Influencing factors of communication disorder in patients undergoing cardiac surgery during mechanical ventilation in ICU
10.3760/cma.j.cn115682-20201210-06628
- VernacularTitle:心脏术后患者在ICU机械通气期间沟通障碍的影响因素分析
- Author:
Xinxing JU
1
;
Jie YANG
;
Xiaoxin LIU
Author Information
1. 上海交通大学护理学院 200025
- Keywords:
Intensive Care Unit;
Cardiac surgery;
Respiration, artificial;
Communication disorders;
Negative emotions
- From:
Chinese Journal of Modern Nursing
2021;27(29):3933-3938
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the communication disorder of patients after cardiac surgery during mechanical ventilation in ICU and its influencing factors.Methods:From October 2019 to June 2020, convenience sampling was used to select 210 mechanical ventilation patients after cardiac surgery in the ICU of Shanghai Chest Hospital as the research subject for questionnaire survey. The questionnaire included the General Information Questionnaire, Communication Needs Questionnaire for Patients with Tracheal Intubation in Surgical ICU, Ease of Communication Scale and Negative Affect Scale. A total of 210 questionnaires were issued and 200 valid questionnaires were returned, with an effective recovery rate of 95.24%.Results:Among 200 patients after cardiac surgery during mechanical ventilation in ICU, the total score of communication disorder was (19.35±9.35) , which was at a moderate level. The results of multiple regression analysis showed that the duration of mechanical ventilation, education level, whether to use sedative drugs, negative emotions, and the need for love and belonging were the influencing factors of the communication disorder of patients after cardiac surgery during mechanical ventilation in ICU ( P<0.05) , which could explain 33.9% of the total variation. Conclusions:ICU nurses should strengthen communication support for those with low education level, long mechanical ventilation time, use of sedative drugs, high demand for love and belonging, and high negative emotions, provide communication tools, create a communication environment, and improve the quality of doctor-patient communication.
