Effect of a Scheduled Nurse Intervention on Thirst and Dry Mouth in Intensive Care Patients

2019 ◽  
Vol 28 (1) ◽  
pp. 41-46 ◽  
Author(s):  
Michelle VonStein ◽  
Barbara L. Buchko ◽  
Cristina Millen ◽  
Deborah Lampo ◽  
Theodore Bell ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Rating Scale ◽  
Numeric Rating Scale ◽  
Dry Mouth ◽  
Intensive Care Patients ◽  
Frequency Of Use ◽  
Before And After ◽  
Quasi Experimental ◽  
Ice Water

Background Thirst is a common, intense symptom reported by hospitalized patients. No studies indicate frequency of use of ice water and lip moisturizer with menthol to ameliorate thirst and dry mouth. In an audit of 30 intensive care unit patients at a 580-bed community teaching hospital, 66% reported dry mouth with higher thirst distress and intensity scores than in published studies. Objectives To evaluate the effectiveness of scheduled use of ice water oral swabs and lip moisturizer with menthol compared with unscheduled use in relieving thirst and dry mouth for intensive care unit patients. Methods In a quasi-experimental design, adult patients admitted to 2 intensive care units at a community hospital were provided with ice water oral swabs and lip moisturizer with menthol upon request. The intervention was unscheduled in 1 unit and scheduled in the other unit. The scheduled intervention was provided hourly during a 7-hour period (n = 62 participants). The unscheduled intervention consisted of usual care (n = 41 participants). A numeric rating scale (0-10) was used to measure thirst intensity, thirst distress, and dry mouth before and after 7 hours in both groups. Results The scheduled-use group had significant lessening of thirst intensity (P = .02) and dry mouth (P = .008). Thirst distress in the scheduled-use group did not differ from that in the unscheduled-use group (P = .07). Conclusion Scheduled use of ice water oral swabs and lip moisturizer with menthol may lessen thirst intensity and dry mouth in critical care patients.

scholarly journals Breathing And Stretching Exercises Affect The Decrease in The Intensity of Leg Cramp Pain

2021 ◽  
Vol 8 (2) ◽  
pp. 182-192
Author(s):  
Achwan Achwan ◽  
Abdurahman B.B. Laksono
Keyword(s):  
Rating Scale ◽  
Intervention Group ◽  
Numeric Rating Scale ◽  
Common Side Effect ◽  
Control Group ◽  
P Value ◽  
Before And After ◽  
Post Test ◽  
Quasi Experimental ◽  
Stretching Exercises

Leg cramps are a common side effect of intradialysis CKD patients. Preventing intradialysis cramping pain can improve quality of life. Breathing and stretching exercises are non-pharmacological treatments for cramping pain. The purpose of this study was to prove the effect of breathing and stretching exercises on changes in the intensity of leg cramps in hemodialysis patients at the Haji Jakarta Hospital in 2018. This study was a quasi-experimental study with a two-group pre-post test research design. The sample was selected by purposive sampling, a sample of 34 patients. The intensity of muscle cramps was measured using the Numeric Rating Scale. The results of the analysis using the paired sample T-test. The results showed that the intervention group had a P-value = 0.01 and the control group had a P-value = 0.055, meaning that there was a difference in mean the intensity of cramping pain before and after breathing and stretching exercises was compared, so it was concluded that there was an effect of breathing and stretching exercises on the intensity of intradialysis leg cramps. Patients are advised to breathing and stretching exercises regularly, light exercise, eat and drink diet.

scholarly journals Computerized nursing process in the Intensive Care Unit: ergonomics and usability

2016 ◽  
Vol 50 (6) ◽  
pp. 998-1004 ◽  
Author(s):  
Sônia Regina Wagner de Almeida ◽  
◽  
Grace Teresinha Marcon Dal Sasso ◽  
Daniela Couto Carvalho Barra ◽  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nursing Practice ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Nursing Process ◽  
Evaluation Instrument ◽  
Before And After ◽  
Quasi Experimental ◽  
Usability Criteria

Abstract OBJECTIVE Analyzing the ergonomics and usability criteria of the Computerized Nursing Process based on the International Classification for Nursing Practice in the Intensive Care Unit according to International Organization for Standardization(ISO). METHOD A quantitative, quasi-experimental, before-and-after study with a sample of 16 participants performed in an Intensive Care Unit. Data collection was performed through the application of five simulated clinical cases and an evaluation instrument. Data analysis was performed by descriptive and inferential statistics. RESULTS The organization, content and technical criteria were considered "excellent", and the interface criteria were considered "very good", obtaining means of 4.54, 4.60, 4.64 and 4.39, respectively. The analyzed standards obtained means above 4.0, being considered "very good" by the participants. CONCLUSION The Computerized Nursing Processmet ergonomic and usability standards according to the standards set by ISO. This technology supports nurses' clinical decision-making by providing complete and up-to-date content for Nursing practice in the Intensive Care Unit.

