危重病人插管需要沟通数字技术程序:一项准实验研究

None Nuttapol Chaihan, Winthanyou Bunthan
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引用次数: 0

摘要

危重病人和插管病人不能通过口头语言表达他们的需求。因此,护士和其他医疗保健专业人员可能无法满足他们的需求,导致护士和患者感到沮丧和更大的压力。这种情况可能会影响病人的康复。在这个准实验研究中,我们开发并测试了需求交流数字技术计划的有效性。从泰国曼谷附近一个省的二级护理医院的重症监护室招募了60名危重患者并进行了插管。他们每周交替分配到实验组(n = 30)和对照组(n = 30)。实验组接受该方案48小时,包括在重症监护病房的常规护理。对照组仅在重症监护病房接受常规护理。数据收集的调查问卷是人口统计数据表、满足需求调查问卷和沟通有效性调查问卷。数据分析采用描述性统计、卡方检验、Fisher精确检验、t检验和方差分析。结果显示,在项目实施48小时后,实验组在满足需求和有效沟通方面的平均得分明显高于项目开始前,也高于对照组。由此可以得出结论,该方案有效地满足了重症插管患者的需求,具有先进的技术和通信策略,可以轻松,方便,快速地使用。护士可以在实践中使用这个程序,并在全国广泛使用之前进一步评估其有效性。
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Needs Communicative Digital Technology Program for Intubated Patients with Critical Illnesses: A Quasi-Experimental Study
Patients with critical illnesses and on intubation cannot express their needs through verbal language. Thus, nurses and other healthcare professionals might not meet their needs, resulting in frustration and more stress for nurses and patients. This situation may interfere with patients’ recovery. In this quasi-experiment study, we developed and tested the effectiveness of the Needs Communicative Digital Technology Program. Sixty participants who were critically ill and intubated were recruited from an intensive care unit of a secondary care hospital in a province close to Bangkok, Thailand. They were alternately assigned weekly to the experimental (n = 30) and control groups (n = 30). The experimental group received the program for 48 hours, including the usual care in the intensive care unit. The control group received only usual care in the intensive care unit. Questionnaires for data collection were a demographic data form, the Met Needs Questionnaire, and theEffectiveness of Communication Questionnaire. Data were analyzed using descriptive statistics, a chi-squared test, a Fisher exact test, a t-test, and ANCOVA. Findings revealed that after 48 hours of program implementation, the experimental group had significantly higher mean scores on met needs and effective communication than before starting the program and higher than that of the control group. Thus, it can be concluded that this program effectively met the needs of intubated people with critical illnesses with advanced technology and communication strategies that can be used easily, conveniently, and quickly. Nurses can use this program in practice and further evaluate its effectiveness before widespread use in the country.
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CiteScore
1.40
自引率
14.30%
发文量
3
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