ICU机械通气患者沟通需求的质性研究  

A qualitative study on communication needs of ICU mechanical ventilation patients

作　　者：李淑杰 侯丽敏[2] 孙雪莲[2] 梁潇[2] 肖倩[1] Li Shujie;Hou Limin;Sun Xuelian;Liang Xiao;Xiao Qian(School of Nursing,Capital Medical University,Beijing 100069,China;Emergency Department,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)

机构地区：[1]首都医科大学护理学院,北京100069 [2]首都医科大学宣武医院急诊科,北京100053

出　　处：《中华现代护理杂志》2024年第9期1137-1142,共6页Chinese Journal of Modern Nursing

摘　　要：目的深入了解ICU机械通气患者在机械通气过程中的沟通需求。方法本研究为描述性质性研究。采用目的抽样法, 选取2022年1—6月在首都医科大学宣武医院接受机械通气治疗的15例ICU清醒患者为研究对象, 对其进行深入访谈。应用内容分析法分析访谈资料, 总结归纳主题。结果共提炼出2个主题及10个亚主题, 分别为机械通气期间存在多方面的需求(生理需求、沟通与肢体表达、约束与活动、渴望家人陪伴、对ICU环境的不适)、机械通气期间复杂的感受和体验(机械通气带来的痛苦感受、从镇静中苏醒的恐惧、对病情的焦虑和担忧、不愉快的沟通和护理体验、消极的情绪)。结论医护人员应及时识别ICU机械通气患者的沟通需求, 应用智能沟通工具, 给予个性化的干预措施, 满足患者的沟通需求。Objective To gain an in-depth understanding of the communication needs of Intensive Care Unit(ICU)mechanical ventilation patients during the mechanical ventilation process.Methods This study was a descriptive qualitative study.From January to June 2022,purposive sampling was used to select 15 awake ICU patients with mechanical ventilation at Xuanwu Hospital of Capital Medical University as the research objects,and in-depth interviews were conducted.The content analysis method was used to analyze interview data,summarize and generalize themes.Results Two themes and ten sub-themes were extracted,namely the multiple needs during mechanical ventilation(physiological needs,communication and physical expression,constraints and activities,longing for family companionship,discomfort to the ICU environment),complex feelings and experiences during mechanical ventilation(pain caused by mechanical ventilation,fear of awakening from sedation,anxiety and concern about the condition,unpleasant communication and nursing experiences,negative emotions).Conclusions Medical and nursing staff should promptly identify the communication needs of ICU mechanical ventilation patients,apply intelligent communication tools,provide personalized intervention measures,and meet the communication needs of patients.

关 键 词：重症监护病房 机械通气 气管插管 患者 沟通 需求 质性研究 

分 类 号：R47[医药卫生—护理学]