Chronic Obstructive Pulmonary Disease: Effect of a Nursing Protocol on Patients’ Clinical Outcome Post-weaning from Mechanical Ventilation"Salem, G. ;Mahdi, N. ; abdallah, dalia
Abstract" Chronic Obstructive Pulmonary Disease: Effect of a Nursing Protocol on Patients’ Clinical Outcome Post-weaning from Mechanical Ventilation" Gamal Abdel Rahman Salem, Professor of Chest Disease, Faculty of medicine, Ain Shams University, Cairo, Egypt. Naglaa El-sayed Mahdy, Assist. Professor of Medical Surgical Nursing Department, Faculty of Nursing, Ain Shams University, Cairo, Egypt. Dalia Abdallah Abdelatief, Lecturer in Medical Surgical Nursing Department, Faculty of Nursing, Ain Shams University, Cairo, Egypt. Abstract The nurse plays an important role in caring for patients with Chronic Obstructive Pulmonary 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 chronic obstructive pulmonary 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 40 adult patients, diagnosed with chronic obstructive pulmonary disease, immediately post-weaning from mechanical ventilation, and was divided into 20 patients in the study group and 20 patients in the control group. Tools of data collection : Patient's structured interview questionnaire, Clinical outcome assessment tool, The respiratory exercises observational checklist, Range of motion exercises observational checklist, Modified Borg Fatigue Scale, Dyspnea scale, visual analogue and Hamilton anxiety scale. Results: The patients’ clinical outcomes among the study group was improved in comparison to the control group from the second day to the fourth day. Also, there was a statistically significant difference regarding total patients’ knowledge and practice pre- and post nursing intervention protocol. Conclusions: Nursing protocol affected positively on the clinical outcomes of patients with chronic obstructive pulmonary 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.
|Keywords||Key words: Chronic obstructive pulmonary disease, Nursing protocol, Clinical outcomes, Mechanical ventilation||Issue Date||Apr-2017||Publisher||international nursing conference -Helwan University||Conference||9th international nursing conference -Helwan University||URI||http://research.asu.edu.eg/handle/123456789/2391|
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