중환자실 입원환자를 위한 보완대체 의사소통 어휘 그림상징 및 체계 개발

Abstract

Introduction : This study aims to develop vocabulary symbols and systems for AAC language boards and system to enable healthcare providers to quickly identify and respond to the needs of patients with endotracheal intubation. Main body : This study employed a design research methodology to explore the development process of augmentative and alternative communication (AAC) language boards, including vocabulary symbols and systems, for application to patients undergoing endotracheal intubation in intensive care units (ICUs). The final AAC vocabulary and symbols developed in this study are organized into five request primary domains(“I need something”, “I am curious”, “Please help me”, “I feel uncomfortable”, “I am in pain”) with 30 vocabulary subdomains and 220 vocabularies. Conclusion : The study identified key language domains and vocabulary used by intubated ICU patients, developed a structured system for rapid identification of patient needs, and created pictorial symbols for the selected vocabulary. This tool is expected to reduce communication barriers between ICU patients undergoing endotracheal intubation and healthcare professionals.