الفهرس 
Relationship between communication difficulties and psychological distress as experienced by mechanically ventilated patients
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Abstract
Background: An appropriate and effective nurse-patient communication is the most important aspect of caring for patient connected to mechanical ventilation. Aim: To examinethe relationship between communication difficulties and psychological distress among mechanically ventilated patients. Research design: A descriptive correlational design was utilized in this study. Subjects: A purposive sample consisted of 66 adults male and female patients were recently extubated from mechanical ventilation. Tools: Data were obtained through three main tools; personal characteristics& medical data, communication difficulties scale, anddepression, anxiety, and stress scale (DASS) Results: The majority of the recently extubated patients rated their responses as extremely severe anxiety during being ventilated, half of the studied sample rated moderately responses stress, about half of them had severe depression as a result of presence of communication barrier. This study delineated that more than half of the studied sample rated their responses as moderate to extreme in relation to communication during being ventilated about physical needs, applied care, asking about health status, and communication with family member. Conclusion: There was a statistically significant relation between communication difficulty with depression, anxiety, and stress. Recommendations: Reinforce role of the nurse to use augmented alternative communication methods with mechanically ventilated patients