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护士与机械通气患者沟通的理论定义:一项采用定性内容分析法的范围综述

Theoretical definition of nurse-conscious mechanically ventilated patient communication: a scoping review with qualitative content analysis.

作者信息

Ghiasvand Arezoo Mohamadkhani, Hosseini Meimanat, Atashzadeh-Shoorideh Foroozan

机构信息

Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Community Health Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Acute Crit Care. 2023 Feb;38(1):8-20. doi: 10.4266/acc.2022.01039. Epub 2023 Feb 27.

DOI:10.4266/acc.2022.01039
PMID:36935530
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10030244/
Abstract

Providing critical nursing care for conscious mechanically ventilated patients is mediated via effective communication. This study aimed to identify and map the antecedents, attributes, consequences, and definition of nurse-conscious mechanically ventilated patient communication (N-CMVPC). This scoping review was conducted by searching the Cochrane Library and the CINAHL, EMBASE, PubMed, Web of Science, and Scopus databases, between 2001 and 2021. The keywords queried included "nurses," "mechanically ventilated patients," "mechanical ventilation," "intubated patients," "communication," "interaction," "relationships," "nurse-patient communication," "nurse-patient relations," "intensive care units," and "critical care." Studies related to communication with healthcare personnel or family members were excluded. The results indicated that N-CMVPC manifests as a set of attributes in communication experiences, emotions, methods, and behaviors of the nurse and the patient and is classified into three main themes, nurse communication, patient communication, and quantitative-qualitative aspects. N-CMVPC is a complex, multidimensional, and multi-factor concept. It is often nurse-controlled and can express itself as questions, sentences, or commands in the context of experiences, feelings, and positive or negative behaviors involving the nurse and the patient.

摘要

为清醒的机械通气患者提供重症护理是通过有效的沟通来实现的。本研究旨在识别并梳理护士与清醒机械通气患者沟通(N-CMVPC)的前因、属性、后果及定义。本范围综述通过检索2001年至2021年期间的Cochrane图书馆以及CINAHL、EMBASE、PubMed、Web of Science和Scopus数据库进行。查询的关键词包括“护士”、“机械通气患者”、“机械通气”、“插管患者”、“沟通”、“互动”、“关系”、“护患沟通”、“护患关系”、“重症监护病房”和“危重症护理”。与医护人员或家庭成员沟通相关的研究被排除。结果表明,N-CMVPC在护士和患者的沟通经历、情感、方式及行为中表现为一组属性,并分为三个主要主题,即护士沟通、患者沟通以及定量-定性方面。N-CMVPC是一个复杂、多维度且多因素的概念。它通常由护士主导,在涉及护士和患者的经历、感受以及积极或消极行为的背景下,可表现为问题、语句或指令。

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本文引用的文献

1
The Effect of Sedation Protocol on Sedation Level and Pharmacological and Non-Pharmacological Interventions on Mechanically Ventilated Patients.镇静方案对机械通气患者镇静水平以及药物和非药物干预措施的影响
Iran J Nurs Midwifery Res. 2021 Jul 20;26(4):316-323. doi: 10.4103/ijnmr.IJNMR_165_20. eCollection 2021 Jul-Aug.
2
Communication with invasive mechanically ventilated patients and the use of alternative devices: integrative review.与有创机械通气患者的沟通及替代设备的使用:综合综述
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3
Giving Voice: Nurse-Patient Communication in the Intensive Care Unit.
发声:重症监护病房中的护患沟通。
Am J Crit Care. 2021 Jul 1;30(4):256-265. doi: 10.4037/ajcc2021666.
4
Therapeutic communication within the nurse-patient relationship: A concept analysis.护患关系中的治疗性沟通:概念分析。
Int J Nurs Pract. 2021 Dec;27(6):e12938. doi: 10.1111/ijn.12938. Epub 2021 May 4.
5
The epidemiology and clinical outcomes of ventilator-associated events among 20,769 mechanically ventilated patients at intensive care units: an observational study.20769 例重症监护病房机械通气患者呼吸机相关性事件的流行病学和临床结局:一项观察性研究。
Crit Care. 2021 Feb 2;25(1):44. doi: 10.1186/s13054-021-03484-x.
6
Nurses' communication with mechanically ventilated patients in the intensive care unit: Umbrella review.重症监护病房护士与机械通气患者的沟通:伞式综述。
J Adv Nurs. 2020 Nov;76(11):2909-2920. doi: 10.1111/jan.14524. Epub 2020 Sep 6.
7
Evidence of nonverbal communication between nurses and older adults: a scoping review.护士与老年人之间非语言沟通的证据:一项范围综述。
BMC Nurs. 2020 Jun 16;19:53. doi: 10.1186/s12912-020-00443-9. eCollection 2020.
8
A conjoint analysis of the communication preferences of registered nurses towards mechanically ventilated patients.注册护士对机械通气患者沟通偏好的联合分析
Int J Nurs Pract. 2020 Apr;26(2):e12809. doi: 10.1111/ijn.12809. Epub 2019 Dec 30.
9
Quality of Nurses' Communication with Mechanically Ventilated Patients in a Cardiac Surgery Intensive Care Unit.心脏外科重症监护病房护士与机械通气患者沟通的质量
Invest Educ Enferm. 2019 May;37(2). doi: 10.17533/udea.iee.v37n2e02.
10
Mechanical ventilation patterns and trends over 20 years in an Israeli hospital system: policy ramifications.以色列医院系统20年期间的机械通气模式与趋势:政策影响
Isr J Health Policy Res. 2019 Feb 1;8(1):20. doi: 10.1186/s13584-019-0291-y.