Patients (n = 158) who had been respirator-treated and who could remember the treatment were retrospectively (after 2 months) interviewed about their experiences. Of all patients. 47percnt; had felt anxiety and/or fear during the treatment. These feelings were intimately related to the experience of agony/panic (p .001) and insecurity (p .001). Inability to talk and communicate was found to be the dominating reason (p .001) for evoking such feelings and also made it difficult for the patients to sleep and rest (p .05); no correlation to pain was found. Difficulties to synchronize with the respirator in connection with suctioning also caused feelings of anxiety/fear (p .01). agony/ panic (p .01), and insecurity (p .001). Even as long as 4 yr after respirator treatment, most patients (90percnt;) who remember the treatment still recall the situation as unpleasant and stress-evoking. The isolation due to communication difficulties was a greater problem than direct airway-related nursing care activities. This relationship between communication difficulties and severe emotional reactions should be considered in the nursing care of respirator-treated patients. (Crit Care Med 1989; 17:1068)
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