scholarly journals Education to prevent ventilator-associated pneumonia in intensive care unit

2020 ◽  
Vol 73 (6) ◽  
Author(s):  
Aline Branco ◽  
Emerson Matheus Silva Lourençone ◽  
Ariane Baptista Monteiro ◽  
Jaqueline Pettitembert Fonseca ◽  
Carine Raquel Blatt ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Continuing Education ◽  
Cuff Pressure ◽  
Incidence Density ◽  
Ventilator Associated Pneumonia ◽  
Mechanical Ventilator ◽  
Before And After ◽  
Quasi Experimental ◽  
The Mean

ABSTRACT Objective: to evaluate nursing adherence to the Ventilator-Associated Pneumonia Prevention Bundle and the incidence rate, before and after Continuing education. Methods: a quasi-experimental, retrospective study with a total of 302 patients on mechanical ventilator admitted to the Intensive Care Unit. Data obtained from the application of the bundle, from June 2017 to June 2018. In December 2017, a training on the infection was carried out with 48 professionals. Results: the mean age of patients was 62.39±17.06 years old. Appropriate measures before and after training, respectively: position of the ventilator filter 94.8% and 96.2%, p=0.074; elevated headboard 88.4% and 94.5%, p<0.001; oral hygiene with chlorhexidine 89.5% and 98.2%, p<0.001; teeth brushing 80.8% and 96.4%, p<0.001; and cuff pressure 92.7% and 95.6%, p=0.002. Incidence density was 7.99 for 4.28 infections/1000 ventilators per day. Conclusion: the bundle application and education made it possible to increase adherence and decrease infection.

Validation of NANDA international nursing diagnoses at postoperative intensive care unit: quasi-experimental study

2021 ◽  
Vol 20 (1) ◽  
pp. 5-9
Author(s):  
Dagmar Serkova ◽  
Jana Mareckova
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Gas Exchange ◽  
Second Stage ◽  
Postoperative Intensive Care ◽  
International Nursing ◽  
Before And After ◽  
Quasi Experimental ◽  
Postoperative Intensive Care Unit ◽  
Nursing Diagnoses

AbstractAim. 1. Implement repeated validation of three NANDA International nursing diagnoses before and after their experimental classification in daily nursing practice at an intensive care unit for adults, at a medium-sized hospital. 2. Identify statistically significant differences in Diagnostic Content Validation (DCV) values between the two validations.Material and methods. Fehring’s DCV model was used for validation of NANDA International diagnoses. The sample of assessors consisted of 33 experts in the first stage and of 31 experts in the second stage, the experts were in both cases ICU nurses. Nursing diagnoses were experimentally applied in practice for 3 months. The data were processed using descriptive statistics, Wilcoxon matched pairs test and paired t-test.Results. Total DCV scores of diagnoses after the first validation: Impaired gas exchange 00030 with DCV 0.67; Risk for disuse syndrome 00040 with DCV 0.69 and Risk for aspiration 00039 with DCV 0.73. The DCV values after the second validation were as follows: 0.63; 0.64 and 0.78 respectively.Conclusions. Nursing diagnoses: Impaired gas exchange 00030, Risk for disuse syndrome 00040 and Risk for aspiration 00039 are valid for nursing diagnostics of adult lucid postoperative intensive care unit patients at a medium-sized hospital.

Palliation of Thirst in Intensive Care Unit Patients: Translating Research Into Practice

2019 ◽  
Vol 39 (5) ◽  
pp. 21-28
Author(s):  
Ann Leemhuis ◽  
Yuriko Shichishima ◽  
Kathleen Puntillo
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Rating Scale ◽  
Family Members ◽  
Numeric Rating Scale ◽  
Video Training ◽  
Level Of Satisfaction ◽  
Scale Scores ◽  
Intensive Care Unit Nurses ◽  
Numeric Rating

