Assessment of patients' experience of discomforts during respirator therapy.

Abstract:

:Patients (n = 158) who had been respirator-treated and who could remember the treatment were retrospectively (after greater than 2 months) interviewed about their experiences. Of all patients, 47% had felt anxiety and/or fear during the treatment. These feelings were intimately related to the experience of agony/panic (p less than .001) and insecurity (p less than .001). Inability to talk and communicate was found to be the dominating reason (p less than .001) for evoking such feelings and also made it difficult for the patients to sleep and rest (p less than .05); no correlation to pain was found. Difficulties to synchronize with the respirator in connection with suctioning also caused feelings of anxiety/fear (p less than .01), agony/panic (p less than .01), and insecurity (p less than .001). Even as long as 4 yr after respirator treatment, most patients (90%) who remember the treatment still recall the situation as unpleasant and stress-evoking. The isolation due to communication difficulties was a greater problem than direct airway-related nursing care activities. This relationship between communication difficulties and severe emotional reactions should be considered in the nursing care of respirator-treated patients.

journal_name

Crit Care Med

journal_title

Critical care medicine

authors

Bergbom-Engberg I,Haljamäe H

doi

10.1097/00003246-198910000-00021

subject

Has Abstract

pub_date

1989-10-01 00:00:00

pages

1068-72

issue

10

eissn

0090-3493

issn

1530-0293

journal_volume

17

pub_type

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