Aslani Yousef, Niknejad Reyhaneh, Moghimian Maryam, Maghaddasi Jaefar, Akbari Mohammad
Department of Medical Surgery Nursing, School of Nursing and Midwifery, Shahrekord University of Medical Sciences, Shahrekord, Iran.
MSc Student, Nursing and Midwifery Student Research Committee AND Department of Operative Room, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
ARYA Atheroscler. 2017 Nov;13(6):274-281.
Breathing and living on mechanical ventilation develops a different feeling in patients. Most of such feelings and experiences are not pleasant and can lead to psychiatric disorders in the patients after they are detached from the ventilator. The aim of this study is to explore the psychological experiences of patients under mechanical ventilation.
This qualitative study was conducted according to an interpretive epistemological approach in 2016. Fifteen participants were selected according to purposive sampling. Data were drawn from the transcripts of in-depth, semi-structured interview that were not discontinued until data saturation was ensured. The participants were asked to share what they experienced when they were under mechanical ventilation and intubation. Data analysis was conducted according to Diekelmann method.
Altogether, 2 themes, 7 subthemes, and 27 sub-subthemes were drawn from the data. Two themes were dread (a horrible experience) and hope (an inspiring experience). Dread consisted of anxiety, hopelessness, and dependency. Hope consisted of spiritual connection as the only possible effort, the presence of health team the source of comfort, the family looking forward, and overcoming the illness (a step to life).
The psychological experiences of patients under mechanical ventilation are specific, and nurses can play an important role in decreasing tension and increasing hope among them through gaining knowledge about their experiences.
依靠机械通气呼吸和维持生命会给患者带来不同的感受。这类感受和经历大多并不愉快，且可能导致患者在脱离呼吸机后出现精神障碍。本研究旨在探究接受机械通气患者的心理体验。
本定性研究于2016年依据诠释性认识论方法开展。采用目的抽样法选取了15名参与者。数据取自深度半结构化访谈的文字记录，访谈持续进行直至确保数据饱和。参与者被要求分享他们在接受机械通气和插管时的经历。根据迪克尔曼方法进行数据分析。
数据共得出2个主题、7个子主题和27个次亚主题。两个主题分别是恐惧（一种可怕的经历）和希望（一种鼓舞人心的经历）。恐惧包括焦虑、绝望和依赖。希望包括作为唯一可能努力的精神联系、医疗团队的存在是安慰的来源、家人的期待以及战胜疾病（迈向生活的一步）。
接受机械通气患者的心理体验具有特殊性，护士通过了解他们的经历，在减轻其紧张情绪和增强其希望方面可发挥重要作用。
