术后经口气管插管暂时性失语患者的心理体验

A study of psychological experience for transient aphasia patients with oral endotracheal tube

目的:深入了解患者术后经口气管插管暂时性失语的心理体验。方法:采用质性研究方法中的现象学分析法对14例术后经口气管插管机械通气并予计划性拔除后的患者进行深入访谈,运用Colaizzi七步分析法进行资料分析。结果:通过分析、整理,提炼出4个主题,管道刺激导致疼痛引起煎熬感、保护性约束带来的自尊心受创、麻醉清醒后对陌生环境的恐惧感、无法配合呼吸机辅助通气仍感呼吸困难的焦虑感。结论:医护人员应重视此类患者的心理过程,并给予针对性的心理干预和支持途径,提高患者计划性拔除气管插管成功率。

Objective： Tounderstandthepsychological experience of patients with temporaryaphasiaafter oral tracheal intubation. Methods： A qualitative analysis method was used to analyze 14 cases of tracheal intubation and mechanical ventilation. The data were analyzed by Colaizzi seven step analysis. Results： 4 themes were sorted out： pain caused by pipeline stimulation, wounded pride by protective constraint, fear of strange environment after anesthesia, dyspnea caused by unable to cooperate with ventilator assisted ventilation. Conclusion： Medical staff should pay attention to the psychological process of these patients, and provide targeted psychological intervention and support, so as to improve the success rate of planned tracheal intubation.