Study design

Observational study.

Objectives

To evaluate the perceptions of patients requiring a tracheostomy tube and to identify possible different perceptions in critically ill patients with tracheostomy tubes who have acute (ASCI) or chronic spinal cord injuries (CSCI).

Setting

Medical and surgical intensive care units (ICU) and intermediate care unit of the BG University Hospital Bergmannsheil Bochum, Germany.

Methods

Patients who met the inclusion criteria completed a 25-item questionnaire on two consecutive days regarding their experiences and perceptions in breathing, coughing, pain, speaking, swallowing, and comfort of the tracheostomy tube.

Results

A total of 51 persons with ASCI (n = 31) and CSCI (n = 20) were included with a mean age of 53 years. Individuals with ASCI reported significantly more frequent pain and swallowing problems as compared to individuals with CSCI (p ≤ 0.014) at initial assessment. There were no differences between ASCI and CSCI reported with respect to speaking and overall comfort.

Conclusions

It is necessary to regularly assess the perceptions of critically ill patients with tracheostomy tubes with ASCI or CSCI in the daily ICU care routine. We were able to assess these perceptions in different categories. For the future, evaluating the perception of individuals with SCI and a tracheostomy should be implemented to their daily routine care.

Trial registration

DRKS00022073.

中文翻译：

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对需要气管切开插管的急性和慢性脊髓损伤的危重患者的看法

学习规划

观察性研究。

目标

评估需要气管切开插管的患者的看法，并确定患有急性 (ASCI) 或慢性脊髓损伤 (CSCI) 的气管切开插管危重患者可能存在的不同看法。

环境

德国波鸿 BG 大学医院的内科和外科重症监护病房 (ICU) 和中级监护病房。

方法

符合纳入标准的患者连续两天完成了一份包含 25 项的调查问卷，内容涉及他们在呼吸、咳嗽、疼痛、说话、吞咽和气管切开插管舒适度方面的经历和感受。

结果

共有 51 名 ASCI（n  = 31）和 CSCI（n  = 20）患者被纳入，平均年龄 53 岁。 在初始评估时，与 CSCI 患者相比，ASCI 患者报告的疼痛和吞咽问题明显更频繁 ( p ≤ 0.014)。ASCI 和 CSCI 报告的言语和整体舒适度方面没有差异。

结论

有必要在日常 ICU 护理常规中定期评估气管切开插管危重患者对 ASCI 或 CSCI 的认知。我们能够在不同类别中评估这些看法。未来，评估 SCI 和气管造口患者的认知应该纳入他们的日常护理中。

试用注册

DRKS00022073。