scholarly journals Effectiveness of Communication Board on Level of Satisfaction Over Communication among Mechanically Venitlated Patients

2020 ◽  
Vol 5 (9) ◽  
pp. 311-316
Author(s):  
Dr. Metilda ◽  
Dr. A. Jaganath
Keyword(s):  
Mechanical Ventilation ◽  
Control Group ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Level Of Satisfaction ◽  
Significant Difference ◽  
Group 15 ◽  
Experimental Group ◽  
Ventilated Patients ◽  
Communication Board

Mechanical ventilation is widely used to treat patients with critical conditions. This treatment is usually applied for difficulty in breathing. The use of mechanical ventilation devices has unique benefits to the patient. However, it can also cause various problems. Reduction in communication rank as one of the most negative experiences in mechanically ventilated patients. Effective communication with ventilator-based patients is essential. Nursing management of a mechanically ventilated patient is challenging on many levels, requiring a wealth of high technical skills. The Patient Communications Board improves communication, maintains information and creates a comfortable, attractive setting for patient, family and health care workers. The research methodology used for the study is a Quasi experimental approach, post-test only design with a comparison group to assess the effect of the communication board on the level of satisfaction over communication among clients on mechanical ventilator. The sample was selected by purposive sampling technique and included 30 (experimental group-15, control group-15), mechanically ventilated patients in PESIMR hospital, Kuppam. The control group patients were provided with routine communication methods, while the experimental group were communicated with communication board. The level of satisfaction on communication was assessed by a 15items rating scale. Data was analysed using both the descriptive and inferential statistics. There was a significant difference in the level of satisfaction on communication among the patients who were communicated using communication board compared to the routine method of communication. The communication board had significantly improved the communication pattern and increased the satisfaction among the patients who are mechanically ventilated.

scholarly journals A STUDY TO ASSESS THE EFFECTIVENESS OF COMMUNICATION BOARD ON THE SATISFACTION LEVEL REGARDING COMMUNICATION PATTERN AMONG MECHANICALLY VENTILATED PATIENTS

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Mrs Irven Kaur kaur ◽  
Dr Tarandeep kaur
Keyword(s):  
Sampling Technique ◽  
Control Group ◽  
Communication Pattern ◽  
Satisfaction Level ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Significant Difference ◽  
Experimental Group ◽  
Ventilated Patients ◽  
Communication Board

The research statement was titled as “A Study to assess the effectiveness of Communication Board on the Satisfaction level regarding Communication Pattern among Mechanically Ventilated Patients.” The data was collected from 60 mechanically ventilated patients (30 in experimental group and 30 in control group) admitted in selected hospital, Amritsar, Punjab using Purposive sampling technique. Two groups were selected for the study, one experimental and one control group. The experimental group was provided with the communication board as an intervention to meet their communication needs (4-5 times during morning time) by researcher, until they are extubated. The control group was not provided with communication board, they relied on standard care and on the experience of nurses. Modified likert scale was used to assess the post-interventional satisfaction level regarding communication pattern after extubation, in both experimental and control group. Study findings revealed that, according to post-interventional satisfaction level regarding communication pattern, majority (80%) of mechanically ventilated patients in experimental group were satisfied regarding communication pattern, followed by (20%) dissatisfied, whereas in control group majority (88.9%) of mechanically ventilated patients were dissatisfied regarding communication pattern, followed by (11.1%) satisfied. According to comparison of post-interventional satisfaction level regarding communication pattern among mechanically ventilated in control and experimental group, a significant difference was found with t value 7.69 at p<0.05 level of significance.

scholarly journals Effects of nursing comfort care integrating with the daily Islamic rituals on comfort among mechanically ventilated Muslim patients: A randomized clinical trial

2021 ◽  
Author(s):  
Junaidy Rustam ◽  
Waraporn Kongsuwan ◽  
Luppana Kitrungrote
Keyword(s):  
Mechanical Ventilation ◽  
Public Hospitals ◽  
Control Group ◽  
Care Needs ◽  
Comfort Care ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Significant Difference ◽  
Experimental Group ◽  
Ventilated Patients

