ICU机械通气患者非语言沟通需求的质性研究

doi:10.3761/j.issn.2096-7446.2026.02.006

中华急危重症护理杂志 ›› 2026, Vol. 7 ›› Issue (2): 168-174.doi: 10.3761/j.issn.2096-7446.2026.02.006

• ICU护理质量提升专题 • 上一篇下一篇

ICU机械通气患者非语言沟通需求的质性研究

黄昉芳¹(), 胡俊¹, 周燕¹, 樊恬静¹, 于洪基¹, 高兵兵², 姜云龙²^,^*()

1.浙江大学医学院附属第一医院综合监护室杭州市 311121
2.浙江大学医学院附属第一医院护理部杭州市 311121

收稿日期:2025-04-06 出版日期:2026-02-10 发布日期:2026-02-02
通讯作者: 姜云龙 E-mail:1372200696@qq.com;yunlong1222@zju.edu.cn
作者简介:黄昉芳：女，本科，副主任护师，护士长，E-mail：1372200696@qq.com
基金资助:
浙大一院护理科研面上项目(2025ZYHL07)

A qualitative study on the non-verbal communication needs of mechanically ventilated patients in the ICU

HUANG Fangfang¹(), HU Jun¹, ZHOU Yan¹, FAN Tianjing¹, YU Hongji¹, GAO Bingbing², JIANG Yunlong²^,^*()

1. Comprehensive Intensive Care Unit， the First Affiliated Hospital of Zhejiang University School of Medicine， Hangzhou 311121， China
2. Nursing Department， the First Affiliated Hospital of Zhejiang University School of Medicine， Hangzhou 311121， China

Received:2025-04-06 Online:2026-02-10 Published:2026-02-02
Contact: JIANG Yunlong E-mail:1372200696@qq.com;yunlong1222@zju.edu.cn
Supported by:
General Nursing Research Project of the First Affiliated Hospital of Zhejiang University(2025ZYHL07)

摘要/Abstract

摘要：

目的探索机械通气患者的非语言沟通需求，为构建该人群非语言沟通策略提供参考。方法采用目的抽样，于2024年5月—12月选取浙江省某三级甲等医院重症医学科机械通气撤机后患者及ICU护士进行半结构式访谈，采用Van Manen方法分析资料。结果将ICU机械通气患者非语言沟通需求归纳为需求沟通的适宜性，生理需求沟通意愿突出、心理需求表达受限，安全沟通，照护与家庭沟通，环境沟通求5个主题，以及沟通策略的适配性、心理需求表达的抑制等18个亚主题。结论机械通气患者非语言沟通需求具有多样性，沟通愿望较为强烈，研究者应明确其沟通范畴，制订有效沟通策略，精准识别需求，提高其生理、心理满足感与氧疗安全。

关键词: 机械通气, 非语言沟通, 需求, 质性研究, 护理

Abstract:

Objective To explore non-verbal communication needs of mechanically ventilated patients，providing reference for formulating their non-verbal communication strategies. Methods From May to December 2024，purposeful sampling was used to conduct semi-structured interviews with post-extubation mechanically ventilated patients and ICU nurses in a tertiary hospital in Zhejiang. Data were analyzed via Van Manen method. Results Non-verbal communication needs of ICU mechanically ventilated patients involved 5 themes（suitability of needs communication，prominent willingness to communicate physiological needs，limited expression of psychological needs，safety communication，care and family communication，and environmental communication are required prominent physiological needs，restricted psychological expression，safety communication，care and family communication，and environment communication） and 18 sub-themes（adaptability of communication strategies， suppression of psychological needs expression， etc.）. Conclusion The nonverbal communication needs of mechanically ventilated patients are diverse，with a strong desire for communication. Researchers should clarify their communication scope，develop effective communication strategies，accurately identify their needs，and improve their physiological and psychological satisfaction and oxygen therapy safety.

Key words: Mechanical Ventilation, Nonverbal Communication, Needs, Qualitative Study, Nursing Care

黄昉芳, 胡俊, 周燕, 樊恬静, 于洪基, 高兵兵, 姜云龙. ICU机械通气患者非语言沟通需求的质性研究[J]. 中华急危重症护理杂志, 2026, 7(2): 168-174.

HUANG Fangfang, HU Jun, ZHOU Yan, FAN Tianjing, YU Hongji, GAO Bingbing, JIANG Yunlong. A qualitative study on the non-verbal communication needs of mechanically ventilated patients in the ICU[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(2): 168-174.

