Stovsky B, Rudy E, Dragonette P
Cardiac Health Improvement and Rehabilitation Program, Cleveland Clinic Foundation, OH.
Heart Lung. 1988 May;17(3):281-9.
In this study we compared two types of communication techniques (planned and unplanned) for effectiveness in communication in the early postoperative intubation period with patients who had cardiac surgery. In this quasi-experimental study we used a sample of 40 patients undergoing open heart surgery who participated in preoperative teaching. The control group (n = 20) relied on the experience and creativity of the nurse to provide a method of postoperative communication. The experimental group (n = 20) was introduced to a communication board before surgery and used the board during the postoperative intubation period. Each patient completed an open-ended patient interview, a patient satisfaction questionnaire, and a visual analogue scale to assess satisfaction with communication after discharge from the intensive care unit. An independent t test indicated that a planned method of communication does significantly increase patient satisfaction in the early postoperative intubation period (t = 2.09, p = 0.05, n = 35). Content analyses of the patient interviews further supported this finding. Validity of the patient satisfaction questionnaire was supported by a high correlation (r = 0.70) with results from the visual analogue scale. Nurse satisfaction with communication during intubation was analyzed by use of a nurse satisfaction questionnaire and open-ended questions that were completed by the nurse after caring for the patients in this study. A dependent t test (t = 1.25, not significant, n = 20) and content analysis indicated that planned communication did not increase nurse satisfaction; however, it did add to the repertoire of methods that nurses currently use in trying to communicate with their patients.
在本研究中，我们比较了两种沟通技巧（计划性和非计划性）在心脏手术后患者术后早期插管阶段的沟通有效性。在这项准实验研究中，我们选取了40例接受心脏直视手术且参与术前教育的患者作为样本。对照组（n = 20）依靠护士的经验和创造力来提供术后沟通方法。实验组（n = 20）在手术前被介绍了一种沟通板，并在术后插管阶段使用该沟通板。每位患者完成了一份开放式患者访谈、一份患者满意度问卷以及一个视觉模拟量表，以评估从重症监护病房出院后对沟通的满意度。独立t检验表明，计划性沟通方法在术后早期插管阶段确实显著提高了患者满意度（t = 2.09，p = 0.05，n = 35）。患者访谈的内容分析进一步支持了这一发现。患者满意度问卷的有效性通过与视觉模拟量表结果的高度相关性（r = 0.70）得到了支持。通过使用护士满意度问卷以及护士在护理本研究中的患者后完成的开放式问题，对插管期间护士的沟通满意度进行了分析。相关t检验（t = 1.25，无显著性差异，n = 20）和内容分析表明，计划性沟通并未提高护士满意度；然而，它确实增加了护士目前用于与患者沟通的方法。
