scholarly journals The Effect of a Non-Invasive Positive Pressure Ventilation Simulation Program on General Ward Nurses’ Knowledge and Self-Efficacy

2021 ◽  
Vol 18 (6) ◽  
pp. 2877
Author(s):  
Moon-Sook Kim ◽  
Mi-Hee Seo ◽  
Jin-Young Jung ◽  
Jinhyun Kim
Keyword(s):  
Self Efficacy ◽  
Qualitative Data ◽  
Positive Pressure Ventilation ◽  
Intervention Group ◽  
General Ward ◽  
Simulation Program ◽  
Positive Pressure ◽  
Control Group ◽  
Training Strategy ◽  
Non Invasive

The purpose of this study is to develop a simulation-based ventilator training program for general ward nurses and identify its effects. Quantitative data were collected from 29 nurses (intervention group: 15, control group: 14), of which seven were interviewed with focus groups to collect qualitative data. The quantitative results revealed significant differences in ventilator-related knowledge (p = 0.029) and self-efficacy (p = 0.026) between the intervention and control groups. Moreover, three themes were derived from meaningful statements in the qualitative data: understanding psychophysical discomfort of the patient while applying the ventilator; helping in ventilator care; and establishing a future ventilator training strategy. The findings confirmed that the non-invasive positive pressure ventilation (NPPV) simulation program is an effective method for improving the knowledge of ventilator nursing and self-efficacy and will be helpful in developing educational methods and strategies related to ventilator nursing for general ward nurses.

scholarly journals Non-invasive positive pressure ventilation offers greater improvement in COPD-related respiratory failure when combined with naloxone

2016 ◽  
Vol 11 (2) ◽  
pp. 359
Author(s):  
Long Zhang ◽  
Wei Zhao ◽  
Qinfu Xu ◽  
Yumiao Zhao ◽  
Junjie Zhao ◽  
...  
Keyword(s):  
Respiratory Failure ◽  
Pulmonary Function ◽  
Positive Pressure Ventilation ◽  
Respiratory Mechanics ◽  
Oxygen Metabolism ◽  
Positive Pressure ◽  
Control Group ◽  
Non Invasive ◽  
Copd Patients ◽  
New Treatment

<p class="Abstract">To improve efficacy of non-invasive positive pressure ventilation (NPPV), this study investigated the combination of NPPV with naloxone in COPD patients with respiratory failure. One hundred four patients with COPD-related respiratory failure were enrolled prospectively and randomly divided into a control group treated with NPPV alone (n = 52) and an observation group treated with NPPV combined with 4.0 mg naloxone by continuous infusion (n = 52). At 3 and 5 days after the start of treatment, the respiratory mechanics, pulmonary function, and oxygen metabolism parameters were significantly improved in the NPPV + naloxone group compared to the NPPV alone group (p&lt;0.05). Further, the improvements in the NPPV plus naloxone group were greater at day 5 than at day 3 (p&lt;0.05). These findings indicate that non-invasive positive pressure ventilation combined with naloxone can more effectively improve respiratory mechanics, pulmonary function and oxygen metabolism of COPD patients with respiratory failure than NPPV alone, offering a new treatment approach.</p><p> </p>

scholarly journals Effects of early mobilization (EM) in patients with noninvasive positive pressure ventilation (NIPPV) in Intensive Care Unit (ICU): a randomized controlled trial

2021 ◽  
Author(s):  
Yanhao Wang ◽  
Zixuan Huang ◽  
Jun Duan ◽  
Wenxin Xu ◽  
Jiayi Mao ◽  
...  
Keyword(s):  
Positive Pressure Ventilation ◽  
Controlled Trial ◽  
Intervention Group ◽  
Noninvasive Positive Pressure Ventilation ◽  
Early Mobilization ◽  
Positive Pressure ◽  
Control Group ◽  
Randomized Controlled ◽  
Length Of Icu Stay ◽  
Duration Of Ventilation

