Communication with Chronic Patients Weaning from Mechanical Ventilation: A Qualitative Study on Iranian ICU Caregivers

Khalafi, Ali; Adarvishi, Sara; Soltani, Farhad

doi:10.52547/pcnm.10.3.52

Cited by 2 publications

(3 citation statements)

References 25 publications

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“…Continuous dialogue with the patient aided in the weaning off from mechanical ventilation. On the other hand, ineffective dialogue made the patient anxious, which slowed their recovery and lengthened their time on mechanical ventilation [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Psychosocial Predictors of Ventilator weaning Outcomes among patients in intensive care units

Elsehrawy,

Saleh

2024

Heliyon

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Section: Discussionmentioning

confidence: 99%

Psychosocial Predictors of Ventilator weaning Outcomes among patients in intensive care units

Elsehrawy,

Saleh

2024

Heliyon

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“…Scheduled visiting was done with patient’s admission to ICUs, which reduced the length of MV in the patients of the present study. Khalafi et al [ 17 ] showed that communication with the patient was very important during the weaning process. They found the category of family involvement in the care process.…”

Section: Discussionmentioning

confidence: 99%

“…To encourage weaning from MV, nurses closely monitored family members and allowed them to spend time with patients in case they did not have an adverse impact on the care process. Khalafi also believed that identifying the patient’s motivations for weaning, personal preferences, and coping styles, as well as choosing an appropriate strategy for easy weaning were important factors, which were realized with the family presence at the patient’s bedside [ 17 ]. Schou and Egerod [ 3 ] found that continuous communication with the patient facilitated the weaning from MV.…”

Section: Discussionmentioning

confidence: 99%

The effect of planned presence of the family at the time of weaning on the length of weaning from mechanical ventilation in patients with brain injury admitted to intensive care units

2022

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Background Weaning the patient from mechanical ventilation (MV) is one of the common treatments in intensive care units (ICU). Among the factors that can complicate the weaning process are psychological problems caused by a lack of family visits. Objective This study aimed to evaluate the effect of scheduled visiting on weaning from mechanical ventilation in patients with brain injury admitted to ICUs. Methods This quasi-experimental study was performed on 60 patients with brain injury referred to one of the hospitals in Central Province, Iran in 2020. The selection of samples based on inclusion criteria and random allocation to the two groups of intervention and control by permuted block randomization was done. The first-degree relatives of the patients at the time of weaning in the intervention group were present at the patient’s bedside twice a day at 10:00 AM and 3:00 PM for 30–45 min and performed what they had been trained to do. Participants in the control group visited patients from the area outside the patient room. Length of weaning, length of mechanical ventilation, and length of stay in the ICU were recorded and measured using a researcher-conducted checklist. The results were analyzed using descriptive and inferential statistics and chi-square and independent t-tests in SPSS16. Results The study results showed that the number of patients weaned from mechanical ventilation in the intervention group was significantly higher than that of the control group (P ≤ 0.05). The mean length of weaning in the intervention and control groups was not statistically significant, but it was clinically significant in the intervention group (P > 0.05). In addition, the length of mechanical ventilation and the length of stay of the intervention group in the ICU were significantly shorter than that of the control group (P ≤ 0.05). Conclusion According to the study results, scheduled visiting resulted in faster weaning from mechanical ventilation. As a result, nurse managers are suggested to make arrangements for family members to be present at the patient’s bedside in order for patients to be weaned off the mechanical ventilator more easily.

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Communication with Chronic Patients Weaning from Mechanical Ventilation: A Qualitative Study on Iranian ICU Caregivers

Cited by 2 publications

References 25 publications

Psychosocial Predictors of Ventilator weaning Outcomes among patients in intensive care units

Psychosocial Predictors of Ventilator weaning Outcomes among patients in intensive care units

The effect of planned presence of the family at the time of weaning on the length of weaning from mechanical ventilation in patients with brain injury admitted to intensive care units

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