Rosé D, Röggla M, Behringer W, Röggla G, Frass M
Klinik für Innere Medizin I, Allgemeines Krankenhaus Wien, Osterreich.
Wien Klin Wochenschr. 1999 Feb 26;111(4):148-52.
A review of the literature reveals only scarce data and observations concerning the recollections of patients treated in a intensive care unit, although intraoperative awareness under general anaesthesia has been extensively reported. In the present study we investigated the recollections of patients who had undergone artificial ventilation in intensive care units.
Fifty patients who had undergone mechanical ventilation in intensive care units at the University Hospital of Vienna were retrospectively interviewed in regard of their experience during the treatment. A score was used to quantify discomfort.
All patients remembered having been treated at the intensive care unit. The most unpleasant experience was tracheal suctioning which was remembered by 60%. The next most unpleasant experience was extubation; 52% remembered this intervention. Eighty-four per cent of patients remembered the medical staff, 90% of them had confidence in them, 86% remembered the nursing staff and 91% had confidence in them.
In spite of unpleasant memories of intensive care treatment, of which tracheal suctioning was perceived as most unpleasant, the majority of patients expressed a positive evaluation of their treatment at the intensive care unit.
尽管关于全身麻醉下术中知晓的报道广泛，但文献综述显示，关于重症监护病房接受治疗患者回忆的资料和观察非常稀少。在本研究中，我们调查了在重症监护病房接受人工通气患者的回忆情况。
对维也纳大学医院重症监护病房接受机械通气的50例患者进行回顾性访谈，了解他们在治疗期间的经历。采用一个评分来量化不适感。
所有患者都记得在重症监护病房接受过治疗。最不愉快的经历是气管吸痰，60%的患者记得此事。其次是拔管；52%的患者记得这一操作。84%的患者记得医护人员，其中90%对他们有信心，86%的患者记得护理人员，91%对他们有信心。
尽管重症监护治疗有不愉快的回忆，其中气管吸痰被认为是最不愉快的，但大多数患者对他们在重症监护病房的治疗给予了积极评价。
