气管插管全身麻醉患者体验的质性研究

A qualitative study of patients undergoing endotracheal intubation with general anesthesia

目的探讨气管插管全身麻醉患者的真实心理体验,针对个体差异分析认知行为方式,为人性化心理干预和心理教育提供理论依据。方法本次研究是以质性研究中的现象学研究方法作为指导,选取10例气管插管全麻手术患者,将访谈的语音整理成文字,再根据文字进行整理、分析,总结出个体中的共性,归纳出共有的主题。结果质性访谈的结果显示患者的主要体验在5个方面:焦虑与恐惧、咽喉异物感、恶心呕吐、疼痛、嗜睡。结论针对本研究所体现的患者体检,护理工作者需进一步完善访视体制,提升沟通能力,充分评估患者,合理选择导管,提高知识储备,正确使用药物,同时丰富心理干预机制。

Objective To explore the real psychological experience o f patients undergoing en-dotracheal intubation with general anesthesia , to analyze individual cognitive behavior according to individual differences,and to provide theoretical basis fo r humanistic psychological interventionand psychological education. Methods Based on thephenomenological study o f q u a lita tiv e re-search,the study included 10 cases o f patients under^going tracheal intubation under general anes-thesia from a hospital. Subsequently,the voice o f tlie inter-view was arranged into a te x t,and thencollated and analyzed according to the te x t,the commonnes in the individual were summarized e- ventuaiy to conclude the common theme. Results The results o f qualitati-ve inter-views could be d i-vided into 5 themes： anxiety and f ea ,forei^gn body sensation o f ttie th ro a t,nausea and v om itin g, pain,and somnolence. Conclusion In view o f this research to p ic, corresponding measuresshould be adopted,including the perfection o f vis itin g system and improvement o f communication abi l ity,ful l assessment o f patients and reasonable selection o f cattieters,enhancement o f knowl-edge reser-vation and correct usage o f drugs,as w ell as strengthen o f psychological nursing and en-richment of inter-vention mechanism.