Abstract Background Early mobilization (EM) may be an effective intervention for the promotion of rehabilitation in noninvasive positive pressure ventilation (NIPPV) patients. The aim of this study was to investigate the effects of EM in patients with NIPPV in Intensive Care Unit (ICU). Methods Participants were randomly allocated to the intervention group involving active and passive activities combined with routine treatments and the control group with routine treatments in this single-center, parallel-designed randomized controlled trial. Participants accepted initiative and passive activities following brought by medical and nursing team who were standardized training The primary outcomes were the incidence of ICU-AW, length of ICU stay, duration of ventilation and mortality. Results There were no adverse event in participants during EM. Compared with the control group, there was a significantly lower length of ICU stay (m = 6.0 vs 7.8 days, respectively, P = 0.038), incidence of ICU-acquired weakness (n = 17.4% vs 50%, respectively, P = 0.026), duration of ventilation (m = 2.1 vs 4.0 days, respectively, P = 0.019) in the intervention group. Conclusions EM is feasible and safe in noninvasive ventilator patients, it can decrease the incidence of ICU-acquired weakness, length of stay and duration of noninvasive ventilation in ICU, and promoted the recovery of grip strength.

scholarly journals Experience of Childbirth With Birth Ball: A Randomized Controlled Trial

2018 ◽  
Vol 7 (3) ◽  
pp. 301-305
Author(s):  
Morvarid Ghasab Shirazi ◽  
Shahnaz Kohan ◽  
Firoozeh Firoozehchian ◽  
Elham Ebrahimi
Keyword(s):  
Health Care Providers ◽  
Self Efficacy ◽  
Controlled Trial ◽  
Intervention Group ◽  
Labour Pain ◽  
Estimating Equation ◽  
Equation Model ◽  
Control Group ◽  
Care Providers ◽  
Non Invasive

Objectives: Childbearing is considered as a great event in the lives of many women while the effect of pain on this event is undeniable. Thus, the think of pain and how to overcome it has engaged the minds of women, their family, and health-care providers. The birth ball is one of the non-invasive methods of pain control. Therefore, the present study aimed to evaluate the effect of the birth ball on the pain and self-efficacy of pregnant women during the childbirth process. Materials and Methods: This study was a randomized clinical trial. A total of 178 participants were selected based on the specific selection criteria and randomly allocated to control and intervention groups. The women in the intervention group were asked to join a planned exercise with the birth ball including a 20-minute well-defined exercise three times a week for 6–8 weeks at home whereas those in the control group followed up the routine prenatal cares. The questionnaires were completed by the participants at the four and eight-centimeter cervical dilations. Results: Based on the results, birth ball exercises could significantly improve childbirth self-efficacy and pain so that labour pain was lower in this group of women as compared to the other group (P<0.001 in both cervical dilatations). In addition, the score of selfefficacy was higher in the intervention group compared to the control group (P<0.001). Further, the result of generalized estimating equation model showed that birth ball exercise can decrease the childbirth pain. However, part of this effect may be related to an increase in the patients’ self-efficacy (30%-40%). Conclusions: In general, although birth ball exercise could decrease the childbirth pain, part of this effect was probably associated with an increase in self-efficacy of the patients.

scholarly journals Application Effect and Nursing of Non-Invasive Ventilation in Acute Exacerbation of Chronic Obstruction Pulmonary Disease Patients

2015 ◽  
Vol 4 (4) ◽  
pp. 8
Author(s):  
Zongying Li
Keyword(s):  
Acute Exacerbation ◽  
Positive Pressure Ventilation ◽  
Positive Pressure ◽  
Control Group ◽  
Blood Gas ◽  
Invasive Ventilation ◽  
Non Invasive ◽  
Non Invasive Ventilation ◽  
Significant Difference ◽  
Experimental Group

<p><strong>Objective:</strong> To study the application methods, summarize the nursing experience and discuss the clinical effect of non-invasive ventilation in acute exacerbation of chronic obstructive pulmonary disease (COPD). <strong>Methods:</strong> 152 cases of AECOPD patients, who received treatment in our hospital from January 2011 to December 2013, were selected and divided into the experimental group and control group randomly. Patients in control group received conventional treatment, whereas besides conventional treatment, experimental group received non-invasive positive pressure ventilation and relevant nursing management. The changes in arterial blood gas and clinical indicators before and after treatment for both groups were observed. <strong>Results:</strong> After 7 days treatment, all the results of blood gas analysis were significantly improved (<em>p</em> &lt; 0.05). For the respiratory status (based on Borg scale), two groups were significantly improved after treatment, however, experimental group shown better than control group (<em>p</em> &lt; 0.05). The two groups had statistically significant difference (<em>p</em> &lt; 0.05) in the aspects of prognosis, endotracheal intubation and hospitalization time. As for the death index, there was no significant difference between two groups. No special treatment was needed for adverse reactions, they would be relieved slowly. <strong>Conclusion:</strong> Non-invasive positive pressure ventilation able to improve the recovery rate and quality of life of patients with acute exacerbation of COPD.</p>

