不同受教育程度机械通气患者重症监护体验分析.docxVIP

不同受教育程度机械通气患者重症监护体验分析 舒美珍 石茂兰 蒋玉兰 李青 (湖南医药学院湖南怀化418000) 【摘要】目的：分析不同受教育程度机械通气患者在ICU中接受重症监护时 的自身体验情况，为护理质量的改进提供依据。方法：将综合ICU中使用机械通 气的清醒患者，按小学及以下、初中、高中、大学及以上分为4组，按《重症监 护量表》进行重症监护体验资料的收集，用SPSS17.0进行结果分析。结果：不 同组在重症监护体验的“环境感受”维度的差异有统计学意义(P0.05)；在该 维度的部分条目，高中及以上患者的不良感受明显高于其他患者，有统计学意义 (P0.05)o结论：不同受教育程度的患者对ICU内环境的感受有较大差异，受 教育程度较高的患者出现的不良感受更明显，对环境的适应性较差。 【关键词】教育；机械通气；重症监护；体验 【中图分类号】R47 【文献标识码】A 【文章编号】2095-1752 (2015) 12-0106-02 The analysis of patientsrsquo;intensive care experienee during mechanical ven tilati on with differe nt level of educati on Shu Meizhe n, Shi Maola n, Jia ng Yulan, Li Qing Hursquo;nan University of Medical,Hursquo;nan Provinee, Huaihua 418000. China [Abstract] Objective To analyse the different level of education in patients with mechanical ventilation in ICU intensive care of their own experience, provide the basis for the improvement of nursing quality? Methods Comprehensive use of mechanical ventilation in ICU patientsz according to the elementary school, junior high school, following high school, college and above is divided into four groups, accordi ng to the in tensive care scale inten sive care experie nee data collecti on, using SPSS17.0 analysis results. Results Different groups in the intensive care experienee of Henvironmentn dimension differed, (P 0.05) ;Bad feelings of patients with high school or above in some items are significantly higher than other patients, (P 0.05) ? Conclusion The patients with different level of education of the feeling of the in ter nal environment of the ICU have bigger differe nee, the higher educati on level of patients with bad feelings more apparentz poor adaptability to the environment. 【Key words］ Education; Mechanical ventilation; Intensive care; Experienee 重症监护病房(ICU)是相对独立的、以挽救生命和支持生命为目标的特殊 医疗场所。进入ICU的患者往往病情重、变化快，需要进行的治疗和护理手段也 十分繁杂。患者除了要面对自己的病痛，还要面对陌生环境的影响、医疗技术带 来的创伤、人际支持的缺失等带来的痛苦，使用机械通气的患者则更甚。受教育 程度是患者的重要社会背景之一，在很大程度上影响着人们对事物的反应。本研 究旨在探讨不同受教育程度的机械通气患者，在相同的ICU环境中自身体验的异 同，为临床护理措施的改进提供参考依据。 1??对象 2012年1