病人与护士对机械通气不适的感知比较

目的 :比较病人和护士对机械通气时不适的感知差异。方法 :应用机械通气不适问卷分别收集 5 4例机械通气病人和 41名护士的资料 ,对感知程度进行分析。结果 :病人感觉吸痰、与插管、吸痰相关的疼痛以及不能说话引起的不适最重 ,而护士认为气管插管、机械通气、吸痰引起的不适较重。病人和护士对气管插管、机械通气、辅助呼吸噪音所致不适的感知差异有统计学意义 (P <0 .0 1) ,护士的感知较病人为重。结论 :护士与病人的感知不一致 ,可影响护士对不适的评估和护理 ;临床护士应准确地把握病人的不适 ,以便提供有效的护理

A Comparison on Discomfort Perception of Both Patients and Nurses Towards Mechanical Ventilation

Objective: to compare the discomfort perception differences between patients and nurses towards mechanical ventilation. Methods: a total of 54 cases accepted mechanical ventilation and 41 nurses conducted the ventilation were investigated on their perception via filling out questionnaire. The perceptions of both patients and nurses were analyzed. Results: the severest discomfort in patients undergoing mechanical ventilation was caused by sputum suction, intubation and suction related pain, and temporary speechless. However, nurses who were investigated thought the severer discomfort of them was caused by tracheal intubation, mechanical ventilation, and sputum suction. There was statistical difference between the perception of patients and nurses towards tracheal intubation, mechanical ventilation and noises from the ventilator (P<0.01).Moreover, the perception of nurses was more severe. Conclusion: the incongruence of perception between nurses and patients may affect both evaluation and nursing care of discomfort of nurses. Nurses should concisely know the discomforts of patients and provide an effective care for her patients.