Patient Compliance to Non-Invasive Ventilation in Sub-Intensive Care Unit: An Observational Study

Abstract

Background: The success of non invasive ventilation depends on many factors and effective delivery requires team work. Information on the therapeutic program must be sustained by healthcare staff and family. Objectives: Investigate the clinical and care factors that affect the level of patient compliance to non invasive ventilation. Methods: A prospective, observational and multicentre study was conducted between November 1, 2015 and February 15, 2016 in three sub-intensive wards. A data collection tool was created with the working definition of "Patient intolerant to non invasive ventilation" and a structured interview was conducted to investigate patient experience of NIV. Statistical analysis was conducted with the STATA MP13 software. Results: Coordination of patient-ventilator interaction prevents intolerance (OR = 0.68, 95% IC 0.46 -0.98; P = 0.04). Overweight and obese patients showed a higher probability of intolerance to non invasive ventilation with respect to underweight and normal weight patients (OR = 0.53, 95% IC 0.34 -0.82; P = 0.005). Patients with a higher probability of intolerance experienced a NRS level

Nursing Interventions for Client and Family Training in the Proper Use of Noninvasive Ventilation in the Transition from Hospital to Community: A Scoping Review

“…The discomfort and pressure caused by masks and the development of pressure injuries reinforce that crucial interventions should be part of the care plan, including guidance on correct mask adjustment, interface type switching, the choice of proper mask type and size, hygiene, skin hydration, and leakage control [ 9 , 14 , 15 , 17 , 19 , 20 , 22 , 23 , 24 , 25 ]. It is important to stress that, in addition to the quality of information provided to clients and their relatives, other factors affect treatment success, such as attention to comfort, pain control, collaboration with caregivers, and the quality of the relationship between healthcare professionals and clients/families [ 26 ].…”