机械通气患者智能沟通模式的构建及可用性评价

doi:10.3761/j.issn.2096-7446.2025.06.004

Abstract

Abstract:

Objective To design and develop an intelligent communication mode for mechanically ventilated patients in Intensive Care Unit（ICU） based on WeChat applet，and evaluate its usability. Methods On the basis of the current situation investigation and qualitative interviews，the first draft of the content of the intelligent communication model module was constructed，and expert consultation was conducted in December 2021. A multi-field team combined with WeChat applet to design and develop an intelligent communication model. From August 2022 to February 2023，103 patients and 103 nurses from a tertiary hospital in Beijing were selected using convenience sampling method，and a questionnaire adapted from the technology acceptance model was used to evaluate the usability of the intelligent communication mode. Results The small program mainly included five modules：communication，WeChat users，usage records，feedback and text size setting. The usability score of the 103 patients was（99.89±3.73） out of 105. The usability score of the 103 tested nurses was（169.35±4.65） out of 175.Conclusion The intelligent communication mode developed based on WeChat applet can meet the effective communication between ICU nurses and mechanically ventilated patients，and can be applied to clinical practice.

Key words: Mechanical Ventilation, Communication, Intelligence, Usability Evaluation, Intensive Care Unit

LI Shujie, GAO Wenhui, SUN Xuelian, LIANG Xiao, XIAO Qian. Construction and usability evaluation of intelligent communication mode for patients with mechanical ventilation[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(6): 665-670.

