Augmented alternative communication methods in intubated COPD patients: Does it make difference

Abstract

Background: Intubated patients experience an intensified need to communicate while their ability to do so is compromised as the endotracheal tube prevents speech which creates patient agitation.Aim: To determine the impact of using augmented alternative communication methods on outcome of intubated COPD patients.Patients and methods: Sixty male COPD intubated patients at the pulmonary critical care unit Mansoura University hospital were randomly assigned into two groups of 30 patients for each. The control group involved patients receiving the routine nursing communication practices while the study group involved patients who utilized modified communication board and paper/pen as an augmented alternative communication methods. Unconscious patients, visual and/or hearing impairment were excluded. Patient satisfaction questionnaire (PSQ), Patient Communication level, duration of intubation and mortality were adopted as endpoints.Results: Based on PSQ, 10% in the study group were very dissatisfied compared to 53.33% in the control group the difference was statistically significant. On the other hand, 40% in the study group were very satisfied compared to 6.66% in the control which was a statistically significant increase p < 0.001. However, the mortality did not differ significantly in both groups 16.66% in the control group compared to 13.33% in the study group.Conclusion: Alternative communication methods can improve the level of satisfaction and decrease distress but it did not change mortality in intubated COPD patients.

Visual Communication Board for Communication Compromised Patients

“…Findings of the present study is consistent with the study done by El-Soussi AH et al 9 which shows the majority of study subjects in the study group (63.3%) evaluated communication methods used by the researcher as ""extremely helpful"" and indicated that alternative communication methods can improve the level of satisfaction.…”

Communication with patients in intensive care units: a scoping review

“…It appears that communication aids can be helpful for both patients and health care personnel alike in the ICU setting when patients are conscious, alert and on mechanical ventilation. The intervention studies we examined showed increased patient satisfaction (Otuzoglu et al ., 2013; El‐Soussi et al, ; Rathi and Baskaran, 2014; Rodriguez et al, ), reduced frustration (Rodriguez et al, ), increased health care personnel knowledge (Happ et al, ) and increased understanding between patients and health care personnel (Maringelli et al, ; Happ et al, ). The studies aiming to test communication aids used a variety of instruments to measure the effect.…”

Uso De Recursos De Comunicação Alternativa Para Internação Hospitalar: Percepção De Pacientes E De Terapeutas Ocupacionais

“…Estudo realizado no Hospital Universitário de Mansoura, no Egito, em uma Unidade de Terapia Intensiva, indicou que o uso da prancha de comunicação, por pacientes intubados, foi um recurso efetivo para diminuir o estresse, favorecer a comunicação e aumentar o grau de satisfação dessas pessoas em relação ao cuidado em saúde oferecido (EL-SOUSSI et al, 2015).…”

“…Entretanto, esses estudos têm focalizado a dificuldade comunicativa em clínicas específicas (MOTA; FABIANA, 2010; CERANTOLA; HAPP, 2012); as dificuldades comunicativas associadas ao uso da traqueostomia (RODRIGUEZ; BLISCHAK, 2010); a utilização de um único recurso de CAA, como as pranchas impressas (EL-SOUSSI et al, 2015) ou o tablet (PALMEIRAS; BETTINELLI; PASQUALOTTI, 2013). Além de serem estudos em que a indicação do recurso de CAA é feita sem levar em consideração a preferência do usuário ( VAN DER MEER et al, 2011;IACONO et al, 2013;PATERSON;CARPENTER, 2015).…”