Yonsei University College of Nursing, Mo-Im Kim Nursing Research Institute, 50-1 Yonsei-Ro, Seodaemun-Gu, Seoul 03722, Korea.
Center of Healthy Aging, Self-Management and Complex Care, Undergraduate Nursing Honors Program, The Ohio State University College of Nursing, 386 Newton Hall, 1585 Neil Avenue, Columbus, OH 43210, USA.
Crit Care Clin. 2021 Jan;37(1):233-249. doi: 10.1016/j.ccc.2020.09.002. Epub 2020 Oct 28.
Communication is a critical component of patient-centered care. Critically ill, mechanically ventilated patients are unable to speak and this condition is frightening, frustrating, and stressful. Impaired communication in the intensive care unit (ICU) contributes to poor symptom identification and restricts effective patient engagement. Older adults are at higher risk for communication impairments in the ICU because of pre-illness communication disorders and cognitive dysfunction that often accompanies or precedes critical illness. Assessing communication disorders and developing patient-centered strategies to enhance communication can lessen communication difficulty and increase patient satisfaction.
沟通是以患者为中心的医疗护理的关键组成部分。危重症、机械通气患者无法说话，这种情况既可怕又令人沮丧，还会带来压力。重症监护病房（ICU）中的沟通障碍会导致症状识别不佳，并限制有效的患者参与。由于疾病前的沟通障碍和认知功能障碍，老年人在 ICU 中更有可能出现沟通障碍，这些障碍通常伴随着或先于危重病。评估沟通障碍并制定以患者为中心的沟通策略来增强沟通能力，可以减轻沟通困难并提高患者满意度。
