机械通气病人感受的研究

Research on the Perception of Respirator Patients

以应激与适应为概念框架 ,采用定势访谈法调查了 5 9例机械通气病人的感受。结果发现 ,气管插管是主要内在应激源 ,与气管插管有关的不适和疼痛、活动受限、睡眠障碍、体位不适等属于气管插管和机械通气的应激反应。吸痰、物理约束、ICU环境、抽血等是外在应激源。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。还暴露了不被重视的适应性的行为。概括地描述了机械通气病人的感受 ,并根据病人的感受提出了一些建议 ;

Guided by stress and adaptation,59 patients on respirators were interviewed with structured method.Endotracheal tube is leading intrapersonal stressor;discomfort and pain related to endotracheal tube,activity restriction,sleep deprivation,discomfort in position belong to response to endotracheal tube and positive pressure ventilation.Suctioning,physical restriction,ICU environment are extrapersonal stressors.Difficulty in communication,lack of information,medical staff and service are interpersonal stressors.Adaptive behaviors,which are often overlooked,were also discovered in the study.The perceptions of patient on respirators are generally described and suggestions and methods for further study are put forward.