Background &amp; Aim: Most mechanically ventilated patients reported decreasing comfort during their treatments, especially in Muslim patients. Nursing comfort care needs to be addressed by integrating the principles of Islamic daily rituals to fulfill the spiritual need and also to promote holistic comfort of Muslim patients with mechanical ventilation. This study aimed to investigate the effect of nursing comfort care integrating with the Islamic daily rituals on comfort among mechanically ventilated Muslim patients.Methods &amp; Materials: A pretest-posttest with a control group design was used. Fifty-six participants recruited from intensive care units of three public hospitals in Indonesia were randomly assigned into either the experimental group (n=28) or control group (n=28) by matching technique based on gender, age, and duration using a ventilator. Those in the experimental group received nursing comfort care developed based on Kolcaba’s Theory of Comfort integrating with the Islamic daily rituals while those in the control group received usual care. Comfort was measured on the first day before receiving the intervention, and on the second day after the intervention was completed by using Comfort Questionnaire for Mechanically Ventilated Patients (CQMVP).Results: Data analysis by using an independent t-test found there is no significant difference in data between the experimental group and control group at baseline (t = .134, p .894). The mean comfort score of patients in the experimental group after receiving the intervention was significantly higher than those in the control group (t=6.70, p&lt;.05). Conclusion: Nursing comfort care integrated with Islamic daily rituals increased comfort in Muslim patients while receiving mechanical ventilation. Thus, this nursing comfort care program can be recommended to use in practice.

scholarly journals Effects of nursing comfort care integrating with the daily Islamic rituals on comfort among mechanically ventilated Muslim patients: A randomized clinical trial

2021 ◽  
Author(s):  
Junaidy Suparman Rustam ◽  
Waraporn Kongsuwan ◽  
Luppana Kitrungrote
Keyword(s):  
Mechanical Ventilation ◽  
Intervention Group ◽  
Public Hospitals ◽  
Control Group ◽  
Comfort Care ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Significant Difference ◽  
Ventilated Patients ◽  
Islamic Rituals

Background & Aim: Most mechanically ventilated patients reported decreasing comfort during their treatments, especially in Muslim patients. Nursing comfort care needs to be addressed by integrating daily Islamic rituals to fulfill the spiritual need and promote holistic comfort of Muslim patients with mechanical ventilation. This study aimed to investigate the effect of nursing comfort care integrating with the daily Islamic rituals on comfort among mechanically ventilated Muslim patients. Methods & Materials: A pretest-postest with control group design was used. Fifty-six participants recruited from intensive care units of three public hospitals in Indonesia were randomly assigned into either the intervention group (n=28) or control group (n=28) by matching technique based on gender, age, and duration using a ventilator. Those in the intervention group received nursing comfort care developed based on Kolcaba’s Theory of Comfort integrating with the daily Islamic rituals, while those in the control group received usual care. Comfort was measured on the first day before receiving the intervention and on the second day after the intervention was completed by using Comfort Questionnaire for Mechanically Ventilated Patients (CQMVP). Results:  Data analysis using an independent t-test found no significant difference between the intervention and control groups at baseline (t = .134, p .894). The mean of comfort score of patients in the intervention group after receiving the intervention was significantly higher than those in the control group (t=6.70, p< .05).  Conclusion:  Nursing comfort care integrated with daily Islamic rituals increased comfort in Muslim patients while receiving mechanical ventilation. Thus, this nursing comfort care program can be recommended to use in practice.

scholarly journals A STUDY TO ASSESS THE ASSOCIATION OF POST-INTERVENTIONAL SATISFACTION LEVEL REGARDING COMMUNICATION PATTERN WITH DURATION OF STAY ON MECHANICAL VENTILATION AMONG MECHANICALLY VENTILATED PATIENTS.

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Mrs. Ireven Kaur kaur ◽  
Dr. Tarandeep Kaur kaur
Keyword(s):  
Mechanical Ventilation ◽  
Control Group ◽  
Communication Pattern ◽  
Satisfaction Level ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Duration Of Stay ◽  
And Control ◽  
Experimental Group ◽  
Ventilated Patients

The present study aimed to assess the association of post-interventional satisfaction level regarding communication pattern with duration of stay on mechanical ventilation among mechanically ventilated patients who had undergone cardiac surgery. The data was collected from 60 mechanically ventilated patients (30 in experimental group and 30 in control group) admitted in selected hospital, Amritsar, Punjab. Purposive sampling technique was used to select the sample. Two groups were selected for the study, one experimental and one control. The experimental group was provided with the communication board as an intervention to meet their communication needs (4 -5 times during morning time) by researcher, until they are extubated. The control group was not provided with communication board, they relied on standard care and on the experience of nurses. Modified Likert scale was used to assess the post-interventional satisfaction level regarding communication pattern after extubation, in both experimental and control group. The study findings revealed that, according to association of post-interventional satisfaction level regarding communication pattern in experimental and control group with duration of stay on mechanical ventilation was found significant as computed by chi-square at p<0.05 in experimental group whereas, in control group, it was found statistically non-significant.

