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沟通板对某三级医院重症监护病房机械通气患者满意度的影响

Effectiveness of Communication Board on Level of Satisfaction among Mechanically Ventilated Patients at Intensive Care Unit in a Tertiary Hospital.

作者信息

Sidhu Shilpa, Kaur Kiranpreet, Kaur Akashpreet, Charan Gopal Singh, Kaur Maninderjit

机构信息

Department of Nursing, SGRD College of Nursing, SGRD University of Health Sciences, Amritsar, Punjab, India.

出版信息

Int J Appl Basic Med Res. 2024 Oct-Dec;14(4):284-289. doi: 10.4103/ijabmr.ijabmr_351_24. Epub 2024 Nov 1.

Abstract

INTRODUCTION

Critical care nurses are crucial in managing critical patients, facing challenges with advanced technology, alarms, ventilators, and multiple laboratory investigations. They must effectively communicate and manage patients on mechanical ventilation (MV), a lifesaving intervention for those needing oxygenation and ventilation support to ensure patient satisfaction.

MATERIALS AND METHODS

The study employed a quasi-experimental design with 80 mechanically ventilated patients selected through purposive sampling. Data were collected using demographic and clinical pro forma and a predesigned four-point Likert satisfaction scale comprised 14 items. The intervention group utilized a communication board, while the conventional group received routine care. The aim was to evaluate satisfaction levels in both groups, followed by a posttest on the 5 day using the same instrument.

RESULTS

The pretest revealed mean satisfaction scores of 32.47 ± 6.48 and 33.95 ± 6.41 for the intervention and conventional groups, respectively, with a mean difference of 1.47, considered statistically nonsignificant ( = 1.023, = 0.310). Conversely, posttest scores showed 37.85 ± 8.23 and 34.32 ± 6.18 for the intervention and conventional groups, respectively, with a mean difference of 3.53, indicating statistical significance ( = 2.164, = 0.034). Hence, the communication board intervention significantly enhanced satisfaction scores among mechanically ventilated patients, underscoring its positive impact on nursing care in terms of patients' satisfaction.

CONCLUSION

Effective communication is crucial in intensive care unit patient care, especially for those unable to speak due to MV. Utilizing communication boards significantly enhances patient satisfaction, highlighting the need for ongoing innovation in critical care nursing.

摘要

引言

重症护理护士在管理重症患者方面至关重要,他们面临着先进技术、警报器、呼吸机和多项实验室检查等挑战。他们必须有效地沟通和管理接受机械通气(MV)的患者,这是一种为需要氧合和通气支持的患者提供的救命干预措施,以确保患者满意度。

材料与方法

本研究采用准实验设计,通过目的抽样选取80例接受机械通气的患者。使用人口统计学和临床表格以及一个预先设计的包含14项内容的四点李克特满意度量表收集数据。干预组使用沟通板,而传统组接受常规护理。目的是评估两组的满意度水平,然后在第5天使用相同工具进行后测。

结果

前测显示干预组和传统组的平均满意度得分分别为32.47±6.48和33.95±6.41,平均差异为1.47,被认为无统计学意义(P = 1.023,α = 0.310)。相反,后测得分显示干预组和传统组分别为37.85±8.23和34.32±6.18,平均差异为3.53,表明具有统计学意义(P = 2.164,α = 0.034)。因此,沟通板干预显著提高了接受机械通气患者的满意度得分,突出了其在患者满意度方面对护理的积极影响。

结论

有效的沟通在重症监护病房患者护理中至关重要,特别是对于因机械通气而无法说话的患者。使用沟通板可显著提高患者满意度,凸显了重症护理中持续创新的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47cd/11691107/69e915c33761/IJABMR-14-284-g002.jpg

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