护士与ICU机械通气患者沟通行为观察研究  

Nurses′communication behavior with mechanically ventilated patients in the ICU:an observational study

作　　者：王映印 张萱[2] 向明芳[2] 李成成 张甜 陈寿莉 刘瑶 廖佳倩 王国蓉[3] Wang Yingyin;Zhang Xuan;Xiang Mingfang;Li Chengcheng;Zhang Tian;Chen Shouli;Liu Yao;Liao Jiaqian;Wang Guorong(School of Nursing,Chengdu University of Traditional Chinese Medicine,Chendu 610075,China)

机构地区：[1]成都中医药大学护理学院,四川成都610075 [2]四川省肿瘤医院重症监护室 [3]四川省肿瘤医院护理研究室

出　　处：《护理学杂志》2022年第15期1-4,共4页Journal of Nursing Science

基　　金：四川省科技厅重点研发项目(2021YFS0090)。

摘　　要：目的观察机械通气患者与护士沟通接触行为,为深入理解和帮助机械通气患者与护士有效沟通接触提供参考。方法选取15例ICU机械通气患者,通过现场观察和全景视频录像结合的方式收集护患沟通接触行为。现场观察记录机械通气患者与护士沟通接触类型与沟通内容,结合视频使用沟通互动行为量表评估机械通气患者与护士沟通接触行为质量。结果现场观察与视频观察均255 h,共编码记录护患沟通接触过程755次,其中护士发起沟通697次,沟通内容为治疗性690次;沟通接触行为3636个,其中护士正向沟通行为2094个,患者负向沟通行为320个。沟通发起类型、沟通内容与护士、患者正向沟通行为呈正相关,护士正向沟通行为与患者正、负向沟通行为呈正相关(均P<0.05)。结论ICU护士的沟通行为与患者的沟通行为密切相关,应重视患者的主动沟通行为,优化护患沟通细节,降低患者的负向沟通行为,同时关注患者负向沟通行为对护士产生的心理压力。Objective To observe the communication and contact behavior of mechanically ventilated patients and nurses,in order to provide reference for a deeper understanding and helping them to conduct effective communication.Methods Fifteen mechanically ventilated patients in the ICU were selected,and their communication behaviors with nurses were collected through live observation and panoramic video recording.The type and content of communication between them were observed and recorded on site,and the quality of communication was assessed using the Communication Interaction Behavior Instrument(CIBI)in conjunction with the video.Results Both on-site observation and video observation were conducted for 255 h.A total of 755 nurse-patient communication and contact processes were encoded and recorded,of which 697 were initiated by nurses and 690 were therapeutic in nature,and 3636 communication and contact behaviors were recorded,of which 2094 were positive behaviors by nurses and 320 were negative behaviors by patients.The type of communication initiation and content of communication were positively associated with positive communication behaviors of nurses and patients,and positive communication behaviors of nurses were positively associated with positive and negative communication behaviors of patients(P<0.05 for all).Conclusion There is correlation between the communication behavior of ICU nurses and patients.We should pay attention to the active communication behavior of patients,optimize the details of nurse-patient communication,reduce the negative communication behavior of patients,and concern the psychological pressure on nurses induced by it.

关 键 词：ICU 机械通气 患者 护士 护患沟通 沟通行为 沟通接触行为质量 田野观察 观察性研究 

分 类 号：R471[医药卫生—护理学]