Momennasab Marzieh, Ardakani Mohammadreza Shaker, Rad Fereshte Dehghan, Dokoohaki Roya, Dakhesh Reza, Jaberi Azita
Department of Nursing, University of Medical Sciences, Shiraz, Iran,
Al-Zahra Hospital, University of Medical Sciences, Shiraz, Iran.
Invest Educ Enferm. 2019 May;37(2). doi: 10.17533/udea.iee.v37n2e02.
To describe the quality of the relationship between nurses and patients under mechanical ventilation.
This observational study, performed in a cardiac surgery intensive care unit in Iran, selected 10 nurses and 35 patients through simple random and convenience sampling, respectively. One of the researchers observed 175 communications between nurses and patients in different work shifts and recorded the results according to a checklist. Nurse and patient satisfaction with the communication was assessed by using a six-item Likert scale, 8 to 12 h after extubation.
Most of the patients were male (77.1%), while most of the nurses were female (60%). Patients started over 75% of the communications observed. The content of the communication was related mostly to physical needs and pain. Besides, the majority of patients used purposeful stares and hand gestures, and head nod for communication. Most of the communications between patients and nurses were satisfied 'very low' (45.7% in nurses, versus 54.3% in patients). However, 'complete satisfaction' was lower in nurses (0%), compared with patients (5.7%). No statistically significant correlation was found between patients' and nurses' satisfaction and demographic variables.
The results showed that communication between nurses and mechanically ventilated patients was built through traditional methods and was based on the patients' requests. This issue might be the cause of an undesirable level of their satisfaction with the communication, given that effective communication can lead to understanding and meeting the needs of the patients.
描述机械通气患者与护士之间关系的质量。
本观察性研究在伊朗一家心脏外科重症监护病房进行，分别通过简单随机抽样和便利抽样选取了10名护士和35名患者。一名研究人员观察了不同工作班次护士与患者之间的175次沟通，并根据一份清单记录结果。拔管后8至12小时，采用六分量表评估护士和患者对沟通的满意度。
大多数患者为男性（77.1%），而大多数护士为女性（60%）。在观察到的沟通中，超过75%是由患者发起的。沟通内容大多与身体需求和疼痛有关。此外，大多数患者使用有目的的凝视、手势和点头进行沟通。患者与护士之间的大多数沟通被评为“非常低”的满意度（护士为45.7%，患者为54.3%）。然而，护士的“完全满意度”低于患者（护士为0%，患者为5.7%）。患者和护士的满意度与人口统计学变量之间未发现统计学上的显著相关性。
结果表明，护士与机械通气患者之间的沟通是通过传统方式建立的，且基于患者的请求。鉴于有效的沟通能够促进理解并满足患者需求，这一问题可能是导致他们对沟通满意度不理想的原因。
