Communication of mechanically ventilated patients in intensive care units
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.14/33547 |
Resumo: | Objective: The aim of this study was to translate and culturally and linguistically adapt the Ease of Communication Scale and to assess the level of communication difficulties for patients undergoing mechanical ventilation with orotracheal intubation, relating these difficulties to clinical and sociodemographic variables. Methods: This study had three stages: (1) cultural and linguistic adaptation of the Ease of Communication Scale; (2) preliminary assessment of its psychometric properties; and (3) observational, descriptive-correlational and cross-sectional study, conducted from March to August 2015, based on the Ease of Communication Scale - after extubation answers and clinical and sociodemographic variables of 31 adult patients who were extubated, clinically stable and admitted to five Portuguese intensive care units. Results: Expert analysis showed high agreement on content (100%) and relevance (75%). The pretest scores showed a high acceptability regarding the completion of the instrument and its usefulness. The Ease of Communication Scale showed excellent internal consistency (0.951 Cronbach's alpha). The factor analysis explained approximately 81% of the total variance with two scale components. On average, the patients considered the communication experiences during intubation to be "quite hard" (2.99). No significant correlation was observed between the communication difficulties reported and the studied sociodemographic and clinical variables, except for the clinical variable "number of hours after extubation" (p < 0.05). Conclusion: This study translated and adapted the first assessment instrument of communication difficulties for mechanically ventilated patients in intensive care units into European Portuguese. The preliminary scale validation suggested high reliability. Patients undergoing mechanical ventilation reported that communication during intubation was "quite hard", and these communication difficulties apparently existed regardless of the presence of other clinical and/or sociodemographic variables. |
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Communication of mechanically ventilated patients in intensive care unitsA comunicação dos doentes mecanicamente ventilados em unidades de cuidados intensivosCommunicationCommunication barriersIntensive care unitsMechanical ventilationNonverbal communicationSpeech-language pathologyComunicaçãoComunicação não verbalBarreiras de comunicaçãoTerapia da falaVentilação mecânicaUnidades de terapia intensivaObjective: The aim of this study was to translate and culturally and linguistically adapt the Ease of Communication Scale and to assess the level of communication difficulties for patients undergoing mechanical ventilation with orotracheal intubation, relating these difficulties to clinical and sociodemographic variables. Methods: This study had three stages: (1) cultural and linguistic adaptation of the Ease of Communication Scale; (2) preliminary assessment of its psychometric properties; and (3) observational, descriptive-correlational and cross-sectional study, conducted from March to August 2015, based on the Ease of Communication Scale - after extubation answers and clinical and sociodemographic variables of 31 adult patients who were extubated, clinically stable and admitted to five Portuguese intensive care units. Results: Expert analysis showed high agreement on content (100%) and relevance (75%). The pretest scores showed a high acceptability regarding the completion of the instrument and its usefulness. The Ease of Communication Scale showed excellent internal consistency (0.951 Cronbach's alpha). The factor analysis explained approximately 81% of the total variance with two scale components. On average, the patients considered the communication experiences during intubation to be "quite hard" (2.99). No significant correlation was observed between the communication difficulties reported and the studied sociodemographic and clinical variables, except for the clinical variable "number of hours after extubation" (p < 0.05). Conclusion: This study translated and adapted the first assessment instrument of communication difficulties for mechanically ventilated patients in intensive care units into European Portuguese. The preliminary scale validation suggested high reliability. Patients undergoing mechanical ventilation reported that communication during intubation was "quite hard", and these communication difficulties apparently existed regardless of the presence of other clinical and/or sociodemographic variables.Objetivo: Traduzir e adaptar cultural e linguisticamente o instrumento Ease of Communication Scale e determinar o nível de dificuldades de comunicação dos doentes submetidos à ventilação mecânica com entubação orotraqueal, relacionando-o a variáveis clínicas e sociodemográficas. Métodos: Este estudo teve três fases: (1) adaptação cultural e linguística da Ease of Communication Scale; (2) avaliação preliminar de suas propriedades psicométricas; e (3) pesquisa observacional, descritivo-correlacional e transversal, realizada entre março e agosto de 2015, com base nas respostas à Ease of Communication Scale - após a extubação, de 31 doentes adultos, extubados e clinicamente estáveis, admitidos em cinco unidades de cuidados intensivos portuguesas, e em suas variáveis clínicas e sociodemográficas. Resultados: A análise dos peritos revelou elevada concordância em relação ao conteúdo (100%) e à pertinência (75%). O pré-teste obteve elevada aceitabilidade ao nível do preenchimento e da sua utilidade. A Ease of Communication Scale apresentou excelente consistência interna (alfa de Cronbach de 0,951). A análise fatorial explicou cerca de 81% da variância total com duas componentes da escala. Em média, os doentes consideraram as experiências de comunicação, durante a entubação, "muito difíceis" (2,99). Não existiu relação estatisticamente significativa