ASSESSMENT OF PATIENTS EXPERIENCE OF DISCOMFORTS DURING RESPIRATOR THERAPY
ASSESSMENT OF PATIENTS EXPERIENCE OF DISCOMFORTS DURING RESPIRATOR THERAPY
复制标题
DOI：
10.1097/00003246-198910000-00021
复制
发表时间：
1989-10-01
影响因子：
8.8
通讯作者：
HALJAMAE, H
中科院分区：
文献类型：
--
作者：
BERGBOMENGBERG, I;HALJAMAE, H
回顾性（> 2个月后）采访了接受过干扰素治疗且能记住治疗的患者（n = 158），了解他们的经历。在所有患者中，47%的患者在治疗期间感到焦虑和/或恐惧。这些感觉与痛苦/恐慌（p <0.001）和不安全感（p <0.001）密切相关。无法交谈和交流被认为是主要原因（p < .001）引起这种感觉，也使患者难以入睡和休息（p < .05）;没有发现与疼痛的相关性。与呼吸机同步吸痰的困难也会引起焦虑/恐惧感（p <0.01）、痛苦/恐慌（p <0.01）和不安全感（p <0.001）。即使在呼吸器治疗后4年，大多数记得治疗的患者（90%）仍然记得不愉快和引起压力的情况。由于沟通困难造成的隔离是一个比直接与气道相关的护理活动更大的问题。沟通困难与严重情绪反应之间的关系，应考虑在护理的麻醉剂治疗的病人。
Patients (n = 158) who had been respirator-treated and who could remember the treatment were retrospectively (after > 2 months) interviewed about their experiences. Of all patients, 47% had felt anxiety and/or fear during the treatment. These feelings were intimately related to the experience of agony/panic (p < .001) and insecurity (p < .001). Inability to talk and communicate was found to be the dominating reason (p < .001) for evoking such feelings and also made it difficult for the patients to sleep and rest (p < .05); no correlation to pain was found. Difficulties to synchronize with the respirator in connection with suctioning also caused feelings of anxiety/fear (p < .01), agony/panic (p < .01), and insecurity (p < .001). Even as long as 4 yr after respirator treatment, most patients (90%) who remember the treatment still recall the situation as unpleasant and stress-evoking. The isolation due to communication difficulties was a greater problem than direct airway-related nursing care activities. This relationship between communication difficulties and severe emotional reactions should be considered in the nursing care of respirator-treated patients.