중환자실 인공기도 삽관 환자의 보완의사소통 적용에 대한 주제범위 문헌고찰 = The Application of Augmentative and Alternative Communication in Intubated Patients in the Intensive Care Unit: A Scoping Review

다국어 초록 (Multilingual Abstract)

Purpose: This study aimed to investigate the effectiveness and efficiency of augmentative and alternative communication (AAC), to comprehend the various types of AAC and their usefulness, and to devise strategies for implementing targeted interventions related to AAC. Methods: The study utilized Arksey and O'Malley's (2005) scoping review methodology to search the literature. We searched the PubMed, CINAHL, and Google Scholar databases for articles published between 2010 and August 2023. We analyzed the final 33 articles. Results: The AAC used by participants varied from low-tech tools such as paper and EZ boards to high-tech devices such as communication applications. Improvement in communication with AAC was directly related to patient safety.
However, barriers such as patient condition, device usability, nurse attitudes, and time constraints were identified.
The most frequent communication topics for patients using AAC included details about emergency care, pain management, aspiration, dyspnea, and nurse calls. Conclusion: Meeting the communication needs of critically ill patients who use artificial airways is a challenge for both nurses and patients. Accurate communication not only reflects the patient's feelings but also serves as the foundation for providing evidence-based nursing care.
Therefore, AAC strategies should continue to be developed to ensure precise communication.

참고문헌 (Reference)

1 신미경, "임상간호사의 보완대체 의사소통에 대한 인식, 요구 및 사용 실태에 대한 조사연구" 한국재활간호학회 25 (25): 81-90, 2022

2 이근민 ; 임성빈 ; 나대영, "미국과 한국의 AAC 서비스 전달체계 비교 분석" 한국재활복지공학회 11 (11): 99-105, 2017

3 김예림 ; 박혜리 ; 신미경, "간호사의 기관내삽관 적용 환자와의 의사소통 경험 연구" 한국재활간호학회 26 (26): 28-38, 2023

4 Carruthers, H., "Which alternative communication methods are effective for voiceless patients in intensive care units? A systematic review" 42 : 88-96, 2017

5 Arezoo Mohamadkhani Ghiasvand ; Meimanat Hosseini ; Foroozan Atashzadeh-Shoorideh, "Theoretical definition of nurse–conscious mechanically ventilated patient communication: a scoping review with qualitative content analysis" 대한중환자의학회 38 (38): 8-20, 2023

6 Tolotti, A., "The communication experience of tracheostomy patients with nurses in the intensive care unit : A phenomenological study" 46 : 24-31, 2018

7 Arksey, H., "Scoping studies : towards a methodological framework" 8 (8): 19-32, 2005

8 Momennasab, M., "Quality of nurses' communication with mechanically ventilated patients in a cardiac surgery intensive care unit" 37 (37): e02-, 2019

9 Bajwah, S., "Managing the supportive care needs of those affected by COVID-19" 55 (55): 2000815-, 2020

10 Anesi, G. L., "Coronavirus disease 2019 (COVID-19): Critical care and airway management issues. Up To Date, 1"

11 Salem, A., "Communication with invasive mechanically ventilated patients and the use of alternative devices : integrative review" 23 (23): 614-630, 2018

12 Kent-Walsh, J., "Communication partner instruction in AAC : Present practices and future directions" 21 (21): 195-204, 2005

13 Patak, L., "Communication boards in critical care : Patients' views" 19 : 182-190, 2006

14 Ten Hoorn, S., "Communicating with conscious and mechanically ventilated critically ill patients : a systematic review" 20 (20): 1-14, 2016

15 Vincent, J. L., "Comfort and patient-centred care without excessive sedation : the eCASH concept" 42 : 962-971, 2016

16 American Speech-Language-Hearing Association, "Augmentative and alternative communication"

17 Ju, X. X., "A systematic review on voiceless patients' willingness to adopt high-technology augmentative and alternative communication in intensive care units" 63 : 102948-, 2021