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参考文献 17

[1]	Garcia R, Salluh JIF, Andrade TR, et al. A systematic review and meta-analysis of propofol versus midazolam sedation in adult intensive care(ICU) patients[J]. J Crit Care, 2021, 64:91-99. doi: 10.1016/j.jcrc.2021.04.001
[2]	Waydhas C, Deffner T, Gaschler R, et al. Sedation,sleep-promotion,and non-verbal and verbal communication techniques in critically ill intubated or tracheostomized patients:results of a survey[J]. BMC Anesthesiol, 2022, 22(1):384. doi: 10.1186/s12871-022-01887-z
[3]	Albardiaz R. Non-verbal communication:an update on smell[J]. Educ Prim Care, 2021, 32(6):363-365.
[4]	刘晶涛, 陆巍. 机械通气患者非语言沟通的研究进展[J]. 护理学杂志, 2019, 34(13):102-106.
	Liu JT, Lu W. Research advances on non-verbal communication in patients on mechanical ventilation therapy[J]. J Nurs Sci, 2019, 34(13):102-106.
[5]	郑金萍, 周瑶, 李君. 扩大替代沟通系统用于ICU非语言表达患者的研究进展[J]. 护理学杂志, 2022, 37(18):16-19,24.
	Zheng JP, Zhou Y, Li J. Application of the augmentative and alternative communication in patients with nonverbal expression in the ICU:a review[J]. J Nurs Sci, 2022, 37(18):16-19,24.
[6]	王映印. 机械通气护患沟通接触行为现状及患者非语言沟通行为智能识别研究[D]. 成都: 成都中医药大学, 2023.
	Wang YY. Study on the present situation of communication and contact behavior between nurses and patients in mechanical ventilation and the intelligent recognition of patients’ nonverbal communication behavior[D]. Chengdu: Chengdu University of TCM, 2023.
[7]	Karlsen MW, Holm A, Kvande ME, et al. Communication with mechanically ventilated patients in intensive care units:a concept analysis[J]. J Adv Nurs, 2023, 79(2):563-580. doi: 10.1111/jan.v79.2
[8]	Ju XX, Yang J, Liu XX. A systematic review on voiceless patients’ willingness to adopt high-technology augmentative and alternative communication in intensive care units[J]. Intensive Crit Care Nurs, 2021, 63:102948. doi: 10.1016/j.iccn.2020.102948
[9]	向明. 质性研究方法与社会科学研究[M]. 3版. 北京: 教育科学出版社, 2002.
	Xiang M. Qualitative research methods and social science research[M]. 3rd ed. Beijing: Educational Science Press, 2002.
[10]	Van MM. Phenomenology in its original sense[J]. Qual Health Res, 2017, 27(6):810-825. doi: 10.1177/1049732317699381 pmid: 28682720
[11]	Karlsen MW, Holm A, Kvande ME, et al. Communication with mechanically ventilated patients in intensive care units:a concept analysis[J]. J Adv Nurs, 2023, 79(2):563-580. doi: 10.1111/jan.v79.2
[12]	Kuyler A, Johnson E. Patient and nurse content preferences for a communication board to facilitate dialogue in the intensive care unit[J]. Intensive Crit Care Nurs, 2021, 63:103005. doi: 10.1016/j.iccn.2020.103005
[13]	Wallander Karlsen MM, Finset A, Heggdal K, et al. Caught between ideals and reality:phenomenological-hermeneutic study of healthcare providers’ experiences while interacting with mechanically ventilated patients[J]. J Interprof Care, 2022, 36(4):492-499. doi: 10.1080/13561820.2021.1967303
[14]	桑明, 卫建华, 张萍, 等. 心脏外科患者术后有创机械通气撤机锻炼体验的质性研究[J]. 中华护理杂志, 2023, 58(16):1970-1976. doi: 10.3761/j.issn.0254-1769.2023.16.009
	Sang M, Wei JH, Zhang P, et al. A qualitative study on the experience of weaning from invasive mechanical ventilation in patients after cardiac surgery[J]. Chin J Nurs, 2023, 58(16):1970-1976. doi: 10.3761/j.issn.0254-1769.2023.16.009
[15]	Ull C, Hamsen U, Weckwerth C, et al. Approach to the basic needs in patients on invasive ventilation using eye-tracking devices for non-verbal communication[J]. Artif Organs, 2022, 46(3):439-450. doi: 10.1111/aor.v46.3
[16]	Ertürk Yavuz M, Gürsoy A. Computer-based communication tool provides effective communication for non-speaking patients:a quasi-experimental study[J]. Clin Nurs Res, 2022, 31(4):656-665. doi: 10.1177/10547738211038638
[17]	Alodan HA, Sutt AL, Hill R, et al. Effectiveness,experience,and usability of low-technology augmentative and alternative communication in intensive care:a mixed-methods systematic review[J]. Aust Crit Care, 2025, 38(1):101061. doi: 10.1016/j.aucc.2024.04.006

ICU机械通气患者非语言沟通需求的质性研究

A qualitative study on the non-verbal communication needs of mechanically ventilated patients in the ICU

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