Divani Anahita, Manookian Arpi, Haghani Shima, Meidani Mohsen, Navidhamidi Mojdeh
Department of Medical-Surgical Nursing and Basic Sciences, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Department of Biostatistics, Iran University of Medical Sciences, Tehran, Iran.
Iran J Nurs Midwifery Res. 2022 May 23;27(3):198-203. doi: 10.4103/ijnmr.ijnmr_82_21. eCollection 2022 May-Jun.
Mechanically ventilated patients experience a high level of anxiety due to their therapeutic condition. Anxiety is one of the strongest emotions that patients under mechanical ventilation experience due to their inability to communicate with others. The aim of this study was to investigate the effect of using a communication board on these patients' by assessing serum cortisol level and vital signs.
This randomized clinical trial study was conducted in 2020. This study included 60 ventilated patients, who had been randomly assigned into two intervention and control groups. After blood sampling and evaluation of cortisol and physiological parameters, patients in the control group received routine communication by nurses, whereas those in the intervention group received communication using a communication board. Subsequently, the serum cortisol level and physiological parameters were measured again.
No significant difference was observed between the two groups in terms of demographic characteristics. There was a significant difference in blood cortisol levels before and after in the intervention group ( = 15.52, < 0.001). After the intervention, the intervention group's systolic blood pressure ( = -3.78, < 0.001), diastolic blood pressure ( = -3.79, < 0.001), and heart rate ( = -2.09, = 0.041) were significantly lower than the control group.
Communication through a communication board in mechanically ventilated patients leads to decreased cortisol levels and physiological parameters. It is recommended to do more studies about communication boards' content and use this tool for more prolonged periods.
机械通气患者因其治疗状况会经历高度焦虑。焦虑是机械通气患者因无法与他人交流而体验到的最强烈情绪之一。本研究的目的是通过评估血清皮质醇水平和生命体征来调查使用交流板对这些患者的影响。
这项随机临床试验研究于2020年进行。本研究纳入了60名机械通气患者，他们被随机分为干预组和对照组。在采集血样并评估皮质醇和生理参数后，对照组患者接受护士的常规交流，而干预组患者使用交流板进行交流。随后，再次测量血清皮质醇水平和生理参数。
两组在人口统计学特征方面未观察到显著差异。干预组干预前后血皮质醇水平存在显著差异（=15.52，<0.001）。干预后，干预组的收缩压（=-3.78，<0.001）、舒张压（=-3.79，<0.001）和心率（=-2.09，=0.041）显著低于对照组。
机械通气患者通过交流板进行交流可导致皮质醇水平和生理参数降低。建议对交流板的内容进行更多研究，并在更长时间内使用该工具。
