Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran (the Islamic Republic of).
Tabriz University of Medical Sciences, Tabriz, East Azerbaijan, Iran (the Islamic Republic of).
BMJ Open. 2024 Nov 24;14(11):e085271. doi: 10.1136/bmjopen-2024-085271.
Mechanically ventilated patients experience significant suffering in intensive care units (ICUs). Recognising and understanding these patients' distressing experiences can greatly improve the quality of care provided. This study aims to explore the lived experiences of conscious intubated patients in ICUs in Iran.
A qualitative study was conducted using an interpretative phenomenological approach. In-depth interviews served as the primary means of data collection. Subsequently, the collected data was analysed using the method of Diekelmann (1989).
The study was conducted in the ICU.
A purposive method was employed to select 13 patients who underwent conscious intubation for over 24 hours.
Three main themes and seven subthemes emerged from the data analysis of the lived experience: (1) interpersonal discourse complexity (semantic misalignment and others' impressionability), (2) sensory disquietude (pharyngeal discomfort, thirst beyond the quench and disgust with oral hygiene) and (3) resilient adaptation (emotional responses and coping strategies).
The findings of the lived experiences reveal a nuanced understanding of the intricate interplay between communication barriers, sensory discomfort and the adaptive capacities of conscious intubated patients in the ICU. This comprehensive analysis contributes to a deeper appreciation of their multifaceted experiences.
在重症监护病房（ICU）中，接受机械通气的患者会经历显著的痛苦。认识和理解这些患者的痛苦经历，可以极大地提高所提供的护理质量。本研究旨在探讨伊朗 ICU 中意识清醒的气管插管患者的生活体验。
采用解释现象学方法进行定性研究。深度访谈是主要的数据收集方式。随后，使用 Diekelmann （1989）的方法对收集到的数据进行分析。
研究在 ICU 中进行。
采用目的抽样法选择 13 名接受意识清醒气管插管超过 24 小时的患者。
从生活体验的数据分析中得出三个主要主题和七个子主题：（1）人际话语的复杂性（语义不对齐和他人的易感性），（2）感官不适（咽部不适、口渴难耐和对口腔卫生的厌恶）和（3）弹性适应（情绪反应和应对策略）。
生活体验的研究结果揭示了在 ICU 中，沟通障碍、感官不适以及意识清醒的气管插管患者的适应能力之间复杂相互作用的细微差别。这种全面的分析有助于更深入地了解他们多方面的体验。
