气管插管全身麻醉患者体验的质性研究.docVIP

气管插管全身麻醉患者体验的质性研究 王玉华 冷东川 泰山医学院附属医院教育科 泰山医学院附属医院急诊重症监护室 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的 探讨气管插管全身麻醉患者的真实心理体验, 针对个体差异分析认知行为方式, 为人性化心理干预和心理教育提供理论依据。方法 本次研究是以质性研究中的现象学研究方法作为指导, 选取10例气管插管全麻手术患者, 将访谈的语音整理成文字, 再根据文字进行整理、分析, 总结出个体中的共性, 归纳出共有的主题。结果 质性访谈的结果显示患者的主要体验在5个方面:焦虑与恐惧、咽喉异物感、恶心呕吐、疼痛、嗜睡。结论 针对本研究所体现的患者体检, 护理工作者需进一步完善访视体制, 提升沟通能力, 充分评估患者, 合理选择导管, 提高知识储备, 正确使用药物, 同时丰富心理干预机制。 关键词： 气管插管; 全身麻醉; 质性研究; 恶心; 嗜睡; 收稿日期：2017-09-12 A qualitative study of patients undergoing endotracheal intubation with general anesthesia WANG Yuhua LENG Dongchuan Department of Health Education, Affiliated Hospital of Taishan Medical University; EICU, Affiliated Hospital of Taishan Medical University; Abstract： Objective To explore the real psychological experience of patients undergoing endotracheal intubation with general anesthesia, to analyze individual cognitive behavior according to individual differences, and to provide theoretical basis for humanistic psychological intervention and psychological education.Methods Based on the phenomenological study of qualitative research, the study included 10 cases of patients undergoing tracheal intubation under general anesthesia from a hospital.Subsequently, the voice of the interviewwas arranged into a text, and then collated and analyzed according to the text, the commonness in the individual were summarized eventually to conclude the common theme.Results The results of qualitative interviews could be divided into 5 themes:anxiety and fear, foreign body sensation of the throat, nausea and vomiting, pain, and somnolence.Conclusion In viewof this research topic, corresponding measures should be adopted, including the perfection of visiting system and improvement of communication ability, full assessment of patients and reasonable selection of catheters, enhancement of knowledge reservation and correct usage of drugs, as well as strengthen of psychological nursing and enrichment of interventio