Effect of a Nursing Protocol on Clinical Outcomes of Patients’ with Respiratory Failure Post-weaning from Mechanical Ventilation

Abstract

The nurse plays an important role in caring for patients with respiratory failure Disease post-weaning from Mechanical Ventilation to improve of the respiratory function for better health status. Aim: The aim of this study was to evaluate the effect of a nursing protocol on clinical outcomes of patients with respiratory failure disease post-weaning from mechanical ventilation. Subjects and Methods: Design: A quasi experimental design was used. Setting: This study was conducted at Chest Intensive Care Unit affiliated to Ain Shams University Hospital. Sample: A purposive sample included 60 adult patients, diagnosed with respiratory failure disease, immediately post-weaning from mechanical ventilation. Tools of data collection: I-Patient's structured interview questionnaire, II-Clinical outcome assessment tool, III-the respiratory exercises observational checklist, Range of motion exercises observational checklist, IV-Modified Borg Fatigue Scale, V-Dyspnea scale, and VI-Hamilton anxiety scale. Results: The patients’ clinical outcomes among the study and control group were improved from the second day to the fourth day. Also, there was a statistically significant difference regarding total patients’ knowledge and practice post nursing intervention protocol between study and control group. Conclusions: Nursing protocol affected positively on the clinical outcomes of patients with respiratory failure disease post-weaning from mechanical ventilation. Recommendations: It was recommended to replicate of the current study on a larger probability sample to achieve generalization of the results and wider utilization of the nursing protocol.