Elucidation of nursing methods to enhance the autonomy of mechanically ventilated patients in an awake state as practiced by ICU nurses.

2021 Fiscal Year Final Research Report

• Project/Area Number: 19K19560
• Research Category: Grant-in-Aid for Early-Career Scientists
• Allocation Type: Multi-year Fund
• Review Section: Basic Section 58060:Clinical nursing-related
• Research Institution: Gifu University
• Principal Investigator: Abe Nobuto 岐阜大学, 医学部, 助教 (00812603)
• Project Period (FY): 2019-04-01 – 2022-03-31
• Keywords: 人工呼吸器装着患者 / 浅い鎮静 / 覚醒状態 / 主体性 / ICU看護師 / セルフケア支援 / 日常生活動作 / 整容

Outline of Final Research Achievements

The aim of this study was to reveal the current practice of self-care support provided by ICU nurses to light-sedated mechanically ventilated patients .An anonymous questionnaire survey was conducted on　 ICU nurses belonging to randomly selected ICUs accredited as the specialist-training institutes by the Japanese Society of Intensive Care Medicine. The questionnaire consisted of 16 items of tooth brushing, 8 items of facial wiping　 with a towel,11 items of shaving, and 8 items of combing　the hair.Each item was answered dichotomously: i.e. "doing" or "not doing". Data were analyzed using descriptive statistics.
517 ICU nurses responded.Only 7 items of the self-care support were reported to be done by more than a half of the nurses, of which 5 items were related to "facial wiping　 with a towel" (implementation rate 60-67%). Most of the items related to "tooth brushing", "shaving", and "combing　the hair　" were reported to be done by 50% or less of the nurses.

Free Research Field

クリティカルケア看護

Academic Significance and Societal Importance of the Research Achievements

浅い鎮静管理方法が普及する中で，覚醒している人工呼吸器装着患者のニーズを充足するために必要な研究は少ない。本研究では，覚醒状態にある人工呼吸器装着患者の主体性を活かした日常生活動作（セルフケア）を支援しているICU看護師が少ない現状が明らかになった。本研究結果は，浅い鎮静管理に即した新しい看護方法の構築や患者のセルフケアを促進するためのアセスメントツールを開発するための一助となり，更にその必要性を示唆するものであった。これらの研究を積み重ねていくことで，浅い鎮静管理により顕在化した人工呼吸器装着患者のニーズを充足し，患者のQuality of lifeの向上に寄与することができると考えられる。