Turkiye Klinikleri Cardiovascular Sciences

.: ORIGINAL RESEARCH
The Determination of the Efficiency of Visual Communication Cards Developed for the Purpose of Communication with the Intubated Patients in the Intensive Care Unit of Cardiovascular Surgery
Kalp ve Damar Cerrahi Yoğun Bakım Ünitesinde Entübe Hastalarla İletişim Amacıyla Geliştirilen Resimli İletişim Kartlarının Etkinliğinin Belirlenmesi
Tuğba ALBAYRAMa, Ayla YAVAb
aDepartment of Cardiovascular Surgery, Intensive Care Unit, Gaziantep University Faculty of Medicine,Şahinbey Research and Practice Hospital, Gaziantep, TURKEY
bDepartment of Nursing, Hasan Kalyoncu University Faculty of Health Sciences, Gaziantep, TURKEY
Turkiye Klinikleri J Cardiovasc Sci. 2020;32(3):103-15
doi: 10.5336/cardiosci.2020-77327
Article Language: EN
Full Text
ABSTRACT
 Objective: This descriptive study has been conducted in order to determine the efficiency of coloured communication cards in improving satisfaction of communication for intubated patients. Material and Methods: The sample of the study was consisted of 47 volunteer patients who had undergone open cardiac surgery and intubated. The data were obtained from the patient thought-suggestion form used to determine the subjects of coloured communication cards prepared by making use of actual literature, questionnaire form determining patients' experiences about communication during intubation and communication process determination form. Besides the descriptive statistics, Pearson chi-square and Fisher-Freeman-Halton test were used regarding appropriateness. Results: The average age of patients was 56±14.6; mostly men, married, primary school graduated. The 82.98% of patients stated that coloured communication cards helped them to communicate with health professionals. It was determined that patients with a past history of intubation and intensive care unit faced more difficulties in communication (p<0.05). Of patients, 87.2% attended the study suggested that health care professionals use coloured communication cards to communicated with intubated patients.Conclusion: It is concluded that using coloured communication cards to communicate with intubated patients is an efficient method.

Keywords: Communication; nonverbal communication; intensive care units; cardiac surgical procedures
ÖZET
 Amaç: Entübe hastalarla iletişim sürecinde kullanılmak üzere geliştirilen resimli iletişim kartlarının hastalar ile iletişimi ve iletişime yönelik memnuniyetlerini arttırmada etkinliğinin değerlendirilmesi amacıyla tanımlayıcı olarak yapılmıştır. Gereç ve Yöntemler: Araştırmanın örneklemini erişkin kalp ve damar cerrahisi yoğun bakım ünitesinde yatan açık kalp cerrahisi gerçekleştirilmiş ve entübe edilmiş olan 47 hasta oluşturmuştur. Çalışmada veriler, litaratürden yararlanılarak hazırlanan resimli iletişim kartlarında yer alacak konuları belirleyici hasta görüş-öneri formu, entübe olduğu süre içinde hastanın iletişimle ilgili deneyimlerini belirlemeye yönelik soru formu ve iletişim sürecini değerlendirme formu kullanılarak elde edilmiştir. Verilerin analizinde tanımlayıcı istatistiklerin yanı sıra, Pearson ki-kare ve Fisher-Freeman- Halton testleri yapılmıştır. Bulgular: Hastaların yaş ortalamaları 56±14,6; çoğunluğu erkek, evli, ilköğretim mezunudur. Hastaların %82,98'i sağlık personelinin entübe hastalarla iletişiminde resimli iletişim kartlarının yardımcı olduğunu belirtmişlerdir. Çalışmada yer alan daha önce entübasyon ve yoğun bakım deneyimi olan hastaların sağlık personeli ile iletişimde daha fazla güçlük yaşadıkları belirlenmiştir (p<0,05). Çalışma kapsamında bulunan hastaların %87,2'si sağlık personelinin resimli iletişim kartlarını entübe hastaların iletişiminde kullanmasını önermişlerdir. Sonuç: Sonuç olarak entübe hastalarla iletişimde resimli iletişim kartlarının etkin bir yöntem olduğu belirlenmiştir.

Anahtar Kelimeler: İletişim; sözsüz iletişim; yoğun bakım üniteleri; kardiyak cerrahi işlemler
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