Department of Nursing, Demiroğlu Bilim University, Health Sciences Institute, İstanbul, Turkey.
Department of Nursing, Biruni University, Health Sciences Faculty, İstanbul, Turkey.
Niger J Clin Pract. 2021 Feb;24(2):177-185. doi: 10.4103/njcp.njcp_133_20.
The success of noninvasive ventilation (NIV) treatment is closely related to high levels of clinical support.
In this study, we sought to analyze patient mask compliance and minor side effects and to evaluate additional nursing workload needed for the NIV care.
The study was designed as a prospective and observational. The data were collected from an intensive care unit. Clinical and physiological data, patient tolerance and adverse effects, subjects' complaints about their experience, and additional nursing workload associated with NIV treatment were assessed.
Statistically significant improvements were obtained in arterial blood gas analysis, respiratory rate, and heart rate during treatment. In the first 2 h, 65% of subjects had poor mask compliance, patients' comfort scores were poor, and incompliance was associated with discomfort. The ratio of skin problems was 15% in the first 24 h and reached 60% at 48 h. The pain rate due to mask ties was 80% and then increased to 90% at 48 h. There was a significant relationship between the problems detected by the nurses and problems described by the subjects. Additional nursing workload was found as 110 min for 0-6 h.
We observed that the mask compliance and comfort levels of the subjects were poor. Skin breakdowns increased depending on the duration of treatment. Treatment would require continuous nursing support in seven areas. NIV treatment generated a significant amount of workload for nurses. Additional nursing workforce planning is required for NIV units for successful NIV treatment.
无创通气（NIV）治疗的成功与高水平的临床支持密切相关。
本研究旨在分析患者面罩依从性和轻微副作用，并评估 NIV 护理所需的额外护理工作量。
该研究设计为前瞻性观察性研究。数据来自重症监护病房。评估了临床和生理数据、患者耐受性和不良反应、患者对自身体验的抱怨以及与 NIV 治疗相关的额外护理工作量。
治疗过程中动脉血气分析、呼吸频率和心率均有显著改善。在前 2 小时，65%的患者面罩依从性差，患者舒适度评分差，不依从与不适相关。前 24 小时皮肤问题的比例为 15%，48 小时时达到 60%。因面罩系带引起的疼痛发生率为 80%，48 小时时增加到 90%。护士发现的问题与患者描述的问题之间存在显著关系。前 6 小时的额外护理工作量为 110 分钟。
我们观察到患者的面罩依从性和舒适度较差。皮肤破损随着治疗时间的延长而增加。治疗需要在七个方面提供持续的护理支持。NIV 治疗会给护士带来大量的工作量。需要为 NIV 单位规划额外的护理人员，以确保 NIV 治疗的成功。
