关键词: 麻醉后重症监护室, 护患沟通, 患者家属, 技术接受模型

Abstract:

Objective To explore the authentic experiences of both anesthesia intensive care unit（AICU） nurses and patients’ families during their communication，thereby providing an evidence base for developing a context-specific nurse-family communication model for the AICU. Methods A descriptive qualitative research design was employed. The nurses and family members of newly admitted patients in the AICU of a tertiary hospital in Zhejiang Province were selected by purposive sampling between August and October 2025. Semi-structured in-depth interviews and non-participant observation were conducted for data collection. Thematic analysis was performed using Colaizzi’s seven-step phenomenological method. Results Three overarching themes and nine sub-themes emerged：（1）Perceived value of communication，encompassing timely access to information for families and standardized nursing communication protocols；（2）Barriers in communication practice，including lack of spatial navigation support，mismatch between information supply and family needs，limited family health literacy，and variable communication competencies；（3）Unmet expectations in communication，reflecting families’ strong desire for stage-specific condition updates，their yearning for empathetic and humanized emotional responses，and their openness to procedural improvements. Conclusion While nurses and family members generally expressed acceptance of the current AICU communication procedure and contents，findings indicate a need for refining communication protocols and patient education staffing schedule，introducing spatial navigation aids and flexible visiting hours，and improving the communication skills of junior nurses.

Key words: Anesthesia Intensive Care Unit, Nurse-Patient Communication, Patient’s Family, Technology Acceptance Model