国内外患者和护士对人工气道内吸引主观感受研究的文献分析

Perception of artificial airway suction from patients and nurses： a literature review

目的 了解国内外患者及护士对人工气道内吸引的主观感受,为构建人工气道内吸引的临床实践指南提供理论依据.方法 对CNKI、万方、维普、Pubmed、Science direct、西文等数据库及Google搜索引擎2005年至2013年患者和/或护士气道内吸引主观感受的文献进行检索,采用文献内容分析法对符合纳入排除标准的文献进行归纳和总结.结果 19篇文献符合纳入标准.提取相关内容发现,大多数患者保留有人工气道内吸引的记忆,对气道内吸引的主观感受概括为疼痛、呛咳、憋气、渴望交流、恐惧、苦恼;护士人工气道内吸引主观感受的研究较少,且与患者主观感受存在差异.结论 重视患者主观感受,同时加强对护士气道内吸引主观感受的研究,改善与患者的沟通交流,可减轻其不适体验,并将有助于气道内吸引临床实践指南的构建.

Objective To study the perception of patients and nurses for the artificial airway suction,in order to provide theoretical reference for building the artificial airway suction clinical practice guidelines.Methods CNKI,Wanfang,VIP,Pubmed,Science direct databases were searched for papers of patients and/or nurses＇ perception over the limited period of 2005 to 2013.The retrieved papers were analyzed.Results Nineteen eligible papers were identified.Extract relevant contents found the majority of patients retained the memory of that airway suction,mainly for pain,choking,suffocation,and eager to get the relevant knowledge and information.There were few researches on nurses＇ subjective feeling about airway suction.Conclusion We should pay attention to the perception of patients,while strengthening the research on nurses＇ perception of artificial airway suction and improve communication with patients,in order to relieve their discomfort experience,and could be helpful for the building of airway suction clinical practice guidelines.