Background Thirst is prevalent among patients in intensive care units. A research-based “thirst bundle” was shown to significantly decrease thirst in these patients. Objective To implement a research-based thirst intervention performed by intensive care unit nurses and patients’ family members. Methods Nurses and family members were taught the thirst intervention through video training and project team reinforcement. The intervention was performed by nurses for 123 patients and by family members for 13 patients. Thirst was measured with a numeric rating scale of 0 to 10, a word scale of 0 to 3, or “yes/no” answers, whichever was easiest for the patient. Inferential statistics were used to assess changes in thirst scores over time. Also assessed were nurse and family member burden levels, family level of satisfaction, and patient enjoyment. Results Thirst scores on the numeric rating scale decreased significantly: from a mean (SD) of 7.9 (2.0) before to 3.9 (2.7) after the intervention for nurses (P &lt; .001); and from 9.2 (1.5) to 5.3 (2.6) for family members (n = 13; P = .002). Word scale scores also decreased significantly, from a median (interquartile range) of 3 (3-3) before to 2 (1-2) after the intervention for nurses (P &lt; .001). Most patients (96%) reported enjoying the procedure. Median burden levels were less than 2 on a numeric rating scale of 0 to 10. Conclusions The palliative “thirst bundle” significantly alleviated patients’ thirst and resulted in little caregiver burden. Further efforts are warranted to incorporate this intervention into intensive care unit practice.

scholarly journals Pengaruh Aromaterapi Lemon terhadap Penurunan Skala Nyeri Pasien Post Operasi Laparatomi

2018 ◽  
Vol 9 (3) ◽  
pp. 427
Author(s):  
El Rahmayati ◽  
Raihan Hardiansyah ◽  
Nurhayati Nurhayati
Keyword(s):  
Rating Scale ◽  
Numeric Rating Scale ◽  
P Value ◽  
Sampling Techniques ◽  
Disease Patterns ◽  
Before And After ◽  
Post Test ◽  
Quasi Experimental ◽  
The Republic ◽  
Conducting Research

<p>The operation 2012 in Indonesia reached 1.2 million (WHO in Sartika, 2013). Based on the National Health Data Tabulation of the Republic of Indonesia in 2009, surgical procedures occupy the 11th outline of the first 50 treatment of disease patterns in hospitals in Indonesia, which is estimated to be 32% of which are laparotomy (RI Ministry of Health, 2009). Previous data obtained from the MOH report (2007) states that cases of laparotomy operations continued to increase, from 162 in 2005 to 983 cases in 2006 and 1,281 cases in 2007. Complications in post-laparotomy patients were severe pain, bleeding, even death. Pain management is done by pharmacological and non-pharmacological techniques. In patients who experience mild pain up to the treatment can be done with non-pharmacological techniques. Non-pharmacological actions include aromatherapy using lemon oil essence. Based on the description above, researchers are interested in conducting research. This study aims to determine. This type of quantitative method research uses a quasi-experimental design with a one group pre-test post-test design approach. Sampling techniques using accidental sampling techniques were 32 respondents. Data collection uses measurements of the Numeric Rating Scale (NRS). Statistical test using Wilcoxon signed ranked test. The results of this study concluded that there were differences in pain intensity in patients post laparotomy surgery before and after lemon aromatherapy was given with p-value 0.000. Based on the conclusions of the results of the study, the authors suggest that hospitals can consider the use of lemon aromatherapy to treat pain in post-laparotomy patients using existing standard operating procedures.</p>

scholarly journals Pain Reduction During Dysmenorrhea With Yoga Movement

2020 ◽  
Vol 14 (1) ◽  
pp. 53
Author(s):  
Julaecha Julaecha ◽  
Safitri Safitri ◽  
Ajeng Galuh Wuryandari
Keyword(s):  
Rating Scale ◽  
Sampling Technique ◽  
Numeric Rating Scale ◽  
Pain Scale ◽  
Childbearing Age ◽  
Before And After ◽  
Post Test ◽  
Quasi Experimental ◽  
The Impact ◽  
Numeric Rating

Dysmenorrhea is a menstrual disorder caused by an imbalance of the hormone progesterone in the blood. The incidence of dysmenorrhea 45-95% among women of childbearing age, occurs in adolescents who lack sports. The impact of dysmenorrhea is the percentage of attendance at college and not participating in learning. One way to deal with pain is yoga. This study aims to analyze the effect of yoga on dysmenorrhea. The study design was a quasi-experimental one-group pre-post test design. The sample in this study was 33 female students. The sampling technique was purposive sampling. The instrument used to measure the scale of pain during menstruation uses the Numeric Rating Scale (NRS). The collected data tested for normality data, and the data is normal, then the statistical test is done using repeated Anova test. The analysis showed that there were differences in pain scale before and after months 1 and 2 interventions with mean (sb) pain scale (5.8 (1.6) vs. 4.0 (1.7) vs. 2.7 (1.3) and P <0.05). The study concludes that yoga affects the decrease in pain scale during dysmenorrhea.

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