scholarly journals Educational Intervention to Improve Citizen’s Healthcare Participation Perception in Rural Japanese Communities: A Pilot Study

2021 ◽  
Vol 18 (4) ◽  
pp. 1782
Author(s):  
Ryuichi Ohta ◽  
Yoshinori Ryu ◽  
Jun Kitayuguchi ◽  
Chiaki Sano ◽  
Karen D. Könings
Keyword(s):  
Rural Communities ◽  
Self Efficacy ◽  
Cognitive Theory ◽  
Health Management ◽  
Intervention Group ◽  
Educational Interventions ◽  
Medical Professionals ◽  
Control Group ◽  
Structured Interviews ◽  
Japanese Elderly

In this mixed-methods study, we hypothesized that social cognitive theory (SCT)-based educational interventions for healthcare participation can improve the self-efficacy of older rural citizens in participating in their health management without any difficulties. Quasi-experimental study before and after SCT-based educational interventions and semi-structured interviews were conducted. Participants were Japanese elderly (>65 years) from rural communities. Propensity score matching was performed to estimate the effectiveness of educational interventions on participants’ perception (intervention: n = 156; control: n = 121). Interview contents were transcribed verbatim and analyzed based on thematic analysis. The intervention group scored significantly higher than the control group for participation in planning and managing self-care. Interviews revealed three themes: ability to manage health conditions, relationship with medical professionals, and relationship among citizens. Participants reported difficulties in judging symptoms and communicating with medical professionals. Hierarchy and low motivation to participate in healthcare hindered collaboration. The findings suggest that SCT-based educational interventions can positively impact rural citizens’ self-efficacy in healthcare participation.

scholarly journals Parental Self-Efficacy to Promote Children’s Healthy Lifestyles: A Pilot and Feasibility Study

2021 ◽  
Vol 18 (9) ◽  
pp. 4794
Author(s):  
Cayetana Ruiz-Zaldibar ◽  
Inmaculada Serrano-Monzó ◽  
Olga Lopez-Dicastillo ◽  
María Jesús Pumar-Méndez ◽  
Andrea Iriarte ◽  
...  
Keyword(s):  
Pilot Study ◽  
Parenting Styles ◽  
Self Efficacy ◽  
Parenting Practices ◽  
Healthy Lifestyle ◽  
Intervention Group ◽  
Positive Parenting ◽  
Parenting Programs ◽  
Control Group ◽  
Healthy Lifestyles

Positive parenting programs are a key strategy to promote the development of parental competence. We designed a pilot study based on parental self-efficacy to promote healthy lifestyles in their children aged between 2 to 5 years old. In this pilot study, we aimed to assess the effects of a parenting program on parental self-efficacy and parenting styles. Twenty-five parents were allocated into intervention (N = 15) and control group (N = 10). Parents from the intervention group received four group sessions (120 mi per session) to develop a positive parenting, parenting styles and parenting skills regarding to children’s diet, exercise, and screen time, and two additional sessions about child development and family games. Parents from the control group received these two latter sessions. Parental self-efficacy, parenting styles, and meal-related parenting practices were measured before and after the intervention and at 3-month follow-up. Acceptability and feasibility of the program was also measured. Quantitative data were analyzed using the repeat measures ANOVA and ANCOVA tests and the effect size calculation. Content analysis was used to analyse open questions. Positive trends were found regarding parental self-efficacy and the use of authoritative parenting style. Parents also reported a great acceptability of the program getting high satisfaction. According to the feasibility barriers and facilitators aspects were identified. The positive trends founded in this study support the development of parenting programs to promote healthy lifestyle in children.

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