to provide comfortable nursing .

关 键 词：呼吸 人工 护士 感知 患者 影响因素 

分 类 号：R473[医药卫生—护理学]