scholarly journals Dexmedetomidine use and Mortality in Mechanically-Ventilated Patients with Severe Burns: A Cohort Study Using a National Inpatient Database in Japan

2020 ◽  
Author(s):  
Yuki Enomoto ◽  
Masao Iwagami ◽  
Asuka Tsuchiya ◽  
Kojiro Morita ◽  
Toshikazu Abe ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Hospital Stay ◽  
Length Of Hospital Stay ◽  
Control Group ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Severe Burns ◽  
And Control ◽  
Inpatient Database ◽  
Ventilated Patients

Abstract Background: Dexmedetomidine is an alpha 2-adrenergic receptor agonist. Apart from its sedative effects, dexmedetomidine has the potential to reduce mortality through its anti-inflammatory effect. However, the impact of dexmedetomidine on in-hospital outcomes of patients with severe burns remains unclear. Therefore, we aimed to elucidate the association between dexmedetomidine and mortality in mechanically-ventilated patients with severe burns, using a Japanese nationwide database of in-hospital patients.Methods: We included adults with severe burns (burn index ≥ 10) who were registered in the Japanese Diagnosis Procedure Combination national inpatient database from 2010 to 2018, started mechanical ventilation within 3 days of admission, and received any sedative drug (dexmedetomidine, midazolam, or propofol). One-to-one propensity score matching was performed between patients who received dexmedetomidine on the day of mechanical ventilation initiation (dexmedetomidine group) and those who did not receive dexmedetomidine (control group). The primary outcome was all-cause 30-day in-hospital mortality. Secondary outcomes were length of hospital stay and duration of mechanical ventilation in all patients and survivors.Results: Eligible patients (n = 1,888) were classified into the dexmedetomidine group (n = 371) or the control group (n = 1,517). After one-to-one propensity score matching, we compared 329 patients from each of the two groups. No significant difference was observed in 30-day mortality between patients in the dexmedetomidine and control groups (22.8% vs. 22.5%, respectively; odds ratio, 1.02; 95% confidence interval, 0.71-1.46). Moreover, there were no significant differences between patients in the dexmedetomidine and control groups in terms of the length of hospital stay or the duration of mechanical ventilation.Conclusions: We found no significant association between dexmedetomidine use and in-hospital outcomes (mortality, length of hospital stay, and length of mechanical ventilation) in mechanically-ventilated patients with severe burns. Dexmedetomidine use may not improve the above-mentioned outcomes; therefore, its selection should be based on the patient’s general condition and the target level of sedation.

scholarly journals Effectiveness of High-Tech Communication Board on Patients Response and Level of Satisfaction among Mechanical Ventilated Patients

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 86-90
Author(s):  
Vignesh S ◽  
Parimala L ◽  
Kalabarathi S
Keyword(s):  
High Tech ◽  
Control Group ◽  
Response Scale ◽  
Satisfaction Scale ◽  
Patient Response ◽  
Basic Part ◽  
Level Of Satisfaction ◽  
Significant Difference ◽  
Ventilated Patients ◽  
Communication Board

Communication is a crucial component and fundamental segment of nursing in all zones that renders it exercise to practice every one of its intercessions, including prevention, treatment, recovery, instruction and wellbeing advancement. Communication is a basic part of successful consideration in clinic setting, particularly in ICU where patients can encounter adjusted Communication capacities because of their basic sickness. Patient's results are impacted by the patient's capacities to impart successfully and take an interest in their consideration. Hence the present study aimed to assess the effectiveness of high-tech communication board on patient response and level of satisfaction among mechanically ventilated patients in an intensive care unit. True experimental - Post-test only design was employed with 60 patients in which 30 were allotted to the experimental and 30 to the control group. Demographic variables data were collected by using a structured questionnaire followed by assessing the response of the patients using patient response scale after using High-tech communication board. Patient's satisfaction was assessed after usage of High-tech communication board using a satisfaction scale. The findings of the study revealed that most of the patients had a good response in the experimental group than the patients in the control group in which the comparison between the two groups showed a significant difference between the mean scores. Based on findings, comparative studies can be conducted with other High-Tech Communication Board in different settings with large samples.

scholarly journals Influence of Dexmedetomidine on Diaphragm Function and Postoperative Outcomes in ICU Patients with Mechanical Ventilation

