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人们在 ICU 中接受机械通气的体验:一项定性研究。

People's experiences of being mechanically ventilated in an ICU: a qualitative study.

机构信息

Division of Nursing, Department of Health Science, Luleå University of Technology, Luleå, Sweden.

出版信息

Intensive Crit Care Nurs. 2013 Apr;29(2):88-95. doi: 10.1016/j.iccn.2012.07.003. Epub 2012 Aug 21.

DOI:10.1016/j.iccn.2012.07.003
PMID:22917591
Abstract

OBJECTIVES

In previous studies people receiving mechanical ventilation treatment have described experiencing distress over their inability to speak and feelings such as anxiety. More research is needed to improve their experience in the intensive care unit and promote recovery. The aim of this study was to describe the intensive care unit experiences of people undergoing mechanical ventilation.

METHOD

Qualitative, personal interviews were conducted during 2011 with eight people who were mechanically ventilated in an intensive care unit in the northern part of Sweden. Interview transcripts were analysed using qualitative content analysis.

FINDINGS

Two themes emerged, with four and three categories, respectively. Being dependent for survival on other people and technical medical equipment created a sense of being vulnerable in an anxious situation and a feeling of uncertainty about one's own capacity to breathe. Having lines and tubes in one's body was stressful. Being given a diary and follow-up visit to the intensive care unit after the stay were important tools for filling in the missing time, but there was also one participant who did not want to remember his stay in the intensive care unit.

CONCLUSION

To be dependent on other people and technical medical equipment for survival creates a sense of being delivered into the hands of others, as the people being mechanically ventilated could not trust their body to function.

摘要

目的

在先前的研究中,接受机械通气治疗的人描述了他们无法说话时的痛苦和焦虑等感觉。需要更多的研究来改善他们在重症监护病房的体验并促进康复。本研究旨在描述接受机械通气的人在重症监护病房的体验。

方法

2011 年,在瑞典北部的一个重症监护病房,对 8 名接受机械通气的人进行了定性的个人访谈。使用定性内容分析对访谈记录进行了分析。

结果

出现了两个主题,分别有四个和三个类别。依赖他人和医疗技术设备来维持生命会让人在焦虑的情况下感到脆弱,并对自己的呼吸能力感到不确定。身体上有管路会产生压力。在入住重症监护病房后,提供日记和后续访问是填补缺失时间的重要工具,但也有一名参与者不想回忆他在重症监护病房的经历。

结论

依赖他人和医疗技术设备来维持生命会让人感到被他人掌控,因为接受机械通气的人无法相信自己的身体能够正常运作。

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