Unger S, Bertel O
Schweiz Med Wochenschr. 1985 Dec 14;115(50):1814-7.
We investigated the assessment for intensive care in 63 consecutive patients (aged below 75 years) hospitalized in the intensive care unit (ICU) because of an acute myocardial infarction. A questionnaire was answered by the patients immediately after leaving the ICU and by 25 nurses who were asked to complete the test from the patients' point of view. Three patients and 5 nurses refused to answer. The two groups differed in the assessment of many items concerning intensive care. Hospitalization and transfer to the ICU, the first emergency measures and continuous monitoring were regarded as reassuring by the patients but not by the nurses. Further differences concerned invasive therapeutic or diagnostic measures, the effect of analgesic drugs, the ward round and transfer out of the unit. Factors experienced as especially unpleasant by patients were uncertainty about the danger they were in, venous catheterization and bowel movements in bed. From the assessment of the ICU by the patients, conclusions can be drawn with a view to improving patient care.
我们对63例因急性心肌梗死入住重症监护病房（ICU）的连续患者（年龄在75岁以下）的重症监护评估进行了调查。患者在离开ICU后立即填写了一份问卷，另外25名护士也被要求从患者的角度完成该测试。有3名患者和5名护士拒绝回答。两组在许多关于重症监护的项目评估上存在差异。患者认为入住并转入ICU、最初的急救措施和持续监测让人安心，但护士并不这么认为。其他差异涉及侵入性治疗或诊断措施、镇痛药的效果、查房以及转出病房。患者特别感到不愉快的因素包括对自身所处危险的不确定性、静脉插管和床上排便。从患者对ICU的评估中，可以得出关于改善患者护理的结论。
