Journal of Korean Academy of Nursing

Research Paper

Effect of an Intervention Using Voice Recording of a Family Member on Patients Undergoing Mechanical Ventilator Weaning Process: Choi, Ah Young , Kim, Min Young , Song, Eun Kyeung; J Korean Acad Nurs 2024;54(1):32-43. Published online February 29, 2024; DOI: https://doi.org/10.4040/jkan.23082

Abstract PDF: Purpose
This study aimed to determine the impact of an intervention using voice recording of family members on pain, anxiety, and agitation in patients undergoing weaning from mechanical ventilation.
Methods
A randomized control pre-post experimental design was implemented to 53 participants, with 27 and 26 participants in the experimental and control groups, respectively. A 70-second voice recording of a family member, repeated three times at 10-minute intervals was used as an intervention for the experimental group. Meanwhile, participants in the control group used headset for 30 minutes. Structured instruments were utilized to measure pain, anxiety, agitation, and the weaning process. Wilcoxon Signed Ranks test and the Mann-Whitney U test, or χ² test, were used for data analysis.
Results
The experimental group exhibited significant decrease in pain (Z = - 3.53, p < .001), anxiety (t = 5.45, p < .001), and agitation (Z = - 2.99, p = .003) scores compared with those of the control group. However, there was no significant difference between groups in the weaning process’ simplification (χ² = 0.63, p = .727).
Conclusion
Intervention using family members’ voice recording effectively reduces pain, anxiety, and agitation in patients undergoing weaning from mechanical ventilation. This can be actively utilized to provide a more comfortable process for patients.

636 View
53 Download

Original Articles

A Study on the Physiological and Psychological Factors related to Successful Weaning from a Mechanical Ventilator: Cho Ja Kim, Hwasoon Kim, Yeon Soo Jang, Eun Sung Kim; Journal of Korean Academy of Nursing 2000;30(4):995-1005. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2000.30.4.995

Abstract PDF: This study was performed to identify the physiological and psychological variables related to successful weaning from a mechanical ventilator. The subjects of this study were 22 patients who received mechanical ventilation therapy for more than 3 days in intensive care units. Before the weaning trial, baseline data for following physiologic variables were obtained: spontaneous respiration rate, blood pressure, pulse rate, PaO2, PaCO2, PEEP, static compliance, minute ventilation, tidal volume, rapid shallow breathing index(f/VT), SaO2, PaO2/FiO2 and mean arterial pressure. During spontaneous breathing, physiologic and psychologic variables such as vital signs, ABG, perspiration, chest retraction, paradoxical respiration, dyspnea, anxiety, confidence and efficacy were measured. Successful weaning was defined as sustaining spontaneous respiration over 24 hours after extubation. Weaning failure was defined as the development of more than one of following signs: (1) hypoxemia, (2) CO2 retention or (3) perspiration, tachypnea, chest retraction, tachycardia, arrhythmia, hypotension or hypertension. Subjects (N=18) who successfully weaned from mechanical ventilator were compared with subjects (N=4) who failed. The results are as follows; Eighteen percents of the subjects failed during the weaning trial. Most subjects in the failed group were mechanically ventilated for long-time. This result shows that the success of weaning is more difficult in long-term ventilation patients. In the baseline data that was measured before weaning trial, the mean score of PaO2 in the successfully weaned group was 121mmHg. This is significantly higher than the mean score of PaO2 in the failed group(95mmHg). However, the scores of pH, tidal volume, f/VT, pulse rates, blood pressure, mean airway pressure, SaO2, and PaCO2 were similar between the two groups. Specially the scores of f/VT index as a predominant predictor for successful weaning were not significant (f/VT=44.4) and (f/VT=47). During spontaneous breathing, the scores of dyspnea and anxiety level in the successfully weaned group were less than those of the failed group. On the contrary, the scores of confidence and efficacy in the successful group were greater than those of the failed group. In conclusion, the baseline data that were measured before weaning trial were similar between the both groups, therefore future studies are needed to focus on searching other variables besides physiological parameters related to weaning outcome.

87 View
0 Download

Correlation between Severe ALS Patient-Caregiver Couples' Characteristics and Caregivers' Health Related Quality of Life: Myoung Soo Kim, Hyung-Ik Shin, Yusun Min, Jung Yoon Kim, Jung Soon Kim; J Korean Acad Nurs 2011;41(3):354-363. Published online June 13, 2011; DOI: https://doi.org/10.4040/jkan.2011.41.3.354

Abstract PDF

Purpose

The purpose of this cross-sectional study was to examine the relationship between characteristics of severe ALS patient-caregiver couples and health related quality of life (HRQoL) in family caregivers.

Methods

The participants in this study were 89 pairs of ALS patients using ventilators and a family caregiver. The characteristics of the ALS patients and caregivers, Korean-Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised, Zarit Burden Interview and SF-36 were measured in this study. The data were collected from August 2008 to April 2009. Descriptive statistics, Pearson correlation coefficients, and canonical correlation were used for data analysis.

