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对无法发声患者使用“为我代言”的评估。

Evaluation of Speak for Myself with Patients Who Are Voiceless.

作者信息

Koszalinski Rebecca S, Tappen Ruth M, Viggiano David

机构信息

Christine E. Lynn College of Nursing, Florida Atlantic University, Boca Raton, FL, USA.

Department of Music Engineering, School of Music, University of Miami, Miami, FL, USA.

出版信息

Rehabil Nurs. 2015 Jul-Aug;40(4):235-42. doi: 10.1002/rnj.186. Epub 2014 Nov 25.

DOI:10.1002/rnj.186
PMID:25424980
Abstract

PURPOSE

To describe the creation and initial feasibility study of a new computer application to improve communication with people who cannot communicate by customary means during their hospitalization.

DESIGN

This was a mixed-methods, quasi-experimental design.

METHODS

This exploratory feasibility study obtained data about the experiences of 20 intensive care patients in three South Florida hospitals who were unable to speak due to mechanical obstruction.

FINDINGS

Study participants (20), who ranged in age from 45 to 91 years (M=67.4, SD=12.88) and between -1 to +1 (SD=-0.15) on the Richmond Agitation Sedation Scale, used Speak for Myself from 4 to 16 hours with a mean of 8.86 (SD=2.12). Ninety-five percent of the participants stated that Speak for Myself was helpful for communication.

CONCLUSIONS

Speak for Myself was helpful to patients who used it. This was a small study (n=20). It warrants further investigation.

CLINICAL RELEVANCE

Patients who are unable to communicate their needs through conventional methods still want to make their preferences and needs known. Speak for Myself is a new application that facilitates ensuring the patient's voice is heard.

摘要

目的

描述一种新的计算机应用程序的创建及初步可行性研究,该应用程序旨在改善与住院期间无法通过常规方式进行沟通的患者之间的交流。

设计

这是一项混合方法的准实验设计。

方法

这项探索性可行性研究收集了南佛罗里达州三家医院20名重症监护患者的经历数据,这些患者因机械性梗阻无法说话。

结果

研究参与者年龄在45至91岁之间(M = 67.4,SD = 12.88),里士满躁动镇静量表评分为-1至+1(SD = -0.15),使用“为我代言”的时长为4至16小时,平均时长为8.86小时(SD = 2.12)。95%的参与者表示“为我代言”对交流有帮助。

结论

“为我代言”对使用它的患者有帮助。这是一项小型研究(n = 20)。值得进一步研究。

临床意义

无法通过传统方法表达需求的患者仍希望表达自己的偏好和需求。“为我代言”是一种新应用程序,有助于确保患者的声音被听到。

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