非语言交流在心脏术后建立人工气道患者中的应用研究

Application of Non-language Communication in Nursing Patients with Artificial Airway after Cardiac Surgery

目的 评价非语言交流方式对心脏手术后建立人工气道患者进行护患交流和沟通的适用性和满意度。方法 采用规范化手势语、图片卡、写字板、摇铃四种非语言交流方式对 337例心脏手术后建立人工气道 (气管插管及气管切开 )患者进行护患交流和沟通。结果 手势语适用于各层次患者 ,满意率为 96 .0 2 % ;图片卡主要适用于文盲或半文盲和听不懂普通话的患者 ,满意率为 94.2 5 % ;写字板则主要适用于有一定文化水平的患者 ,满意率为 84.81% ;而摇铃主要作为年老体弱患者需要非语言交流的信号 ,满意率为 97.37%。总体满意率为 93.11%。

Objective To evaluate the suitability and the satisfaction rate of non language communication in nursing patients with artificial airway (endotracheal intubation or tracheotomy) after cardiac surgery. Methods Four non language communication ways (i.e. standardized sign language, picture cards, writing boards and bell ringing) were used in 337 patients with artificial airway after cardiac surgery.Results Sign language was suitable for all patients with a satisfaction rate of 96.02% . Picture cards were mainly used in the illiterate or semiliterate patients and those who did not understand Putonghua, giving a satisfaction rate of 94.25%. Writing boards were mainly suitable for the educated patients with a satisfaction rate of 84.81%. Bell ringing, as a signal of non language communication, was especially prepared for the senile and infirm patients, with a satisfaction rate of 97.37%. The overall satisfaction rate was 93.11%.Conclusion Non language communication is an important and effective interchange means between nurses and patients with artificial airway after cardiac surgery.