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

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.

Author(s):  
Dr. Metilda ◽  
Dr. A. Jaganath

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.


2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Mrs. Ireven Kaur kaur ◽  
Dr. Tarandeep Kaur kaur

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.


2021 ◽  
Author(s):  
Junaidy Rustam ◽  
Waraporn Kongsuwan ◽  
Luppana Kitrungrote

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.


Author(s):  
Junaidy Suparman Rustam ◽  
Waraporn Kongsuwan ◽  
Luppana Kitrungrote

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.


Author(s):  
Ali Mohammadpour ◽  
Mousa Sajadi ◽  
Somayyeh Maghami ◽  
Hossein Soltani

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.


2020 ◽  
Vol 3 (1) ◽  
pp. 41
Author(s):  
Sulasfiana Alfi Raida ◽  
Didi Nur Jamaludin

<p>This research aimed to analyze the effectiveness of constructivist learning using guided discovery models on the concept of a regulatory system for curiosity and anti-narcotics attitudes. This research used a quasi-experimental and pre-experimental design. The population was all of the 4th semester MIA classes of SMA Negeri 1 Salatiga which consists of seven classes. Samples were taken with a convenience sampling technique.  MIA 2.4 and 5.4 as the experimental group and MIA 3.4 and 4.4 as the control group. The data in this research were collected by the scale of curiosity and anti-narcotics attitude. Data were analyzed with descriptive analyzed and t-test. The result showed as follows: there is a significant difference at the end of the curiosity and anti-narcotics attitude of constructivist learning using guided discovery model compared with direct instruction model learning; the average of student’s curiosity and anti-narcotics attitude score ≥ 3,00 on constructivist learning using guided discovery model. It is concluded that constructivist learning using a guided discovery model is effectively completed learning outcomes of the curiosity and anti-narcotics attitude on the regulatory system concept.</p>


Author(s):  
Michael Wolfe ◽  
Daniel Saddawi-Konefka

Schweickert et al. studied effects of early physical and occupational therapy in mechanically ventilated patients. 109 mechanically ventilated medical ICU patients (with independent functional status prior to hospitalization) were randomized to receive physical and occupational therapy initiated at time of enrollment (intervention group) vs. physical and occupational therapy ordered at the discretion of the primary team (control group), with both groups receiving daily interruptions of sedation. The primary outcome, independent functional status at time of discharge, was met in 59% of the intervention group vs. 35% of the control group (p = 0.02). Lower rates of ICU and hospital delirium were observed in the intervention group. Hospital length of stay and mortality were unaffected. This study demonstrated that physical and occupational therapy can be safely accomplished in critically ill, mechanically ventilated medical ICU patients, and that early implementation of therapy may improve return to independent functional status at hospital discharge.


2001 ◽  
Vol 90 (2) ◽  
pp. 486-492 ◽  
Author(s):  
Jochen K. Schubert ◽  
Karl-Heinz Spittler ◽  
Guenther Braun ◽  
Klaus Geiger ◽  
Josef Guttmann

A newly designed gas-sampling device using end-tidal CO2to separate dead space gas from alveolar gas was evaluated in 12 mechanically ventilated patients. For that purpose, CO2-controlled sampling was compared with mixed expiratory sampling. Alveolar sampling valves were easily controlled via CO2concentration. Concentrations of four volatile substances were determined in the expired and inspired gas. Isoflurane and isoprene, which did not occur in the inspired air, had ratios of end-tidal to mixed expired concentrations of 1.75 and 1.81, respectively. Acetone and pentane, found in both the inspired and expired air, showed ratios of 0.96 and 1.0, respectively. Precision of concentration measurements was between 2.4% (isoprene) and 11.2% (isoflurane); reproducibility (as coefficient of variation) was 5%. Because the only possible source of isoflurane and isoprene in this setting was patients' blood, selective enrichment of alveolar gas was demonstrated. By using the new sampling technique, sensitivity of breath analysis was nearly doubled.


2011 ◽  
Vol 45 (11) ◽  
pp. 1425-1432 ◽  
Author(s):  
Jennifer L Bailey ◽  
Siu Yan Yeung

Objective: To summarize published data regarding the safety and efficacy of probiotics in the prevention of ventilator-associated pneumonia (VAP). Data Sources: PubMed databases (January 2000-August 2011) were searched and a bibliographic review of published articles was performed to identify original reports of probiotic administration for the prevention of VAP using the search terms probiotics, synbiotics, and ventilator-associated pneumonia. Study Selection and Data Extraction: Two pilot studies, 2 randomized controlled trials (RCTs), and 1 meta-analysis have addressed probiotic use for VAP prevention and were included in the review. Data Synthesis: VAP frequently occurs in mechanically ventilated patients. Given the lack of new antimicrobial agents, probiotics have been studied for their ability to modify human microflora colonization. Two studies examining pathogen colonization rates favored probiotics, with reduced incidence and increased duration until the emergence of new species. One prospective RCT found significant reduction in the incidence of VAP and colonization rates, but no significant difference in patient disposition outcomes. Another RCT examining 28-day mortality found no overall benefit with probiotic use and no reduction in colonization rates. Conclusions: Clinical trials have failed to demonstrate a consistent beneficial effect of probiotics in mechanically ventilated patients; thus, they are not recommended for routine clinical use. However, heterogeneity among study designs may hinder this assessment and the designs should be unified in future research.


2018 ◽  
Vol 2 (2) ◽  
pp. 94
Author(s):  
Ni Komang Sarini ◽  
Dewa Nyoman Sudana ◽  
Putu Nanci Riastini

This study is aimed find out significant difference of natural science learning outcomes of students who follow peer tutor and do not follow peer tutor. This study is quasi experimental study especially non-equivalent post tes only kontrol groip design. The population of this study was the entire of IV grade students in Gugus II Santalia Kubutambahan District. The sample was determined by using random sampling technique. The sample was IV grade students if SDN 2 Kubutambahan was chosen as experimental group and class IV SDN 4 Kubutambahan as control group. The data was teken by using multiple choice test. The data obtained were analized by using descriptive statistical analysis and inrerential statistic t-test with the formula of polled variance. The results showed the lessons with peer tutor and the group of students who do not follow peer tutor. the findings are peer tutor makes the students motivated, trained, and active to espress their option. furthermore, peer tutor provides an opportunity for the students to exchange ideas, and their work together. in addition, learning with peer titor becomes fluent communicating


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