Patienters upplevelser av att inte kunna kommunicera verbalt vid mekanisk ventilation – En systematisk litteraturöversikt
Sammanfattning: Background: Mechanical ventilation is a common treatment in intensive care and can be lifesaving. It is common that patients during the treatment receive sedation to provide comfort. Recent years’ evidence has shown that the use of light or no sedation is associated with a reduction of time with mechanical ventilation treatment, shorter stay in the intensive care unit and at the hospital. When light or no sedation is used, the patient is awake, but cannot communicate due to the endotracheal tube or tracheostomy. Due to this, the patient and critical care nurse must use non-verbal communication strategies such as body language and different communication methods or tools. Several studies have described patients’ experiences of treatment with mechanical ventilation, but fewer studies have examined patients’ experiences of communication during treatment with mechanical ventilation. Aim: The aim with this systematic literature review is to describe patients’ experiences of being unable to communicate verbally during treatment with mechanical ventilation in the intensive care unit. Method: A systematic literature review with a thematic analysis of collected data. Results: The result could be summarized in four different themes; 1 A storm of emotions, 2. Losing power over body and identity, 3. Developing right communication strategies over time, 4. A solid care relation demands simplicity in communication. Being unable to communicate with words can be very exhausting and affect the patient in different ways. Communication strategies and tools can facilitate if they are used in the right way. The nurse has a key part in how the patient experiences communication during the time of treatment. Conclusion: Inability to communicate verbally during treatment with mechanical ventilation is experienced as trying. The situation can be facilitated during the treatment if communication tools and strategies are adapted to the patient, if the nurse is present and supportive, and additionally, if the family can be used as a resource.
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