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Experience_of_the_patients_who_were_being_mechanically_ventilated_in_the_Intensive_Care_Unit_A_Descriptive_phenomenological_Study.pdf | 23.29 KB |
Introduction: Patients treated in an intensive care units
are greeted by an environment of technical equipment, where hoses and wires are
connected to different surveillance monitors. Patients who are unable to maintain
adequate oxygenation of the tissue supplied with an endotracheal tube which is
connected to a mechanical ventilator. To accept the endotracheal tube and
treatment, patients are given sedation and analgesics. In intensive care the
nurse has a central role in the treatment and nursing care- More research is
needed to improve patients experience in the intensive care unit and promote
recovery.
Aim of this study was to describe the intensive care unit experiences of
patients undergoing mechanical ventilation.
Method: A descriptive phenomenological design, semi structured interviews were
conducted during 2013 with eight people who were mechanically ventilated in an
intensive care unit for more than 48 hours in the northern and central part of
West Bank. Interview transcripts were analyzed using Giorgi`s phenomenological
analysis
Findings: Twelve themes and 26 sub-themes emerged: Being versus not being
informed, physical discomfort, psychological discomfort, safety in the ICU,
feel vulnerable and dependent, the technological environment around the
patient, the nurse's attitudes, struggling to be able to communicate, relatives
significant, memories and perception of time varied and regain control.
Conclusion: Being dependent for survival on other people and technical medical
equipment created a sense of being vulnerable in an anxious situation and a
feeling of uncertainty about one’s own capacity to breathe. Having lines and
tubes in one’s body was stressful. As the people being mechanically ventilated
could not trust their body to function.
Keywords: Intensive care unit; mechanical ventilation; phenomenology