CAJ | 학술논문

目的：探讨机械通气过程中患者与护士对机械通气过程中各种不适因素的感知差异。方法采用自制的机械通气过程中患者不适感问卷和护士感知调查问卷分别对我院监护室接受机械通气治疗的220例患者和有1年以上护理机械通气患者经历的68名护士进行调查，对两组的感知程度进行比较分析。结果患者舒适度总分为（48．956±7．136）分，其中生理舒适度为（27．816±4．158）分，心理舒适度为（14．475±4．335）分，社会舒适度为（8．141±3．895）分；护士感知患者舒适度总分为（59．110±9.002）分，其中生理舒适度为（30．089±4．637）分，心理舒适度为（18．974±4．978）分，社会舒适度为（11．032±4．076）分；患者与护士对机械通气不适感知在各方面比较差异均有统计学意义（ t值分别为－8．512，－3．618，－6．708，－5．165；P＜0．05）。结论护士与患者对机械通气不适感的感知不一致，影响护士对患者不适状态的评估及护理工作的有效开展。临床护士应准确评估并掌握机械通气患者的不适，以便提供舒适的护理。
목적：탐토궤계통기과정중환자여호사대궤계통기과정중각충불괄인소적감지차이。방법채용자제적궤계통기과정중환자불괄감문권화호사감지조사문권분별대아원감호실접수궤계통기치료적220례환자화유1년이상호리궤계통기환자경력적68명호사진행조사，대량조적감지정도진행비교분석。결과환자서괄도총분위（48．956±7．136）분，기중생리서괄도위（27．816±4．158）분，심리서괄도위（14．475±4．335）분，사회서괄도위（8．141±3．895）분；호사감지환자서괄도총분위（59．110±9.002）분，기중생리서괄도위（30．089±4．637）분，심리서괄도위（18．974±4．978）분，사회서괄도위（11．032±4．076）분；환자여호사대궤계통기불괄감지재각방면비교차이균유통계학의의（ t치분별위－8．512，－3．618，－6．708，－5．165；P＜0．05）。결론호사여환자대궤계통기불괄감적감지불일치，영향호사대환자불괄상태적평고급호리공작적유효개전。림상호사응준학평고병장악궤계통기환자적불괄，이편제공서괄적호리。
Objective To investigate the differences of all discomfort perceived by patients and with mechanical ventilation and nursing care .Methods A total number of 220 patients admitted to ICU accepted mechanical ventilation , and 68 nurses with over 1 year experience conducting ventilation were investigated on their perception with self-designed questionnaires .Results The total score of patients′comfort was (48.956 ± 7.136), of which physiological comfort was (27.816 ±4.158), psychological comfort (14.475 ±4.335), society comfort (8.141 ±3.895), while total patients′comfort score of nurses′perception was (59.110 ± 9.002), of which physiological comfort was (30.089 ±4.637), psychological comfort (11.032 ±4.076).The perception between nurses and patients had statistically differences (t=-8.512,-3.618,-6.708,-5.165, respectively;P<0.05).Conclusions The inconformity of perception between patients and nurses affects both evaluation of patients′discomfort and nursing care .Nurses should access discomfort of patients precisely in order to provide comfortable nursing .