影响保留气管插管患者舒适的相关因素的研究  

Study the factors concerned that affect the comfort of the patients with tracheal tube

作　　者：张环[1] 马红梅[1] 

机构地区：[1]山东省枣庄市立医院,山东枣庄277100

出　　处：《河北医学》2004年第6期505-507,共3页Hebei Medicine

摘　　要：目的 :研究影响保留气管插管患者舒适的有关因素。方法 :以应激与适应为概念框架 ,以访谈法调查了 6 1例保留气管插管机械通气患者。结果 :气管插管是主要的刺激源 ,与气管插管有关的不适和疼痛、活动受限、睡眠障碍、体位不适等属于保留气管插管机械通气的应激反应 ,吸痰、物理约束、环境、抽血、监测等是外源性应激源。交流障碍、缺乏信息 ,医护人员及其医护活动等是人与人之间的应激源。结论 :要努力减少或控制保留气管插管机械通气患者的应激源 ,并要教会患者有效的应对方法 ,以减轻烦躁焦虑 ,身体不适与痛苦 ,更好的配合治疗和护理 ,促进患者早日康复。Objective:To study factors concerned that affect the comfort of the patient with tracheal tube.Method:Use stress and adaptation as concept frame to investigate 61 cases with tracheal tube for mechanical ventilation by converse.Result:Tracheal tube is main irritation source.Discomfort,soreness,activity limit,sleep obstacle and posture discomfort etc. concerning tracheal tube belong to stress response with it for mechanical ventilatino.Inhaling phlegim ,physical restraint,environment,drawing blood and care etc. are outer stressor.Exchange obstacle,information lack docter and nurse and their activities etc. stressor among people.Conclusion:Try to reduce or control stressors of the patient with tracheal tube for mechanical ventilation and impart affective method to cope with to patients to ease fidgetiness ,anxiousness,body discomfort and pain in order to improve patients to recover earlier.

关 键 词：气管插管 机械通气 应激 舒适 

分 类 号：R473[医药卫生—护理学]