The Experience of Mechanically Venticanted Patients

Kim, Mi Yeoung; Kim, Gui Bun

Abstract

This study was aimed by applying phenomenal way of study which is the qualitative way of study in order to provide basic data for the whole nursing of the patients with artificial recipiratory organ who are in dangerous situations called mechanical ventilation aid by confirming and understanding the significance of the experience of the objects who experienced artificial recipiratory organ. The patients who agreed to participate at the study after being given the explanation, who are able to exchange minds as they are separated from the recipiratory organ and tube after having been fully recovered to the ability of breathing at present after the experience of mechanical ventilation aid in the room for serious patients of one general hospital at Sung Nam City, Kyongido province, and they are 5 in number who could repeat the statement about the experience, and it has been from Aug. 1998 through Apr. 1994. The data have been collected from the participant patients who had the feeling of trust and intimacy favorably with the researcher as they have been taken care for by the researcher when they were in artificial recipiratory organ in the room for serious patients in the hospital where the researcher has been assigned, and the details of conversation with them have been recorded directly and immediately and in order to prevent details of conversation from being omitted, they are tape-recorded by the consent of the patients. Phenomenal way of analysis suggested by Giorgi was used based on the data described from the words of the patients and the details of observation of the researcher, and the results of the study are as the below; The significance of the experience of the patients who had artificial recipilatory organ through confirmation by deep interivew and observation including participation: 1) The sense of loss: loss of mind exchange, loss of sleep, loss of guidance, loss of sense, loss of role, loss of self-concept, loss of self-control, loss of self-decision and loss of human resources. 2) Felling of inconvenience: Pain, agony 3) Psychological discords: confusion, grudge, felling of burden, fear, instability and sadness 4) Unconsciousness reaction: dream 5) Adaptation: reception, longing and feeling of gratitude and others. The significance in the science of nursing centered by the above results are as the follows; The patients with mechanical ventilation aid have been experiencing bigger pain than anyother patients in the room of serious patients due to environmental stress of the room of serious patients and the situational stress of having artificial recipiratory organ together with psychological pain due to the disease, and I think without any suitable arbitration they might be handicapped in the thought and action. The nurse who takes care of the patients with artificial recipiratory organ would be able to provide the suitable nursing arbitration which can decrease effectively the stress if the nurse has the concrete understanding about their stress as the person in intimate relationship nearest them. But until today the study on the significance of the experience of such patients has been scarcely conducted to the ones with artificial recipiratory organ and no study has been conducted in Korea. This study has been made with the effort of trying to understand deeply the experience of the patients in psychological, physical, social and spiritual views of the patients equipped with artificial recipiratory organ, therefore based on the experience of the patients with artificial recipiratory organ confirmed by this study, I think this study would be meaningful as the basic data for preparing the way of nursing arbitration effectively for the wholeman nursing for the patients who are given the mechanical ventilation aid.