Karlsson Veronika, Forsberg Anna
Department of Intensive Care Unit, SkaS, Kärnsjukhuset, Skövde, Sweden.
Intensive Crit Care Nurs. 2008 Feb;24(1):41-50. doi: 10.1016/j.iccn.2007.06.004. Epub 2007 Aug 3.
The aim of this study was to investigate experiences of being conscious during ventilator treatment in the ICU from a patient perspective. Hermeneutic, phenomenological methods were used. Eight patients who had received ventilator treatment were interviewed. The time on a ventilator varied from 1 day to several months. Some patients had been more heavily sedated during the acute phase while some were only lightly sedated and others had no sedation at all. The motor activity assessment scale was used to rate the sedation level. The patients had been sufficiently conscious to communicate with the help of the alphabet board, by means of facial expression or by nodding or shaking their head. The results show that the experience of care by patients who were conscious during ventilator treatment was described under the headings of: memories, mastering the situation and individual consequences. Health in the ICU is associated with yearning. The patient undergoes different stages of yearning as part of his or her recovery process. The patient who is conscious during ventilator treatment views him/herself and his/her worth on the basis of the attitude and behaviour of the caregivers, where the value of caring consists of the holistic confirmation of individual suffering.
本研究的目的是从患者角度调查重症监护病房（ICU）中接受呼吸机治疗时意识清醒的体验。采用了解释学现象学方法。对8名接受过呼吸机治疗的患者进行了访谈。使用呼吸机的时间从1天到几个月不等。一些患者在急性期接受了更深度的镇静，而一些患者仅接受了轻度镇静，还有一些患者根本没有接受镇静。使用运动活动评估量表对镇静水平进行评分。患者意识清醒，能够借助字母板、通过面部表情或点头或摇头进行交流。结果表明，在呼吸机治疗期间意识清醒的患者的护理体验在以下标题下进行了描述：记忆、掌控局面和个人后果。ICU中的健康与渴望有关。患者在康复过程中经历不同阶段的渴望。在呼吸机治疗期间意识清醒的患者根据护理人员的态度和行为看待自己及其价值，其中护理的价值在于对个体痛苦的整体确认。