Figures/Tables 3

References 18

[1]	周丹, 杨青敏, 唐建国,等. 基于eCASH理念的舒适化浅镇静方案在机械通气患者中的应用效果研究[J]. 护士进修杂志, 2020, 35(11):1033-1036.
	Zhou D, Yang QM, Tang JG,et al. Study on the application effect of comfortable shallow sedation scheme based on eCASH concept in patients with mechanical ventilation[J]. J Nurses Train, 2020, 35(11):1033-1036.
[2]	李淑杰, 侯丽敏, 孙雪莲,等. ICU机械通气患者沟通需求的质性研究[J]. 中华现代护理杂志, 2024, 30(9):1137-1142.
	Li SJ, Hou LM, Sun XL,et al. A qualitative study on communication needs of ICU mechanical ventilation patients[J]. Chin J Mod Nurs, 2024, 30(9):1137-1142.
[3]	刘艳平, 熊杰, 黄素芳,等. ICU清醒患者住院体验现状及影响因素分析[J]. 中华急危重症护理杂志, 2024, 5(6):519-524.
	Liu YP, Xiong J, Huang SF,et al. Analysis of the current situation and influencing factors of hospitalization experience among ICU awake patients[J]. Chin J Emerg Crit Care Nurs, 2024, 5(6):519-524.
[4]	Ashkenazy S, Weissman C, DeKeyser Ganz F. Perception of discomfort by mechanical ventilation patients in the Intensive Care Unit:a qualitative study[J]. Intensive Crit Care Nurs, 2021, 64:103016.
[5]	胡爱萍, 向明芳, 张萱,等. 机械通气清醒患者沟通障碍及应对策略研究进展[J]. 实用医院临床杂志, 2022, 19(3):206-209.
	Hu AP, Xiang MF, Zhang X,et al. Research progress on communication difficulties and coping strategies for mechanically ventilated conscious patients[J]. Pract J Clin Med, 2022, 19(3):206-209.
[6]	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.
[7]	Istanboulian L, Rose L, Gorospe F,et al. Barriers to and facilitators for the use of augmentative and alternative communication and voice restorative strategies for adults with an advanced airway in the intensive care unit:a scoping review[J]. J Crit Care, 2020, 57:168-176. doi: S0883-9441(19)31737-X pmid: 32163752
[8]	孙霁雯, 钱彧, 罗雯懿,等. 基于使用者自建理念的儿科静脉维持药物计算小程序的研发及可用性研究[J]. 中华现代护理杂志, 2021, 27(9):1171-1175.
	Sun JW, Qian Y, Luo WY,et al. Development and usability of a pediatric intravenous maintenance drug calculation small program based on user-built concept[J]. Chin J Mod Nurs, 2021, 27(9):1171-1175.
[9]	倪延延, 张晋昕. 假设检验时样本含量估计中容许误差δ的合理选取[J]. 循证医学, 2011, 11(6):370-372.
	Ni YY, Zhang JX. How to determine permissible error δ value properly when computing sample sizes in hypothesis tests[J]. J Evid Based Med, 2011, 11(6):370-372.
[10]	Cheng C, Schommer L, Tarver M,et al. Exploring communication needs and challenges in the intensive care unit:a survey study from providers’ and patients’ perspectives[J]. Am J Speech Lang Pathol, 2024, 33(5):2311-2326.
[11]	毛文娟, 杜娟, 江明珠,等. 智能盆底康复APP的开发及在老年女性压力性尿失禁患者中的应用[J]. 中国护理管理, 2022, 22(8):1159-1164.
	Mao WJ, Du J, Jiang MZ,et al. Development of intelligent pelvic floor rehabilitation APP and its application in elderly female patients with Stress Urinary Incontinence[J]. Chin Nurs Manag, 2022, 22(8):1159-1164.
[12]	Söderberg A, Veronika K, Beth M A,et al. From fear to fight:Patients experiences of early mobilization in intensive care. A qualitative interview study[J]. Physiother Theory Pract, 2022, 38(6):750-758.
[13]	王映印, 张萱, 向明芳,等. 护士与ICU机械通气患者沟通行为观察研究[J]. 护理学杂志, 2022, 37(15):1-4.
	Wang YY, Zhang X, Xiang MF,et al. Nurses’ communication behavior with mechanically ventilated patients in the ICU:an observational study[J]. J Nurs Sci, 2022, 37(15):1-4.
[14]	居馨星, 蒋莉, 陆燕娜,等. ICU机械通气患者辅助沟通系统的构建与应用[J]. 护理学杂志, 2022, 37(18):8-11.
	Ju XX, Jiang L, Lu YN,et al. Construction and application of the augmentative and alternative communication for mechanically ventilated patients in the ICU[J]. J Nurs Sci, 2022, 37(18):8-11.
[15]	胡爱萍, 向明芳, 杨双,等. ICU气管插管病人带管期间真实体验与需求质性研究的Meta整合[J]. 循证护理, 2022, 8(10):1287-1296.
	Hu AP, Xiang MF, Yang S,et al. Qualitative researches on the real experience and needs of patients with tracheal intubation during mechanical ventilation in intensive care unit:a Meta integration[J]. Chin Evid Based Nurs, 2022, 8(10):1287-1296.
[16]	杨婷婷. 基于微信小程序的肺癌术后患者居家肺康复模式研究[D]. 长春: 吉林大学, 2022.
	Yang TT. Research on home lung rehabilitation model of patients with lung cancer after operation based on WeChat applet[D]. Changchun: Jilin University, 2022.
[17]	李慧. 基于微信小程序的直肠癌保肛术后患者肠道症状远程干预方案的构建及适用性评价[D]. 合肥: 安徽医科大学, 2023.
	Li H. Construction and applicability evaluation of remote intervention scheme for intestinal symptoms of rectal cancer patients after anus-preserving surgery based on WeChat applet[D]. Hefei: Anhui Medical University, 2023.
[18]	汪张毅, 庞晓丽, 王月,等. 基于CNKI数据库国内“互联网+” 护理服务研究的文献计量及可视化分析[J]. 护士进修杂志, 2021, 36(11):961-966,972.
	Wang ZY, Pang XL, Wang Y,et al. Bibliometrics and visualization analysis of research on “Internet+” nursing services based on CNKI database[J]. J Nurses Train, 2021, 36(11):961-966,972.