entre as dificuldades de comunicação reportadas e as variáveis sociodemográficas e clínicas estudadas, com exceção da variável clínica "número de horas após a extubação" (p < 0,05). Conclusão: Realizou-se a tradução e a adaptação para o português europeu do primeiro instrumento de avaliação das dificuldades de comunicação dos doentes mecanicamente ventilados nas unidades de cuidados intensivos. A validação preliminar da escala sugeriu elevada fiabilidade. Os doentes submetidos à ventilação mecânica consideraram que as experiências de comunicação durante a entubação foram "muito difíceis" e estas dificuldades de comunicação pareceram existir independentemente da presença de outras variáveis clínicas e/ou sociodemográficas.Veritati - Repositório Institucional da Universidade Católica PortuguesaMartinho, Carina Isabel FerreiraRodrigues, Inês Tello Rato Milheiras2021-06-09T14:04:21Z2016-04-012016-04-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfhttp://hdl.handle.net/10400.14/33547eng0103-507X10.5935/0103-507X.201600278498004347327410408info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-12T17:39:14Zoai:repositorio.ucp.pt:10400.14/33547Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:27:17.149778Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Communication of mechanically ventilated patients in intensive care units A comunicação dos doentes mecanicamente ventilados em unidades de cuidados intensivos |
title |
Communication of mechanically ventilated patients in intensive care units |
spellingShingle |
Communication of mechanically ventilated patients in intensive care units Martinho, Carina Isabel Ferreira Communication Communication barriers Intensive care units Mechanical ventilation Nonverbal communication Speech-language pathology Comunicação Comunicação não verbal Barreiras de comunicação Terapia da fala Ventilação mecânica Unidades de terapia intensiva |
title_short |
Communication of mechanically ventilated patients in intensive care units |
title_full |
Communication of mechanically ventilated patients in intensive care units |
title_fullStr |
Communication of mechanically ventilated patients in intensive care units |
title_full_unstemmed |
Communication of mechanically ventilated patients in intensive care units |
title_sort |
Communication of mechanically ventilated patients in intensive care units |
author |
Martinho, Carina Isabel Ferreira |
author_facet |
Martinho, Carina Isabel Ferreira Rodrigues, Inês Tello Rato Milheiras |
author_role |
author |
author2 |
Rodrigues, Inês Tello Rato Milheiras |
author2_role |
author |
dc.contributor.none.fl_str_mv |
Veritati - Repositório Institucional da Universidade Católica Portuguesa |
dc.contributor.author.fl_str_mv |
Martinho, Carina Isabel Ferreira Rodrigues, Inês Tello Rato Milheiras |
dc.subject.por.fl_str_mv |
Communication Communication barriers Intensive care units Mechanical ventilation Nonverbal communication Speech-language pathology Comunicação Comunicação não verbal Barreiras de comunicação Terapia da fala Ventilação mecânica Unidades de terapia intensiva |
topic |
Communication Communication barriers Intensive care units Mechanical ventilation Nonverbal communication Speech-language pathology Comunicação Comunicação não verbal Barreiras de comunicação Terapia da fala Ventilação mecânica Unidades de terapia intensiva |
description |
Objective: The aim of this study was to translate and culturally and linguistically adapt the Ease of Communication Scale and to assess the level of communication difficulties for patients undergoing mechanical ventilation with orotracheal intubation, relating these difficulties to clinical and sociodemographic variables. Methods: This study had three stages: (1) cultural and linguistic adaptation of the Ease of Communication Scale; (2) preliminary assessment of its psychometric properties; and (3) observational, descriptive-correlational and cross-sectional study, conducted from March to August 2015, based on the Ease of Communication Scale - after extubation answers and clinical and sociodemographic variables of 31 adult patients who were extubated, clinically stable and admitted to five Portuguese intensive care units. Results: Expert analysis showed high agreement on content (100%) and relevance (75%). The pretest scores showed a high acceptability regarding the completion of the instrument and its usefulness. The Ease of Communication Scale showed excellent internal consistency (0.951 Cronbach's alpha). The factor analysis explained approximately 81% of the total variance with two scale components. On average, the patients considered the communication experiences during intubation to be "quite hard" (2.99). No significant correlation was observed between the communication difficulties reported and the studied sociodemographic and clinical variables, except for the clinical variable "number of hours after extubation" (p < 0.05). Conclusion: This study translated and adapted the first assessment instrument of communication difficulties for mechanically ventilated patients in intensive care units into European Portuguese. The preliminary scale validation suggested high reliability. Patients undergoing mechanical ventilation reported that communication during intubation was "quite hard", and these communication difficulties apparently existed regardless of the presence of other clinical and/or sociodemographic variables. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-04-01 2016-04-01T00:00:00Z 2021-06-09T14:04:21Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
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publishedVersion |
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http://hdl.handle.net/10400.14/33547 |
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eng |
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eng |
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info:eu-repo/semantics/openAccess |
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openAccess |
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