Happ M B
Department of Acute and Tertiary Care, School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
AACN Clin Issues. 2001 May;12(2):247-58. doi: 10.1097/00044067-200105000-00008.
The literature clearly establishes the problems and difficulties of loss of speech among mechanically ventilated patients in the intensive care unit. Critical care nurses typically receive little or no training in the interpretation of nonvocal communication or in the assessment and application of augmentative communication methods. This article presents an integrative review of the research and related literature on communication with adult patients in critical care settings. Clinical issues and technological advancements in assistive and augmentative communication applicable to critical care are discussed and a new research agenda is proposed.
文献明确指出了重症监护病房中机械通气患者言语丧失的问题和困难。重症护理护士通常很少或根本没有接受过非言语交流解读、辅助交流方法评估及应用方面的培训。本文对重症监护环境下与成年患者沟通的研究及相关文献进行了综合综述。讨论了适用于重症监护的辅助和增强交流方面的临床问题及技术进步，并提出了一个新的研究议程。
