Wang Yi, Li Hua, Zou Honglin, Li Yaxiong
Department of Heart Vascular Surgery, Yan'An Hospital Affiliated to Kunming Medical University, Kunming, Yunnan Province, China.
Department of Heart Vascular Surgery, Yan'An Hospital Affiliated to Kunming Medical University, Kunming, Yunnan Province, China.
J Cardiothorac Vasc Anesth. 2015 Aug;29(4):990-4. doi: 10.1053/j.jvca.2015.01.036. Epub 2015 Jan 29.
This study analyzed major complaints from patients during mechanical ventilation after cardiac surgery and identified the most common complaints to reduce adverse psychologic responses.
Retrospective.
A single tertiary university hospital.
Patients with heart disease who were on mechanical ventilation after cardiac surgery (N = 800).
The major complaints of the patients during mechanical ventilation after cardiac surgery were analyzed.
Patients' comfort was evaluated using a visual analog scale, and the factors affecting comfort were analyzed. The average visual analog scale score in all patients was 5.8±2.0, and most patients presented moderate discomfort. The factors affecting comfort included dry mouth, thirst, tracheal intubation, aspiration of sputum, communication barriers, limited mobility, fear/anxiety, patient-ventilator dyssynchrony, and poor environmental conditions. Of these factors, 8 were independent predictors of the visual analog scale score. Patients considered mechanical ventilation to be the worst part of their hospitalization.
The study identified 8 independent factors causing discomfort in patients during mechanical ventilation after cardiac surgery. Clinicians should take appropriate measures and implement nursing interventions to reduce suffering, physical and psychologic trauma, and adverse psychologic responses and to promote recovery.
