Research Article

Experiences of Conscious Patients Undergoing Tracheal Intubation: A Qualitative Study

Abstract

Background: Tracheal intubation is a life-saving action in situations such as respiratory failure. However, this therapeutic approach may produce a series of side effects and physiological stress, such as pain, insomnia, anxiety, fear, etc.
Methods: The present study is a qualitative research with a content analysis method conducted for a period of two years. This study's required information has been collected using non-structured face-to-face interviews with 22 patients hospitalized in emergency and intensive care units. The data were analyzed using open coding and MAXQDA 12.
Results: Findings from the interviews' were divided into two main categories of mental and physical experiences. Mental experiences are divided into 12 sub-categories and physical experiences into 7 sub-categories, each of them is also divided into further categories. Inability to speak is the most frequent complaint of patients in this study. The pain was the most common physical complaint of patients, mostly due to pain in the organs and pain due to blood sampling.
Conclusion: Despite special training of medical staff in emergency and intensive care units to take care of patients and to obviate their special needs, it is observing that some patients under certain conditions such as intubation still face many unmet needs.

[1] Samuelson KA, Lundberg D, Fridlund B. Stressful experiences in relation to depth of sedation in mechanically ventilated patients. Nurs Crit Care. 2007; 12(2):93-104.
[2] Rotondi AJ, Chelluri L, Sirio C, Mendelsohn A, Schulz R, Belle S, et al. Patients’ recollections of stressful experiences while receiving prolonged mechanical ventilation in an intensive care unit. Crit Care Med. 2002; 30(4):746-52.
[3] Egerod I, Christensen BV, Johansen L. Trends in sedation practices in Danish intensive care units in 2003: a national survey. Intensive Care Med. 2006; 32(1):60-6.
[4] Strøm T, Martinussen T, Toft P. A protocol of no sedation for critically ill patients receiving mechanical ventilation: a randomised trial. Lancet. 2010; 375(9713):475-80.
[5] Jackson JC, Girard TD, Gordon SM, Thompson JL, Shintani AK, Thomason JW, et al. Long-term cognitive and psychological outcomes in the awakening and breathing controlled trial. Am J Respir Crit Care Med. 2010; 182(2):183-91.
[6] Egerod I. Cultural changes in ICU sedation management. Qualitative health research. 2009; 19(5):687-96.
[7] Baumgarten M, Poulsen I. Patients' experiences of being mechanically ventilated in an ICU: a qualitative metasynthesis. Scand J Caring Sci. 2015; 29(2):205-14.
[8] Magnus VS, Turkington L. Communication interaction in ICU—patient and staff experiences and perceptions. Intensive Crit Care Nurs. 2006; 22(3):167-80.
[9] Prime D, Arkless P, Fine J, Winter S, Wakefield DB, Scatena R. Patient experiences during awake mechanical ventilation. J Community Hosp Intern Med Perspect. 2016; 6(1):30426.
[10] Samuelson KA. Unpleasant and pleasant memories of intensive care in adult mechanically ventilated patients—Findings from 250 interviews. Intensive Crit Care Nurs. 2011; 27(2):76-84.
[11] Schou L, Egerod I. A qualitative study into the lived experience of post-CABG patients during mechanical ventilator weaning. Intensive Crit Care Nurs. 2008; 24(3):171-9.
[12] Albarran JW. A review of communication with intubated patients and those with tracheostomies within an intensive care environment. Intensive Care Nurs. 1991;7(3):179-86.
[13] Levine S, Koester D, Kett R. Independently activated talking tracheostomy systems for quadriplegic patients. Arch Phys Med Rehabil. 1987; 68(9):571-3.
[14] Johnson M, Sexton D. Distress during mechanical ventilation: patients' perceptions. Crit Care Nurs.1990; 10(7):48.
[15] Engström Å, Nyström N, Sundelin G, Rattray J. People's experiences of being mechanically ventilated in an ICU: a qualitative study. Intensive Crit Care Nurs. 2013; 29(2):88-95.
[16] Criner GJ, Isaac L. Psychological Problems in the Ventilator-Dependent Patient. Clinical Pulmonary Medicine. 1994;1(1):47-57.
[17] Duffy JR, Hoskins LM. The Quality‐Caring Model©: Blending Dual Paradigms. ANS Adv Nurs Sci. 2003; 26(1):77-88.
[18] Kret DD. The qualities of a compassionate nurse according to the perceptions of medical-surgical patients. Medsurg Nurs. 2011; 20(1):29-36.
[19] Williams A. A literature review on the concept of intimacy in nursing. J Adv Nurs. 2001; 33(5):660-7.
[20] Zamanzadeh V, Jasemi M, Valizadeh L, Keogh B, Taleghani F. Effective factors in providing holistic care: a qualitative study. Indian J Palliat Care. 2015; 21(2):214-24.
[21] McQueen AC. Emotional intelligence in nursing work. J Adv Nurs. 2004; 47(1):101-8.
[22] Jubran A, Lawm G, Kelly J, Duffner LA, Gungor G, Collins EG, et al. Depressive disorders during weaning from prolonged mechanical ventilation. Intensive Care Med. 2010; 36(5):828-35.
[23] Nightingale S, Spiby H, Sheen K, Slade P. The impact of emotional intelligence in health care professionals on caring behaviors towards patients in clinical and long-term care settings: Findings from an integrative review. Int J Nurs Stud. 2018. 80:106-117.
[24] Myers EA, Smith DA, Allen SR, Kaplan LJ. Post-ICU syndrome: Rescuing the undiagnosed. JAAPA. 2016;29(4):34-7.
Files
IssueVol 8 No 1 (2022): Winter QRcode
SectionResearch Article(s)
DOI https://doi.org/10.18502/aacc.v8i1.8237
Keywords
Intubation Intratracheal Respiration Qualitative Research Communication Intensive Care Units
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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Labaf A, Asghari F, Samadi S, Abdollahi A, Zobeiry S, Molavi K. Experiences of Conscious Patients Undergoing Tracheal Intubation: A Qualitative Study. Arch Anesth & Crit Care. 2021;8(1):3-10.