Aziz, E., Mohamed, M., Abd el aziz, M. (2020). Effect of Implemented Nursing Care on Breathing Discomfort and Weaning Outcomes for Patients Undergoing Mechanical Ventilation. Assiut Scientific Nursing Journal, 8(23), 141-149. doi: 10.21608/asnj.2020.48029.1064
Eman Mamdouh Aziz; mona Aly Mohamed; Mervat Anwer Abd el aziz. "Effect of Implemented Nursing Care on Breathing Discomfort and Weaning Outcomes for Patients Undergoing Mechanical Ventilation". Assiut Scientific Nursing Journal, 8, 23, 2020, 141-149. doi: 10.21608/asnj.2020.48029.1064
Aziz, E., Mohamed, M., Abd el aziz, M. (2020). 'Effect of Implemented Nursing Care on Breathing Discomfort and Weaning Outcomes for Patients Undergoing Mechanical Ventilation', Assiut Scientific Nursing Journal, 8(23), pp. 141-149. doi: 10.21608/asnj.2020.48029.1064
Aziz, E., Mohamed, M., Abd el aziz, M. Effect of Implemented Nursing Care on Breathing Discomfort and Weaning Outcomes for Patients Undergoing Mechanical Ventilation. Assiut Scientific Nursing Journal, 2020; 8(23): 141-149. doi: 10.21608/asnj.2020.48029.1064
Effect of Implemented Nursing Care on Breathing Discomfort and Weaning Outcomes for Patients Undergoing Mechanical Ventilation
1Critical care, faculty of nursing, Assiut university
2Critical Care and Emergency nursing, Faculty of Nursing department, Assuit University, Assuit, Egypt
3Critical care and emergency nursing department-faculty of nursing-assiut university
Abstract
Abstract Background: Breathing discomfort is one of the worst experienced symptoms by the mechanically ventilated patients in ICUs Aim: to evaluate the effect of implemented nursing care on breathing discomfort and weaning outcomes for patients undergoing mechanical ventilation. Design: A quasi-experimental research design. Setting: General intensive care unit at Assuit university hospital. Patients and methods: Convenient sample of 80 patients(40 patients for study group and 40 patient for control group) who were mechanically ventilated for >24 hrs. Breathing discomfort was evaluated according to patient conscious level and nursing care was done for study group and routine care for control group. Tools : Four tools were used for data collection in the study; Patient assessment, breathing discomfort evaluation: Part I :Respiratory distress observation scale(RDOS) and Part II: Dyspnea Visual Analogue Scale(D-VAS), Patient outcomes assessment and nursing intervention tool Results: High statistical significant difference between study group and control group in relation to arterial blood gases and haemodynamic parameters after intervention. Concerning weaning outcomes; 57% of control group experienced weaning failure versus 35% in study group Conclusion: Implementing nursing care among the mechanically ventilated patients were effective in improving patient outcomes. Recommendations: Apply nursing care for breathing discomfort as a routine care in ICUs.
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