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Chengda Zhao ◽  
Meihua Huang ◽  
Baiyun Wang ◽  
Huanhui Zhong ◽  
Wen Meng
Keyword(s):  
Mechanical Ventilation ◽  
Success Rate ◽  
Ventilator Weaning ◽  
Postoperative Outcomes ◽  
Control Group ◽  
Diaphragm Thickness ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Diaphragm Function ◽  
Ventilated Patients

Objective. To probe into the influence of dexmedetomidine (DEX) on diaphragm function and postoperative outcomes of mechanically ventilated patients in the intensive care unit (ICU). Methods. 84 patients with mechanical ventilation (MV) in the ICU of our hospital were selected as the research participants, including 38 patients in the control group (CG) sedated with midazolam (MZ) and 46 patients in the research group (RG) with DEX sedation. Ramsay sedation score, visual analogue scale (VAS), and restlessness score (RS) were used to evaluate their state before sedation (T0), as well as 2 h (T1), 6 h (T2), and 24 h (T3) after sedation, and the alterations of mean arterial pressure (MAP) and heart rate (HR) were recorded. Serum cortisol (Cor), adrenocorticotropic hormone (ACTH), superoxide dismutase (SOD), malondialdehyde (MDA), interleukin- (IL-) 1β, IL-6, and tumor necrosis factor-α (TNF-α) were measured before and 24 h after sedation. The end-inspiratory diaphragm thickness (DTei) and end-expiratory diaphragm thickness (DTee) were measured within 2 h after the initiation of MV and 5 min after the spontaneous breathing test (SBT), and the diaphragm thickening fraction (DTF) was calculated. Finally, the ventilator weaning, MV time, and the incidence of adverse reactions (ADs) of the two groups were counted. Results. T0 and T3 witnessed no distinct difference in Ramsay, VAS, and RS scores between the two arms ( P > 0.05 ), but at T1 and T2, RG had better sedation state and lower VAS and RS scores than CG ( P < 0.05 ), with more stable vital signs ( P < 0.05 ). After sedation, the contents of oxidative stress and inflammatory factors in RG were lower, while DTee, DTei, and DTF were higher, versus CG ( P < 0.05 ). Moreover, RG presented higher success rate of first ventilator weaning, less MV time, and lower incidence of ADs than CG ( P < 0.05 ). Conclusions. DEX is effective in mechanically ventilated patients in the ICU, which can protect patients against diaphragm function damage, improve the success rate of ventilator weaning, and benefit the postoperative outcome, with excellent and rapid sedation effect and less stress damage to patients.

scholarly journals Selection strategy for sedation depth in critically ill patients on mechanical ventilation

2021 ◽  
Vol 21 (S2) ◽  
Author(s):  
Longxiang Su ◽  
Chun Liu ◽  
Fengxiang Chang ◽  
Bo Tang ◽  
Lin Han ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Dimensionality Reduction ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Latent Profile Analysis ◽  
Profile Analysis ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Sedation And Analgesia ◽  
Ventilated Patients

Abstract Background Analgesia and sedation therapy are commonly used for critically ill patients, especially mechanically ventilated patients. From the initial nonsedation programs to deep sedation and then to on-demand sedation, the understanding of sedation therapy continues to deepen. However, according to different patient’s condition, understanding the individual patient’s depth of sedation needs remains unclear. Methods The public open source critical illness database Medical Information Mart for Intensive Care III was used in this study. Latent profile analysis was used as a clustering method to classify mechanically ventilated patients based on 36 variables. Principal component analysis dimensionality reduction was used to select the most influential variables. The ROC curve was used to evaluate the classification accuracy of the model. Results Based on 36 characteristic variables, we divided patients undergoing mechanical ventilation and sedation and analgesia into two categories with different mortality rates, then further reduced the dimensionality of the data and obtained the 9 variables that had the greatest impact on classification, most of which were ventilator parameters. According to the Richmond-ASS scores, the two phenotypes of patients had different degrees of sedation and analgesia, and the corresponding ventilator parameters were also significantly different. We divided the validation cohort into three different levels of sedation, revealing that patients with high ventilator conditions needed a deeper level of sedation, while patients with low ventilator conditions required reduction in the depth of sedation as soon as possible to promote recovery and avoid reinjury. Conclusion Through latent profile analysis and dimensionality reduction, we divided patients treated with mechanical ventilation and sedation and analgesia into two categories with different mortalities and obtained 9 variables that had the greatest impact on classification, which revealed that the depth of sedation was limited by the condition of the respiratory system.

