机械通气患者及家属的心理反应与护理

目的：了解机械通气治疗患者及家属的心理反应和心理需求。方法：以问卷方法调查神志清楚的28例及128位患者及家属的心理反应。结果：28例患者中，忧郁占92．8％，多疑占85．7％，脆弱占100％；敌对占82．1％，易怒占96．4％，偏激占93．8％，120位家属中，忧郁占90．8％，多疑占81．6％，敌对占80％脆弱占97．5％，易怒占93．3％，偏激占82．5％，其余项目无明显差异；心理需求调查中，患者需要陪护占100％，健康教育需要占92％，减少费用为75％、临终关怀为67．8％，而家属对陪护的需求为83．3％，减少费用为77．7％、临终关怀为90．8％外，其余项目无差异性。结论：机械通气患者在治疗期间心理反应、心理需求基本上与家属一致，需对患者和家属进行心理护理。

The psychological reaction and nursing of mechanical ventilation patients and their relatives

Objective: To understand the psychological reaction and psychological demands of mechanical ventilation patients and their relatives. Methods: To investigate the psychological reaction of patients clear in mind and relatives with questionnaire method. Result: Among the 28 patients, melancholy accounted for 92.8%, suspicious accounted for 85.7%, fragile accounted for 100%, hostile accounted for 82.1%, apt to anger accounted for 96.4%, extreme accounted for 93.8%. Among the 120 relatives, melancholy accounted for 90.8%, suspicious accounted for 81.6%, hostile accounted for 80%, fragile accounted for 97.5%, apt to anger accounted for 93.3%, extreme accounted for 82.5%. And other projects have not significant difference. In the psychological demands investigation, the patients who need to be accompanied accounted for 100%, that needs health education accounted for 92%, who need to reduce expense accounted for 75%, who need to be given end care accounted for 67.85, and relatives who need to be accompanied accounted for 83.3%, who need to reduce expense accounted for 77.7%, who need to be given end care accounted for90.8%, and other projects have no significant difference. Conclusion: The mechanical ventilation patients' psychological reaction and psychological demands during the treating period are the same with those of the relatives.