What prevents critically ill patients with respiratory failure from using non‐invasive positive pressure ventilation: A mixed‐methods study

Murata, Hiroaki; Inoue, Tomoko; Takahashi, Osamu

doi:10.1111/jjns.12159

Cited by 6 publications

(4 citation statements)

References 35 publications

(57 reference statements)

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“…In the nursing process of patients with respiratory failure, it is mainly to carry out respiratory nursing for patients, test their respiratory state, and then carry out psychological nursing for patients and their families, comforting and encouraging patients to provide emotional support [7,8]. In this paper, the key to explore the critical care approach of respiratory system failure is mechanical ventilation nursing, through the use of mechanical devices to replace the patient's own assisted breathing, provide oxygen through the ventilator into the breathing pipe, and boost breathing activities [9,10]. Note that respiratory failure is a serious clinical disorder caused by various reasons of pulmonary ventilation and/or ventilation dysfunction, which leads to ineffective gas exchange and hypoxia with (or without) carbon dioxide retention, resulting in a series of physiological functions and metabolic disorders.…”

Section: Introductionmentioning

confidence: 99%

The Way of Severe Nursing of Respiratory System Failure

Liu

2021

Journal of Healthcare Engineering

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Respiratory failure is the most common clinical symptom, seriously endangering people’s health, which is mainly caused by a series of reasons, leading to serious respiratory dysfunction and severe pulmonary respiratory disorders, damaging the pulmonary airway function, and causing disability to maintain normal human gas exchange activities. At present, the main treatment of respiratory failure is to use the ventilator to help patients exchange gas and keep their breathing unobstructed. The nursing method is also around the artificial airway mechanical ventilation. The nursing of patients with respiratory failure is mainly respiratory nursing and psychological nursing. In this paper, the main research is to explore the way of severe nursing of respiratory failure. Before the nursing of respiratory failure, we should carry out nursing detection of the ventilator and test its performance, tightness, pipeline safety, and airway patency. Then carrying on the respiratory failure mechanical ventilation nursing and clarifying its mechanical ventilation nursing process is the main work of intensive care, at the same time, giving consideration to the psychological nursing of respiratory failure and implementing comprehensive nursing. In this paper, 50 patients were selected and divided into group A and group B; group A was given comprehensive nursing, and group B was given general nursing. The experimental results show that a series of situations in group A are more optimistic than those in group B. There was no doubt that the PH value of the two groups changed significantly 6 months after discharge. The pO2 value of group A was higher than that before discharge, while the pCO2 value of group B was unstable and increased. The pO2 value of group A was 55.52 before discharge and 62.36 six months after discharge. The pCO2 value of group A was 54.31 before discharge and 50.61 six months after discharge. The pCO2 value of group B was 55.23 before discharge and 57.34 six months after discharge.

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Section: Introductionmentioning

confidence: 99%

The Way of Severe Nursing of Respiratory System Failure

Liu

2021

Journal of Healthcare Engineering

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“…The quality of sleep is impaired in critically ill patients (Friese, ; Murata & Yamaguchi, ; Richards, O'Sullivan, & Phillips, ). Sleep disorders can potentially cause hypersensitivity to pain, decline in immune system function, decreased cognitive function, increased mortality, increased length of stay in the hospital (Friese, ), conversion from non‐invasive positive‐pressure ventilation to intubation (Murata, Inoue, & Takahashi, ) and irregular endocrine function (Matthews, ). The sleep disorders cannot be ignored by nurses of intensive care unit (ICU).…”

Section: Introductionmentioning

confidence: 99%

The Japanese version of the Richards‐Campbell Sleep Questionnaire: Reliability and validity assessment

et al. 2019

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Aims The purpose of this study was to determine the reliability and validity of the Japanese version of the Richards‐Campbell Sleep Questionnaire as a measure of sleep among intensive care unit patients in a Japanese hospital. Design Cross‐sectional survey. Methods The Richards‐Campbell Sleep Questionnaire was initially translated into Japanese using the back‐translation method. Validity was evaluated by determining the association between sleep efficiency, measured using simplified polysomnography, and the total score on the Japanese version of the Richards‐Campbell Sleep Questionnaire. Adult non‐intubated intensive care unit patients who completed the five‐item visual analogue scale underwent polysomnography for one night. Reliability was tested using Cronbach's alpha coefficient. Results Thirty‐three patients were included in the analysis. After excluding four patients with subsyndromal delirium, the Pearson correlation coefficient was 0.602 ( p = 0.001). Cronbach's alpha coefficient was 0.911. Conclusion The Japanese version of the Richards‐Campbell Sleep Questionnaire could be used as an alternative to polysomnography when assessing sleep quality in lucid intensive care unit patients.

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“…Treatment with NPPV and NHF has been increasing in recent years as a form of respiratory management along with artificial-respiration management with conventional tracheal intubation in patients with acute respiratory failure. Conversely, critically ill patients who are treated with NPPV or NHF encounter several issues that may interfere with sleep, such as discomfort [6].…”

Section: Introductionmentioning

confidence: 99%

“…Some studies have suggested that insomnia during treatment with NPPV may lead to NPPV discontinuation [6]. Therefore, it is important to practice care for nurses who support the lifestyle and psychological wellbeing of critically ill patients.…”

Section: Introductionmentioning

confidence: 99%

Sleep Quality for Patients Receiving Noninvasive Positive Pressure Ventilation and Nasal High-Flow Oxygen Therapy in an ICU: Two Case Studies

Murata¹,

Yamaguchi²

2018

OJN

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Aim: The purpose of this case study was to examine the sleep quality of patients receiving noninvasive positive pressure ventilation (NPPV) or nasal high-flow oxygen therapy (NHF) in an intensive care unit and to investigate what types of nursing support are offered to such patients. Methods: We examined one patient each for NPPV and NHF. Polysomnography (PSG), review of the patient charts, and semi-structured interviews were used to collect the data for analysis. Results: Patients treated with NPPV or NHF demonstrated a noticeable reduction in deep sleep, with most of their sleep being shallow. Their sleep patterns varied greatly from those of healthy individuals. These results suggest that, in addition to experiencing extremely fragmented sleep, sleep in these patients was more likely to be interrupted by nursing interventions, such as during auscultation of breath sounds. Furthermore, it was revealed that "anxiety or discomfort that accompanies the mask or air pressure" in patients treated with NPPV and "discomfort that accompanies the nasal cannula or NHF circuit" in patients treated with NHF may be primary causes of disrupted sleep. Our results suggest a need for nursing care aimed at improving sleep quality in patients treated with NPPV or NHF.

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What prevents critically ill patients with respiratory failure from using non‐invasive positive pressure ventilation: A mixed‐methods study

Abstract: In the initial stage of NPPV, focusing on dyspnea, sleep loss, discomfort, delirium, and the realization of the necessity of NPPV were critical in deciding on continuing this intervention or the early conversion to intubation.

Cited by 6 publications

References 35 publications

The Way of Severe Nursing of Respiratory System Failure

The Way of Severe Nursing of Respiratory System Failure

The Japanese version of the Richards‐Campbell Sleep Questionnaire: Reliability and validity assessment

Sleep Quality for Patients Receiving Noninvasive Positive Pressure Ventilation and Nasal High-Flow Oxygen Therapy in an ICU: Two Case Studies

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