The effect of nursing interventions based on burns wean assessment program on successful weaning from mechanical ventilation: A randomized controlled clinical trial

Sepahyar, Maryam; Molavynejad, Shahram; Adineh, Mohammad; Savaie, Mohsen; Maraghi, Elham

doi:10.4103/ijnmr.ijnmr_45_20

Cited by 6 publications

(9 citation statements)

References 21 publications

(12 reference statements)

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“…Dari hasil yang didapat terdapat perbaikan dalam hemodinamik pasien, fungsi paru pasien dalam hasil AGD dan setting ventilator pasien setelah dilakukan evaluasi keperawatan berdasarkan NOC yang telah disusun. Status kardiorespiratori pada hemodinamik pasien yang stabil, RSBI dalam batas normal, kesadaran pasien dan GCS serta tidak ada suara nafas tambahan dan ketergantungan terhadap penggunaan alat bantu nafas yang minimal merupakan beberapa indikator keberhasilan membaiknya fungsi paru pada pasien tersebut ( Sepahyar et al, 2021 ).…”

Section: Gambaran Kasus Danunclassified

Implementasi Teori Selfcare Orem Dan Positioning Pada Pasien Edema Paru Dengan Ventilator Mekanik

2022

Endurance

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Latar Belakang : Edema paru adalah suatu keadaan patologi dimana cairan intravaskuler keluar ke ruang ekstravaskuler, jaringan interstisial dan alveoli yang terjadi secara akut (Rosyid & Marhana, 2018). Edema paru terjadi secara akut dan luas dalam waktu yang singkat, ditandai dengan gejala diantaranya sesak nafas berat, terjadinya hipoksia yang diakibatkan oleh adanya akumulasi dari penumpukan cairan di dalam paru sehingga terjadi gangguan proses pertukaran gas dan pengembangan paru yang berakibat fatal (Jufan et al., 2020). Jumlah angka kematian selama satu tahun untuk pasien yang dirawat di rumah sakit dengan edema paru akut mencapai 40%. Penggunaan ventilator mekanik dalam mengatasi hipoksi dan perbaikan fungsi paru yang dialami pasien merupakan salah satu tindakan kolaboratif yang dilakukan. Selama penggunaan ventilator mekanik salah satu tindakan mandiri keperawatan berdasarkan konsep teori selfcare yang dilakukan adalah positioning pasien dengan ventilator mekanik. Dengan pengaturan positioning yang tepat selama penggunaan ventilator mekanik diharapkan akan dapat meningkatkan kemampuan otot pernafasan pasien dan kemampuan vital paru sehingga membantu pasien mengurangi ketergantungan akan pemakaian ventilasi mekanik yang berkepanjangan. Tujuan : Studi kasus ini bertujuan untuk mengetahui efektivitas posisioning berdasarkan teori selfcare orem yang dapat diimplementasikan pada pasien dengan edema paru yang terpasang ventilator mekanik. Hasil : intervensi posisioning dapat meningkatkan parameter status kardiorespiratory dalam meningkatkan keberhasilan weaning pada pasien edema paru yang terpasang ventilator mekanik. Kesimpulan dan Rekomendasi : teori selfcare orem berupa intervensi posisioning merupakan salah satu tindakan yang efektif dan direkomendasikan dalam meningkatkan keberhasilan weaning pada pasien dengan edema paru. Diperlukan adanya suatu bentuk SOP perawatan yang jelas terkait intervensi posisioning sebagai bentuk aplikatif dari pelaksanaan teori selfcare orem di ruang ICU. Keywords : Edema Paru; Teori Selfcare Orem; Posisioning; Weaning Ventilator

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Section: Gambaran Kasus Danunclassified

Implementasi Teori Selfcare Orem Dan Positioning Pada Pasien Edema Paru Dengan Ventilator Mekanik

2022

Endurance

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“…Nursing staff, as the most important individuals in the ICUs, have a key role in starting the process of weaning the patient from the MV device. Studies have shown that nurses can effectively and safely prepare patients for separation from mechanical ventilation using tools and protocols (11). The primary objectives of our study were to determine the effect of scheduled feeding on the duration of weaning patients from MV and average length of stay in the ICU.…”

Section: Introductionmentioning

confidence: 99%

Effect of scheduled feeding on duration of weaning patients from Mechanical Ventilator (MV) and length of stay in ICU--A clinical trial study

Javdan

Asadizaker

Molavynejad

et al. 2023

Preprint

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Introduction: Metabolic and nutritional status are influential in the condition of the patients under MV and the ability to separate from it. This study was conducted to determine the effect of scheduled feeding on duration of weaning patients and length of stay in ICU. Methods: In this clinical trial with a post-test design, 42 patients admitted to the ICUs of Golestan and Imam Khomeini hospitals of Ahvaz, Iran who were under MV were randomly assigned to two groups of control and intervention. In the intervention group, Standard Entera Meal solution was used for energy supply. Administration of the solution starts from 50 cc and every 3 hours add 30 cc to reach the calculated energy in 48-72 hours. For the control group, homemade hospital solutions were used according to routine. Data were collected by demographic and medical information questionnaire, and interventions recording checklist then analyzed by using SPSS software version 23. Results: The results showed that the length of stay of patients in ICU was significantly affected by the scheduledfeeding (P = 0.004) and although in this study the duration of weaning patients from MV was numerically shorter in the intervention group than in the control group, but this difference was not statistically significant (5.23 ± 4.77 vs. 7.71 ± 6.14 minutes, P = 0.15). Conclusion: The scheduled nutrition can reduce the length of stay patients in ICU and also duration of weaning from the MV, although it was not statistically significant.

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“…Mechanical Ventilation (MV) is a life-saving intervention. More than 800,000 patients need MV in the Unites States annually, moreover, the patients who need MV support for more than 3 weeks account for more than 50% of the total ICU costs [1,2] . Increase duration on mechanical ventilation is associated with series of adverse effects as tracheal lesions, Ventilator-Associated Pneumonia (VAP), ventilator-induced diaphragmatic dysfunction [3,4] .…”

Section: Introductionmentioning

confidence: 99%

Comparison between burns weaning assessment program and integrative weaning index as predictors of weaning outcomes

El-Moaty¹,

Mokadem²,

Abd-Elhy³

et al. 2021

Int. J. Adv. Res. Nurs.

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Background: Prolonged mechanical ventilation is associated with negative clinical outcomes that increased risk of mortality and morbidity including weaning failure. Using of indices that combining objective and subjective endpoints predicting weaning outcomes can diminish the risk of weaning failure and complications associated with morbidity, such as re intubation. Aim: To compare the Burns Weaning Assessment Program (BWAP) and the Integrative Weaning Index (IWI) as predictors of weaning outcomes. Design: A comparative study design was utilized.

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The effect of nursing interventions based on burns wean assessment program on successful weaning from mechanical ventilation: A randomized controlled clinical trial

Cited by 6 publications

References 21 publications

Implementasi Teori Selfcare Orem Dan Positioning Pada Pasien Edema Paru Dengan Ventilator Mekanik

Implementasi Teori Selfcare Orem Dan Positioning Pada Pasien Edema Paru Dengan Ventilator Mekanik

Effect of scheduled feeding on duration of weaning patients from Mechanical Ventilator (MV) and length of stay in ICU--A clinical trial study

Comparison between burns weaning assessment program and integrative weaning index as predictors of weaning outcomes

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