Arvinpour Elham, Shariati Abdolali, Sayadi Neda, Haghighi Mohammad Hosein
Department of Intensive Care Nursing, Jundishapur University, School of Nursing and Midwifery, Ahvaz, Iran.
Department of Nursing, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Tanaffos. 2022 Mar;21(3):367-375.
Weaning of the patient from mechanical ventilator is one of important stages of treatment in patients undergoing mechanical ventilation. Therefore, this study was done to determine the effect of family presence on weaning success in patients admitted to intensive care units (ICUs).
The present interventional quasi-experimental study was performed on 154 patients undergoing mechanical ventilation who were selected through available sampling method and based on inclusion criteria and were randomly divided into intervention and control groups. For the intervention group, the presence of one of the family members was used in process of weaning from the mechanical ventilator. A questionnaire of patients' demographic information, family satisfaction of patients admitted to ICU, and a checklist of recording the patient's vital signs were used to collect the required information.
Based on the results, After the intervention, the patients in the intervention group were in a better condition than the control group in terms of vital signs, time spent for intubation and number of re-intubation, as well as family satisfaction (P<0.05).
The results showed that the presence of family in the process of weaning of patients admitted to the intensive care unit is effective in improving vital signs and physiological indicators and reduces the time spent for intubation and the number of re-intubation in these patients while promoting family satisfaction. Therefore, the use of this method can be used in coordination with members of the treatment team to help patients admitted to the intensive care unit.
患者从机械通气中撤机是接受机械通气治疗患者的重要治疗阶段之一。因此,本研究旨在确定家属在场对重症监护病房(ICU)患者撤机成功率的影响。
本干预性准实验研究对154例接受机械通气的患者进行,这些患者通过便利抽样法并根据纳入标准选取,随机分为干预组和对照组。对于干预组,在患者从机械通气撤机过程中让一名家庭成员在场。使用患者人口统计学信息问卷、ICU患者家属满意度问卷以及记录患者生命体征的清单来收集所需信息。
结果显示,干预后,干预组患者在生命体征、插管时间和再次插管次数以及家属满意度方面均优于对照组(P<0.05)。
结果表明,重症监护病房患者撤机过程中家属在场有助于改善生命体征和生理指标,减少这些患者的插管时间和再次插管次数,同时提高家属满意度。因此,这种方法可与治疗团队成员协作使用,以帮助重症监护病房的患者。