scholarly journals THE EFFECT OF GASTRIC GAS EMPTYING ON THE RESIDUAL GASTRIC VOLUME IN MECHANICALLY-VENTILATED INTENSIVE CARE UNIT PATIENTS FED THROUGH NASOGASTRIC TUBES: A RANDOMIZED, SINGLE-BLIND, CLINICAL TRIAL

2018 ◽  
Vol 11 (9) ◽  
pp. 492
Author(s):  
Ali Mohammadpour ◽  
Mousa Sajadi ◽  
Somayyeh Maghami ◽  
Hossein Soltani
Keyword(s):  
Clinical Trial ◽  
Gastric Volume ◽  
Control Group ◽  
Case Group ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Residual Gastric Volume ◽  
Nasogastric Tubes ◽  
Single Blind ◽  
Ventilated Patients

Objective: Increased gastric residual volume is a complication of enteral nutrition intolerance that leads to gastrointestinal complications such as nausea, vomiting, and aspiration pneumonia. The present study was conducted to determine the effect of gastric gas emptying on the residual gastric volume in mechanically-ventilated patients fed through nasogastric tubes.Methods: This randomized, single-blind, clinical trial was conducted on two groups of patients in the intensive care unit (ICU) of Kamyab Hospital of Mashhad. A total of 64 patients were randomly divided into a case and a control group. In the case group, the gastric gases accumulated through the nasogastric tube were emptied by applying palm pressure on the epigastric region. The control group did not undergo this intervention but received the routine care provided in the ward. Data were collected using a demographic questionnaire and a form containing records of the patients’ residual gastric volume and disease-related information. The residual gastric volume was measured and compared in the two groups before and after the intervention. Data were analyzed in SPSS-19 using the Chi-square test, the independent t-test, and the repeated measures ANOVA at the significance level of 5%.Results: The residual gastric volume did not differ significantly between the two groups before the intervention (p=0.14); after the intervention; however, a significant reduction was observed in the case group compared to the controls (p=0.007).Conclusion: Gastric gas emptying helps reduce the residual gastric volume in mechanically-ventilated patients fed through nasogastric tubes. Further studies are recommended to further ensure the benefits of this method.

The Feasibility of Objective Sleep-Quality Assessment in an ICU Setting

2021 ◽  
Vol 104 (2) ◽  
pp. 304-309
Keyword(s):  
Mechanical Ventilation ◽  
Respiratory Failure ◽  
Sleep Quality ◽  
Acute Respiratory Failure ◽  
Critically Ill ◽  
Sleep Stages ◽  
Poor Sleep ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Ventilated Patients

Background: Sleep disruptions frequently occur in hospitalized patients, especially with critically ill, mechanically ventilated patients. Severely altered sleep architectures result in unclassifiable sleep stages as listed by the conventional Rechtschaffen and Kales (R&K) criteria, and a new classification for sleep scoring including atypical sleep (AS) and pathological wakefulness (PW) has recently been proposed. Objective: To demonstrate the feasibility of performing objective sleep qualification in patients receiving mechanical ventilation due to acute respiratory failure. Materials and Methods: In the present prospective cohort study, polysomnography was performed in 38 patients requiring invasive mechanical ventilation due to acute respiratory failure at the respiratory care unit (RCU) of Siriraj Hospital between February and December 2017. Their sleep stages were analyzed by conventional rules and the new classifications of AS and PW. The associations between the presence of AS or PW and the patients’ characteristics were analyzed. Correlations between sleep quality and clinical parameters were also determined. Results: Most of the patients had poor sleep quality with median sleep efficiency (IQR) of 35.9% (18.5, 62.3) and significantly decreased slowwave sleep [median (IQR) 0.4% (0.00, 5.70)] and REM [median (IQR) 1.3% (0.00, 6.43)]. According to the new classifications, 14 out of 38 (prevalence of 36.8%) mechanically ventilated patients had AS. The prevalence of PW and either AS or PW were 36.8% and 52.6%, respectively. A higher baseline respiratory rate was observed among patients who had either AS or PW at 24 versus 20 breaths/minute (p=0.02), while a longer duration of mechanical ventilator support was found in patients with PW at nine versus five (p=0.003). Patient-ventilator asynchrony was also noted in all patients. Conclusion: Sleep quality among critically ill and mechanically ventilated patients was severely disturbed. A higher prevalence of AS and PW were noted. The technical feasibility of sleep recording in Thai intensive care unit (ICU) settings was established. Keywords: Polysomnography, Atypical sleep, ICU

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