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

Abstract

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

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.

Figures/Tables 2

References 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

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

RichHTML

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 2

References 17

Related Articles 15

Recommended Articles

Metrics

Comments

[1]	XIA Lianzi, YU Fei, FENG Bo, ZHOU Hui, JI Kangling, WANG Qing. A qualitative study on barriers to participation in advance care planning among ICU surrogate decision-makers [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(2): 155-161.
[2]	SHI Min, ZHAI Huaixiang, ZHANG Xingxing, XU Ping, LI Xiaoqing. Current status and latent profile analysis of post-traumatic growth in young and middle-aged patients with mechanical ventilation in ICU [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(2): 182-189.
[3]	ZHANG Lili, ZHANG Yan, WANG Fangfang, HUANG Lihua, YIN Huifang. Patient-reported outcome measures for patients with post-thrombotic syndrome：a systematic review [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(2): 223-230.
[4]	LU Fangyan, JI Li, DONG Li, WU Jingyun, YANG Yun, TANG Saxiao, WANG Huafen. Development and application of a follow-up checklist for postoperative patients of pancreatic cancer undergoing radical resection combined with intestinal autotransplantation [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(1): 9-15.
[5]	ZHANG Jiping, ZHAO Xiaoshuang, SUN Hairui, HU Lili, ZHANG Dan, JU Liting, XUE Yaokang, ZHANG Baorong. Construction and application of an enteral nutrition management program for critically ill children with prone position ventilation [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(1): 23-29.
[6]	Internal Medicine Nursing Professional Committee of the Chinese Nursing Association, Nursing Professional Committee of the National Cardiovascular Disease Expert Committee, （Writing Committee：TIAN Qing, PANG Ran, ZHAO Rui, WANG Mengwei, XIE Yunyi, LIU Yuwen, WANG Fei, HA Shusong, WANG Hanle. Expert consensus on emergency nursing practice for patients with acute aortic dissection [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(1): 70-76.
[7]	HU Xinyuan, SHI Yu, NIE Linwen, GAN Xiuni. Nursing involvement in electroencephalogram monitoring of ICU patients：a scoping review [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(1): 116-122.
[8]	LIU Haijin, WU Biyu, CHEN Lanlan, LIN Caixia, CHEN Yueting, HUANG Qiongqiong. Design and application of an automatic refilling device for ventilator humidification chambers [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(1): 123-128.
[9]	WANG Xueqin, LÜ Ying, ZHAO Qinghua, ZHANG Chuanlin, MI Jie. Effects of implementing an early activity multidisciplinary collaboration model in ICU mechanically ventilated patients [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(9): 1029-1035.
[10]	PENG Li, XU Cuirong, FENG Bo, YAO Yuanyuan, XING Xingmin, YU Lin. Construction and applicability analysis of management scheme for preventing unexpected interruption of continuous renal replacement therapy in ICU patients [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(9): 1036-1041.
[11]	YUAN Cui, XIAO Yanyan, CHEN Kaisheng, WANG Fang, WANG Yi, HU Meihua, YAO Xi, WANG Dongxin, LI Shuangling. The effect of preventive contact isolation cluster measures on the prevention of multidrug-resistant organisms in ICU patients [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(9): 1106-1111.
[12]	LU Lu, YANG Jiamin, LEI Xinning, LU Hongyan, YANG Liying. Risk factors for postoperative pulmonary embolism in lung cancer surgery patients：a 1：3 paired case-control study [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(8): 908-914.
[13]	CHEN Weijing, LI Jialin, SONG Jianping, XIAO Hanyu, JIN Jinhua, ZHANG Weibin. The experience of coping with electrocardiogram monitoring alarm among patients in cardiac intensive care unit：a qualitative study [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(8): 930-937.
[14]	WEI Xuefu, WANG Shuo, LU Fangyan, GONG Zhiping, DU Lili. Research on the identification and classification of supportive care needs attributes of postoperative patients with liver cancer based on the Kano model [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(7): 780-785.
[15]	HUANG Xiaoxia, TANG Jiaying, WANG Lizhu, WANG Sa, XIA Yilan, ZHANG Qiaoling, FENG Xiuqin. Development and validation of a Knowledge-Attitude-Practice Questionnaire on Enteral Nutrition Care for Patients Undergoing Prone Position Ventilation [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(7): 812-818.