Cardiothoracic and Vascular Intensive Care Unit, Auckland City Hospital, Auckland, New Zealand.
School of Nursing, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
Nurs Crit Care. 2022 Mar;27(2):187-194. doi: 10.1111/nicc.12604. Epub 2021 Feb 14.
There is a growing body of evidence addressing the patient experience of intensive care, including patient reports that the presence of an endotracheal tube is bothersome and distressing, and that endotracheal suction is moderately to extremely painful. Yet there remains little information about the patient experience of the endotracheal tube and suction in those patients receiving planned short-term mechanical ventilation.
This study aimed to describe the patient experience of the endotracheal tube and suction, following mechanical ventilation in post-operative cardiac surgical patients.
This qualitative study used inductive thematic analysis. Participants having planned cardiac surgery, anticipated to receive less than 12-hours mechanical ventilation, were approached pre-operatively and written consent provided.
Ten participants were recruited using purposive sampling. Semi-structured interviews were conducted between days four and six post-operatively. One researcher interviewed all participants; two researchers independently read, coded, and agreed themes.
None of the participants recalled endotracheal suction, while half had no recollection of the endotracheal tube. Three themes were identified; the experience of the endotracheal tube and extubation, the experience of emerging from sedation, and participants concerns about the future. The presence of the endotracheal tube was described as bothersome, whilst breathing through the tube and extubation were described as 'weird' and 'strange' but not painful.
Knowledge of the patient experience can help inform nursing practice by improving pre and post-operative care planning.
This study adds to the body of knowledge about the patient experience of the endotracheal tube and extubation.
Prospective registration with the Australian New Zealand Clinical Trials Registry. www.anzctr.org.au (ACTRN12616001515482).
越来越多的证据涉及重症监护患者的体验，包括患者报告表明，气管内插管会引起不适和困扰，而气管内吸引会产生中度到极度的疼痛。然而，对于接受计划短期机械通气的患者，关于气管内插管和吸引的患者体验仍然知之甚少。
本研究旨在描述接受心脏手术后的患者在机械通气后的气管内插管和吸引的患者体验。
本定性研究采用归纳主题分析。术前对计划进行心脏手术且预计接受机械通气时间少于 12 小时的患者进行了研究，并获得了书面同意。
采用目的抽样法招募了 10 名参与者。在术后第四天至第六天进行了半结构化访谈。一位研究人员采访了所有参与者；两位研究人员独立阅读、编码并达成了主题。
没有参与者记得气管内吸引，而一半的参与者不记得气管内插管。确定了三个主题；气管内插管和拔管的体验、从镇静中苏醒的体验以及参与者对未来的担忧。气管内插管的存在被描述为令人烦恼，而通过管子呼吸和拔管被描述为“奇怪”和“陌生”，但并不疼痛。
了解患者的体验可以通过改善术前和术后护理计划来帮助为护理实践提供信息。
本研究增加了关于气管内插管和拔管患者体验的知识。
澳大利亚新西兰临床试验注册处的前瞻性注册。www.anzctr.org.au（ACTRN12616001515482）。
