ICU患者拔除气管插管后心理体验的质性研究  

A qualitative study of the psychological experience after tracheal extubation in ICU patients

作　　者：宋园园 李远青 祝红娟 SONG Yuanyuan;LI Yuanqing;ZHU Hongjuan(Department of Critical Care Medicine,the Fourth Medical Centre,Chinese PLA General Hospital,Beijing 100048,China)

机构地区：[1]解放军总医院第四医学中心重症医学科,北京100048

出　　处：《中华灾害救援医学》2021年第9期1227-1229,共3页Chinese Journal of Disaster Medicine

摘　　要：目的了解重症监护单元(Intensive Care Unit,ICU)患者拔除气管插管后的真实心理感受,为临床制订心理干预对策提供参考依据。方法对11例ICU患者拔除气管插管后的感受进行访谈并录音,以质性研究中的现象学研究方法作为指导,采用软件对访谈的资料进行转录、分析、提炼主题,并将资料进行归纳。结果通过质性访谈的结果显示患者的主要体验在3个方面:咽部疼痛在插管拔除后依然是患者最主要的不适感;知识缺乏和亲情割离是造成患者不良情绪的主要诱因;及时心理支持的缺乏造成患者产生明显的失落感。结论患者拔除气管插管后仍需要加强沟通及心理护理,需规范插管前后的健康教育和拔管后的访视制度。Objective To understand the real psychological feeling of patients in the intensive care unit(ICU)after tracheal extubation,and to provide a reference for clinical psychological intervention strategies.Methods A total of 11 ICU patients after tracheal extubation were interviewed,the recordings of which were transcribed,analyzed and summarized by software under the guidance of phenomenological research methods in qualitative research.The data was then concluded and categorized.Results The results of the qualitative interview showed that the patients had psychological experiences in the following three aspects primarily:pharyngeal pain still being the main discomfort after the removal of intubation;lack of medical understanding and separation from families were the main causes for negative emotions;the lack of timely psychological support led to a significant sense of loss.Conclusion Communication and psychological care are still required for patients after tracheal extubation.Health education before and after the extubation and the postextubation visit system need to be further stipulated.

关 键 词：ICU 气管拔管 心理体验 质性研究 

分 类 号：R473.5[医药卫生—护理学]