非语言交流在心脏术后建立人工气道患者中的应用研究

目的 评价非语言交流方式对心脏手术后建立人工气道患进行护患交流和沟通的适用性和满意度。方法 采用规范化手势语、图片卡、写字板、摇铃四种非语言交流方式对337例心脏手术后建立人工气道(气管插管及气管切开)患进行护患交流和沟通。结果 手势语适用于各层次患,满意率为96．02％;图片卡主要适用于盲或半盲和听不懂普通话的患,满意率为94．25％;写字板则主要适用于有一定化水平的患,满意率为84．81％;而摇铃主要作为年老体弱患需要非语言交流的信号,满意率为。97．37％。总体满意率为93．11％。结论 非语言交流是心脏术后建立人工气道患监护中护患之间重要而有效的沟通方式。

Application of Non-language Communication in Nursing Patients with Artificial Airway after Cardiac Surgery

Objective To evaluate the suitability and the satisfaction rate of non language communication in nursing patients with artificial airway (endotracheal intubation or tracheotomy) after cardiac surgery. Methods Four non language communication ways (i.e. standardized sign language, picture cards, writing boards and bell ringing) were used in 337 patients with artificial airway after cardiac surgery.Results Sign language was suitable for all patients with a satisfaction rate of 96.02% . Picture cards were mainly used in the illiterate or semiliterate patients and those who did not understand Putonghua, giving a satisfaction rate of 94.25%. Writing boards were mainly suitable for the educated patients with a satisfaction rate of 84.81%. Bell ringing, as a signal of non language communication, was especially prepared for the senile and infirm patients, with a satisfaction rate of 97.37%. The overall satisfaction rate was 93.11%.Conclusion Non language communication is an important and effective interchange means between nurses and patients with artificial airway after cardiac surgery.