ISSN 2097-6046（网络）
ISSN 2096-7446（印刷）
CN 10-1655/R
主管：中国科学技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 >

2026 , Vol. 7 >Issue 2: 168 - 174

DOI: https://doi.org/10.3761/j.issn.2096-7446.2026.02.006

ICU护理质量提升专题

ICU机械通气患者非语言沟通需求的质性研究

  • 黄昉芳 ,
  • 胡俊 ,
  • 周燕 ,
  • 樊恬静 ,
  • 于洪基 ,
  • 高兵兵 ,
  • 姜云龙
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  • 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
黄昉芳：女，本科，副主任护师，护士长，E-mail：1372200696@qq.com
*姜云龙，E-mail：yunlong1222@zju.edu.cn

收稿日期: 2025-04-06

  网络出版日期: 2026-02-02

基金资助

浙大一院护理科研面上项目(2025ZYHL07)

收起

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

  • HUANG Fangfang ,
  • HU Jun ,
  • ZHOU Yan ,
  • FAN Tianjing ,
  • YU Hongji ,
  • GAO Bingbing ,
  • JIANG Yunlong
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  • 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 date: 2025-04-06

  Online published: 2026-02-02

Supported by

General Nursing Research Project of the First Affiliated Hospital of Zhejiang University(2025ZYHL07)

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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

本文引用格式

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 . DOI: 10.3761/j.issn.2096-7446.2026.02.006

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

参考文献

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