Proper nutrition found to be an essential in health maintenance and restoration in the critically ill patient. Aim of the study was to evaluate the effect of early enteral nutrition guidelines on occurrence of gastrointestinal complications among acute lung injury patients. Design A quasi-experimental research design was used to conduct this research. This study was carried out at Trauma Intensive Care Unit at Assiut University hospital. Sample: was consisted of 30 patients in each group. Tools: Tool I: Modified patient assessment questionnaire, Tool II: Gastrointestinal complications assessment related to enteral nutrition. Methods: data about 30 patients receiving enteral nutrition before enteral nutrition guidelines were retrospectively compared with data for 30 patients admitted after implementation of the guidelines. Results of the present study showed Patients in the after intervention group had a lower gastrointestinal complications than before intervention group. Conclusion: Implementing early enteral nutrition guidelines reduce occurrence of gastrointestinal complications among acute lung injury patient in ICU Recommendations: Provision an educational programs for nurses about enteral nutrition guideline.
Dyspnea and a higher volume of secretions are common complaints among chronic obstructive pulmonary disease patients. As a result, there is a current tendency to adopt non-pharmacological approaches to help clear secretions, improve lung function, and relieve dyspnea. So, the aim of this research was to evaluate the effect of autogenic drainage and acupressure on the respiratory outcomes of non-invasive mechanically ventilated COPD patients. A quasi-experimental design was used. Setting: chest and general intensive care units at Assuit University Hospitals. Sixty noninvasive mechanically ventilated COPD patients recently admitted were included. Data was collected using two tools: tool I: patient assessment sheet, tool II respiratory outcome assessment sheet. Results: There was a highly significant reduction in the respiratory rate in study group after application of autogenic drainage and acupressure at 3 rd and 7 th day (p<0.001), significance differences were found regarding PaO2, SaO2 before and after intervention between study and control groups at 7 th day with P. value (0.004, 0.029and 0.005&0.005)respectively. Moreover, there was highly significance increase in the amount of sputum clearance at 7 th day (p<0.001), improvement with highly significance in dyspnea measures among study group patients 7 th day (p<0.005) after extubation and (p<0.001) before discharge. Conclusion: applying autogenic drainage and acupressure had statistically significant positive effect on respiratory parameters outcomes on non invasive mechanically ventilated COPD Recommendations: provide educational program for nurses about AD and acupressure.
Background Acute lung injury Patients may require mechanical ventilation to survive Chest physiotherapy & Recruitment maneuvers are two methods that improve respiratory efficiency and promote Hemodynamic stability Aim To investigate effect of chest Physiotherapy & recruitment maneuvers on hemodynamic parameters and length of ICU stay of mechanically ventilated Patients with Acute lung Injury Design Quasi-experimental design Setting The study was carried out in trauma intensive care unit at Assiut university hospital. Subjects: A convenience sample of 60 matched patients and randomly assigned into two equal groups diagnosed as having an acute lung injury, coma scale ≥ 13, on mechanical ventilation Tools Tool: acute lung injury mechanically ventilated patient assessment sheet were utilized to collect data Methods study group was exposed to two sessions/day of chest physiotherapy& recruitment maneuvers until disconnection from mechanical ventilator in addition to the routine hospital care. Results Significant statistical was put into evidence between the two studied groups in the hemodynamic parameters HR was (96.71±11.39) in study group (110.64±11.14) control group after 30 min (p=0.001) after 12 (93.16±22.79) in study group (91.07±7.0) in control group (p=0.05) Temperature in control group (38.9 to 38.6) (37.3 to 37.7) in study group (p=0.001) control group stayed longer in ICU than study group (p=0.001)Conclusion Combining Chest physiotherapy Recruitment maneuvers are of great values for improvement of respiratory efficiency and promote Hemodynamic parameters Replication of the study on larger propriety sample is recommended.
Ventilator-associated pneumonias (VAP) have been estimated to be the second most common nosocomial infections among children treated in intensive care units. Nurses have the most critical role in implementing most of the VAP preventive measures. The aim of the study was to assess the effect of teaching evidence based guidelines on nurses' knowledge and performance to prevent ventilator-associated pneumonia among children. Quasi-experimental research design was used in this study. Convenient sample used in this study (forty nurses) at pediatric intensive care units. Two standard tools were used to collect the essential data. The main results were the majority of the nurses (87.5%) in the pre-test had unsatisfactory knowledge. The nurses' scores of knowledge were improved in the post-test after applying the guidelines and main self reported barriers were lack of knowledge, lack of skills and lack of resources. There is a strong positive correlation between degree of knowledge and degree of application (r= 0.62). The study concluded that the unsatisfactory knowledge of nurses was a barrier to be well applying the evidence based guidelines. Highly statistical significant differences were found between the nurses' knowledge in the pre-post test (P-value <0.001). The study recommended farther educational, training program and workshop to improve nurses' level of knowledge and improve the nurses' performance as well regarding the preventive measures of VAP among children.
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