气管插管全身麻醉患者体验的质性研究

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1、气管插管全身麻醉患者体验的质性研究王玉华冷东川诊重症监护室摘要：目的探讨气管插管全身麻醉患者的真实心理体验，针对个体差异分析认知行为方式，为人性化心理干预和心理教育提供理论依据。方法本次研允是以质性研宄中的现象学研宄方法作为指导，选取10例气管插管全麻手术患者，将访谈的语音整理成文字，再根据文字进行整理、分析，总结出个体中的共性，归纳出共有的主题。结果质性访谈的结果显示患者的主要体验在5个方面:焦虑与恐惧、咽喉异物感、恶心呕吐、疼痛、嗜睡。结论针对本研究所体现的患者体检，护理工作者需进一步完善访视体制，提

2、升沟通能力，充分评估患者，合理选择导管，提高知识储备，正确使用药物，同时丰富心理干预机制。关键词：气管插管;全身麻醉;质性研究;恶心;嗜睡;收稿日期：2017-09-12AqualitativestudyofpatientsundergoingendotrachealintubationwithgeneralanesthesiaWANGYuhuaLENGDongchuanDepartmentofHealthEducation，AffiliatedHospitalofTaishanMedicalUniver

3、sity;EICUAffiliatedHospitalofTaishanMedicalUniversity:Abstract：ObjectiveToexploretherealpsychologicalexperienceofpatientsundergoingendotrachealintubationwithgeneralanesthesia,toanalyzeindividualcognitivebehavioraccordingtoindividualdifferences,andtoprovid

4、etheoreticalbasisforhumanisticpsychologicalinterventionandpsychologicaleducation.MethodsBasedonthephenomenologicalstudyofqualitativeresearch,thestudyincluded10casesofpatientsundergoingtrachealintubationundergeneralanesthesiafromahospital.Subsequently,thev

5、oiceoftheinterviewwasarrangedintoatext,andthencollatedandanalyzedaccordingtothetext,thecommonnessintheindividualweresummarizedeventuallytoconcludethecommontheme.ResultsTheresultsofqualitativeinterviewscouldbedividedinto5themes:anxietyandfear,foreignbodyse

6、nsationofthethroat,nauseaandvomiting,pain,andsomnolence.ConclusionTnviewofthisresearchtopic,correspondingmeasuresshouldbeadopted,includingtheperfectionofvisitingsystemandimprovementofcommunicationability,fullassessmentofpatientsandreasonableselectionofcat

7、heters,enhancementofknowledgereservationandcorrectusageofdrugs,aswellasstrengthenofpsychologicalnursingandenrichmentofinterventionmechanism.Keyword：tracheacannula;generalanesthesia;qualitativestudy;nausea:vomiting;Received：2017-09-12全身麻醉是目前临床上最常用的麻醉方法，全身麻

8、醉一般在气管插管下进行。插管的途径可经门或者鼻腔，特殊情况可通过气管切开插管，采用喉镜明视或者盲探插入导管，而以口腔明视最为常用，近年来又开展光导纤维喉镜插管，插管须在麻醉下按步骤进行UL全麻用药分为镇静药、肌松药、镇痛药，如瑞芬太尼m。绝大部分麻醉药的不良反应具有可控性，比如镇痛药就有恶心呕吐的不良反应，但药物代谢完后，这种不良反应也随之消失m。手术及其麻醉对于患者来说是一种严重的心理应激源，焦虑、恐惧、甚至绝望的心理状态易