Active Cycle of Breathing Technique (ACBT) is a breathing exercise technique which used to remove secretions from the lungs. So this study aimed to assess effect of active cycle of breathing technique on patients' outcomes regarding abdominal trauma. A quasi experimental design was used. Setting: This study was carried out in trauma intensive care unit at Assuit University Hospital. Sample: 60 adult critically ill patients with abdominal trauma. Tools: Patient's assessment sheet and abdominal trauma severity assessment tool and Patients respiratory parameters and abdominal pain evaluation sheet. Main results: There were 65% males and 35% females. Mean Age was 37.56 ± 11.34 for study group and 36.50 ± 11.12 for control one. There was a reduction in the respiratory rate in study group after application of ACBT with statistically significant differences between both groups. There were statistical significance differences regarding PaO2, PaCo2, SaO2 between both groups at 5 th day with P. value (0.041, 0.002, 0.007) respectively. Statistical significance differences between before and after intervention regarding abdominal pain was found in both groups. Conclusion: Active cycle of breathing technique is a vital procedure for abdominal trauma patient to improve outcomes. Recommendations: ACBT can be used to abdominal trauma patients in ICU to improve respiratory parameters, so that oxygen needs are met.
Abdomen is the third most common area of the body that is damaged because of trauma. The nurse must be aware of specific assessment findings associated with abdominal trauma and immediate recognition of problems, so this study aimed to assess patterns and outcomes of abdominal trauma patients admitted to trauma intensive care unit. A descriptive research design was used. Setting: This study was carried out in trauma intensive care unit at Assuit University Hospital. Sample: 60 adult critically ill patients with abdominal trauma. Tools: Patient profile characteristic's sheet and abdominal trauma severity scores and outcomes assessment sheet were used. Main results: There were 65% males and 35% females. Mean Age was 36.62±10.8. Blunt trauma accounted for 86.67% while penetrating was 13.33%. Motor car accidents was the main cause of trauma with 51.67%, liver and spleen the most affected organs. Mortality rate was 10%. Gastrointestinal and respiratory complications are the most occurred. Conclusion: Abdominal trauma patients need frequent assessment as majority of the studied patients at a high risk for developing complications. Recommendations: Training the nurses about how to use abdominal trauma scoring systems for frequent assessment of patients' heath statue from first day of admission.
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.
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