ICU机械通气患者辅助沟通系统的构建与应用

Construction and application of the augmentative and alternative communication for mechanically ventilated patients in the ICU

目的 构建并应用ICU机械通气患者辅助沟通系统,以提高护患沟通效率。方法 将2021年3~6月心胸外科ICU收治的26例机械通气患者作为对照组,采用常规沟通方法;2021年7~10月收治的29例患者作为干预组,应用辅助沟通系统,包括制订适用于ICU情境的辅助沟通系统四要素,研发沟通App并应用于机械通气患者。分别于患者清醒后(干预前)及撤除呼吸机后(干预后)采用沟通障碍量表、医院焦虑抑郁量表、满意度问卷进行调查;对干预组进行技术接受度调查。结果 干预后干预组沟通障碍程度、焦虑及抑郁评分显著低于对照组,满意度得分显著高于对照组(均P<0.05);干预组对沟通App技术接受度得分为5.54±0.94。结论 应用基于沟通App的辅助沟通系统能够提高ICU机械通气患者沟通效果,降低负性情绪,优化ICU住院体验。

Objective To construct and apply the augmentative and alternative communication for mechanically ventilated patients in the ICU,so as to improve nurse and patient communication efficiency.Methods A total of 26 mechanically ventilated patients admitted to cardiothoracic surgery ICU from March to June 2021 were regarded as a control group,who communicated with nurses using a conventional method;and 29 patients admitted from July to October 2021 were taken as an intervention group,who communicated utilizing the augmentative and alternative communication,which included formulating the four elements of the augmen-tative and alternative communication for ICU context,developing communication App and applying in mechanically ventilated patients.The Ease of Communication Scale(ECS),the Hospital Anxiety and Depression Scale(HADS) and a self-designed satisfaction questionnaire were used to investigate the two groups after they were sober-minded(before the intervention) and after removing the ventilator(after the intervention),and the degree of the technology acceptance of the intervention group was surveyed.Results After the intervention,the total score of ECS and HADS of the intervention group were significantly lower than those of the control group,while its satisfaction score was significantly higher(P<0.05 for all),and the score of communication App technology acceptance in the intervention group was(5.54±0.94) points.Conclusion Application of the augmentative and alternative communication system based on communication App can improve the communication efficiency of ICU mechanically ventilated patients,reduce their negative emotion and optimize hospitalization experience.