Objective To investigate the comfortable experience of mechanically ventilated patients in ICU. Methods Nine mechanically ventilated conscious patients in ICU were included in this study. Their comfortable experience was recorded during interviews with a semi-constructive interview outline. Results Four aspects of experience were summarized from the interviews with the patients: 1. The most uncomfortable experience was constraint after waking from anesthesia followed by thirst early manifested as irritability, wanting to vomit and remove the intubation. 2. The most common psychological problems were to communicate with others and to be concerned. 3. The most urgent requirement was to withdraw the ventilator and remove from the ICU as early as possible. 4. The hope to survive was the support from their families. Conclusion Tracheal intubation greatly influence the physiology and psychology of conscious patients in ICU, therefroe personalized clinical nursing care should be provided in order to alleviate their discomfort.%目的 了解和探索ICU清醒患者气管插管期间的舒适感受.方法 采用目的性抽样,选取ICU气管插管的清醒患者共9例,采用半结构式访谈提纲,深度访谈并记录9例ICU清醒患者的舒适感受.结果 访谈共提炼出4个主题:1)ICU期间约束是麻醉苏醒时的第一不适,其次是口渴,早期表现是烦躁、想吐管和自己拔管.2)想交流和希望受到关注是最常见的心理问题.3)尽快撤离呼吸机,搬出监护室是最大的需求.4)家人支持给予生存的希望.结论 ICU气管插管对清醒患者的生理和心理影响很大,应提供个性化、有针对性的临床护理,减轻患者的不适.
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