Construction and usability evaluation of intelligent communication mode for patients with mechanical ventilation

RichHTML

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 3

References 18

Related Articles 15

Recommended Articles

Metrics

Comments

[1]	WANG Hanmin, ZHANG Yumei, WANG Qiaohong, WANG Jian, YU Lujiang, LI Li. Construction and usability evaluation of knowledge graph and intelligent Q&A system for ventilator alarm management [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(6): 659-664.
[2]	WANG Weizhong, ZHOU Yaoying, LIU Weidong. Development and application of intelligent warning system for artificial airway resistance [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(6): 671-675.
[3]	JIA Yan, XU Qin, LU Hong, HU Jieman, WANG Liqin, YAO Wenjun. Latent profile analysis and influencing factors of happiness of ICU nurses [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(6): 725-730.
[4]	XU Zhenzhen, XUE Ruixin, GUO Xiaojing, WANG Wei, GAI Yubiao. Qualitative study on moral emotional experience of ICU nurses [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(6): 731-736.
[5]	XU Yanan, LIU Yahui, WANG Danruo, KANG Yubiao, YUAN Ling. A meta-synthesis of the qualitative studies of the influencing factors of palliative care implemented by ICU medical staff [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(6): 737-743.
[6]	ZHANG Jian, WANG Xiaoping, SHI Xusheng, XUE Xue, GAI Yubiao, GAO Silong, Guo Xiaojing, WEI Lili. Construction and validation of a risk assessment tool for acute skin failure in ICU patients [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(5): 517-523.
[7]	ZHANG Kun, LIAO Bo, WANG Xuemei, LIU Xili, CHEN Chao, GONG Ling, CHEN Jie, SHEN Liquan, LU Yuyu, ZHU Yanping. Survey on the implementation of group standard for adult airway suctioning by ICU nurses in tertiary hospitals in Jiangsu Province [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(5): 524-529.
[8]	JIN Dingping, WANG Xuejin, HU Yanyan, WANG Mengmeng, WU Feiyu, YANG Xiaoxuan, LU Qun. Survey on distribution characteristics of carbapenem-resistant organism in intensive care units of different specialties [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(5): 530-535.
[9]	ZHU Jiajia, CHUI Linbo, JIN Hongcheng, ZHU Jihua. Psychological and social adaptation in children post-intensive care：a qualitative study [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(5): 543-547.
[10]	SHI Jiahui, ZHONG Yongmei, LUO Jinling, CHUN Xiao. Evidence summary of early mobilization for mechanically ventilated pediatric patients [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(5): 555-562.
[11]	DENG Yingyi, XU Wenjing, LIAO Changju, Li Yuanyuan, ZHANG Cuicui, MING Shulan, WANG Min, DING Juan, CHEN Xiaoli. An analysis of barriers and facilitators to evidence-based practice of comprehensive ICU nursing handoff [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(5): 590-595.
[12]	JING Jiamei, WEI Xiaojing, WANG Zhenzhen, CUI Bowen, LIANG Hongxia. Research progress on nursing strategies for adult brain death donor organ maintenance in ICU [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(5): 631-635.
[13]	REN Meixia, ZHAO Wenfang, HAO Bin, YUAN Lirong, MENG Xiaohong, LI Jiaqi, LI Yuling. Development and validation of the Knowledge，Attitude and Practice Questionnaire on the Prevention and Management of Oral Mucosal Pressure Injuries in Orotracheal Intubation Patients [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(4): 396-402.
[14]	SONG Yunlian, YAN Yan, SHAO Rongya, DING Weiyan. Analysis of the status and risk factors of unplanned return to ICU in patients with acute pancreatitis [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(4): 409-413.
[15]	ZHENG Yanmin, HUANG Zexi, HUANG Yaruo, CUI Nianqi, MA Xueqin, SHA Ruiqin, LIU Yonggang, TIAN Ying. Summary of the best evidence for dysphagia rehabilitation training in ICU patients after extubation of orotracheal intubation [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(4): 487-493.