关键词: 俯卧位通气, 清醒患者, 质性研究

Abstract: Objective: To gain an in-depth understanding of the real experiences of prone ventilation therapy in conscious patients, and to provide a theoretical basis for healthcare professionals to develop targeted interventions. Methods: Using a purposive sampling method, semi-structured interviews were conducted from January 28 to February 18, 2023 among 15 conscious patients receiving prone ventilation therapy in the respiratory department of a Class A tertiary hospital in Yantai, and the data were coded, classified and refined into themes using the Colaizzi 7-step content analysis method. Results: The real experiences of the 15 conscious patients treated with prone ventilation could be categorized into 5 themes and 13 sub-themes, they were overload(somatic overload and psychological overload), attitude change(questioning the effect, increased sense of benefit and strong belief in treatment), insufficient support (family support, medical support and peer support), expectation better treatment (expectation of improved treatment process, expectation of systematic and standardized specialist guidance) and insufficient cognition (lack of knowledge, role cognitive bias and blind confidence in treatment outcome). Conclusion: Conscious patients treated with prone ventilation should have their measures reducing related stress load, and relevant measures should be taken to promote attitude change and confidence, so as to improve the effect of prone ventilation treatment. Enhancing patients′ cognitive level and providing systematic social support to improve their compliance with prone ventilation therapy are needed. We also improve the implementation process to improve the safety of prone ventilation treatment and give patients systematic and standardized specialist guidance to promote disease recovery.

Key words: Prone ventilation, Conscious patient, Qualitative study