Critical Care Unit, Royal Marsden NHS Foundation Trust, London SW3 6JJ, UK.
Nurs Crit Care. 2012 Jan-Feb;17(1):36-43. doi: 10.1111/j.1478-5153.2011.00478.x.
Continuous positive airway pressure (CPAP) is a common treatment modality for acute respiratory failure (ARF) in critical care. Historically, a tight-fitting mask is used to provide respiratory support. This however is not without risks to the patient. The helmet CPAP is a new product that provides the same treatment with a different method of delivery. There is minimal evidence to date explaining the patient's experience of the new helmet modality.
The aim of this research study is to explore critical care patient's experience of helmet CPAP.
A qualitative approach was taken utilizing descriptive phenomenological methodology. In order to obtain rich data, six interviews with cues provided the platform for data generation and collection. A thematic framework was utilized with emergent themes manually analysed using a constant comparative technique to express the experiences or phenomena of a particular event or experiences.
FINDINGS/RESULTS: The overall experience was unique to each patient. The patients entrusted the health care team which made the experience more tolerable. Paradoxical themes were experienced during treatment. The themes included entrapment, confusion, helping me breathe, liberation, challenges, apprehension, relief, trust and endurance. The desire to survive the acute illness proved to be a driving factor.
The study has provided an insight into the patient's experience of helmet CPAP in the critical care setting. The findings have provided a basis for policy and guideline development. It will also assist in developing future patient focused care.
持续气道正压通气（CPAP）是重症监护中急性呼吸衰竭（ARF）的常用治疗方式。传统上，使用密封贴合的面罩来提供呼吸支持。然而，这种方式存在一定的风险。头盔式 CPAP 是一种新的产品，它提供了相同的治疗，但采用了不同的输送方式。迄今为止，关于新头盔式模式的患者体验，相关证据非常有限。
本研究旨在探讨重症监护患者对头盔式 CPAP 的体验。
采用定性方法，利用描述性现象学方法。为了获得丰富的数据，六次带有提示的访谈为数据生成和收集提供了平台。采用主题框架，使用不断比较技术手动分析新兴主题，以表达特定事件或经历的体验或现象。
结果/发现：每个患者的总体体验都是独特的。患者信任医疗保健团队，这使治疗体验更能忍受。在治疗过程中经历了矛盾主题。这些主题包括被困、困惑、帮助我呼吸、解放、挑战、担忧、缓解、信任和耐力。对生存急性疾病的渴望被证明是一个驱动因素。
该研究深入了解了重症监护环境中患者对头盔式 CPAP 的体验。研究结果为政策和指南的制定提供了依据。它还将有助于开发未来以患者为中心的护理。