Results

The physical component summary and mental component summary of the HRQoL score for family caregivers were 147.49±31.63 and 129.09±35.83, respectively. HRQoL for caregivers was related to characteristics of the ALS patient-caregiver couples, such as patient's gender, caregiver's age, gender, marital status, daily time spent in caregiving and burden with one significant canonical variable. The significant variate showed that the lower the age, the time spent in caregiving and the burden of caregivers, the higher the HRQoL of caregivers.

Conclusion

The support systems for caregivers considering caregiver characteristics such as demographics and burden should be implemented to improve the HRQoL of caregivers.

Citations

Citations to this article as recorded by

Health-Related Quality of Life in Spinal Muscular Atrophy Patients and Their Caregivers—A Prospective, Cross-Sectional, Multi-Center Analysis
Camilla Wohnrade, Ann-Kathrin Velling, Lucas Mix, Claudia D. Wurster, Isabell Cordts, Benjamin Stolte, Daniel Zeller, Zeljko Uzelac, Sophia Platen, Tim Hagenacker, Marcus Deschauer, Paul Lingor, Albert C. Ludolph, Dorothée Lulé, Susanne Petri, Alma Osmano
Brain Sciences.2023; 13(1): 110. CrossRef
Analysing the influencing factors on caregivers’ burden among amyotrophic lateral sclerosis patients in China: a cross-sectional study based on data mining
Ling Lian, Minying Zheng, Ruojie He, Jianing Lin, Weineng Chen, Zhong Pei, Xiaoli Yao
BMJ Open.2022; 12(9): e066402. CrossRef
Intensity of care and perceived burden among informal caregivers to persons with chronic medical conditions: a systematic review and meta-analysis
Andrea Carboni-Jiménez, Danielle B. Rice, Brooke Levis, Mara Cañedo-Ayala, Mahrukh Imran, Matthew Chiovitti, Andrea Benedetti, Brett D. Thombs
Disability and Rehabilitation.2022; 44(21): 6230. CrossRef
Information Needs and Preferences of Family Caregivers of Patients With Amyotrophic Lateral Sclerosis
Hyeon Sik Chu, Juyeon Oh
Journal of Neuroscience Nursing.2020; 52(5): 207. CrossRef
Association of physical and psychological health status between chronic obstructive pulmonary disease patients and their family caregivers
Hyun-Hye Chu, Kyeong-Soo Lee, Kwan Ho Lee, Jin Hong Chung, Kyeong-Cheol Shin, Tae-Yoon Hwang
Health Care for Women International.2019; 40(10): 1019. CrossRef
Factors Influencing Psychosocial Well-Being in Family Caregivers of People with Amyotrophic Lateral Sclerosis
Hyeon Sik Chu, Young Ran Tak, Seung Hyun Kim
Journal of Korean Academy of Nursing.2018; 48(4): 454. CrossRef
Information-seeking Behavior and Information Needs in Patients With Amyotrophic Lateral Sclerosis
Juyeon Oh, Jung A Kim
CIN: Computers, Informatics, Nursing.2017; 35(7): 345. CrossRef
Patients’ self‐perceived burden, caregivers’ burden and quality of life for amyotrophic lateral sclerosis patients: a cross‐sectional study
Dan Geng, RuWei Ou, XiaoHui Miao, LiHong Zhao, QianQian Wei, XuePing Chen, Yan Liang, HuiFang Shang, Rong Yang
Journal of Clinical Nursing.2017; 26(19-20): 3188. CrossRef
Socioeconomic costs of amyotrophic lateral sclerosis according to staging system
Juyeon Oh, Ji Won An, Seong-Il Oh, Ki Wook Oh, Jung A Kim, Jeong Seop Lee, Seung Hyun Kim
Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration.2015; 16(3-4): 202. CrossRef
Depression and Caregiving Burden in Families of Patients with Amyotrophic Lateral Sclerosis
Juyeon Oh, Ji Won An, Ki-Wook Oh, Seong-Il Oh, Jung A Kim, Seung Hyun Kim, Jeong Seop Lee
Journal of Korean Academy of Nursing.2015; 45(2): 202. CrossRef
The Factors affecting Burdens and Quality of Life of the Family Caregivers of Patients with Rare and Incurable Diseases Using Home Ventilators
Moon Sook Hwang, Mi Kyoung Lee, Jeong Rye Song
Korean Journal of Adult Nursing.2014; 26(2): 191. CrossRef

226 View
2 Download
11 Crossref

Endotracheal Colonization and Ventilator-associated Pneumonia in Mechanically Ventilated Patients according to Type of Endotracheal Suction System: Kyeong-Sook Cha, Ho-Ran Park; J Korean Acad Nurs 2011;41(2):175-181. Published online April 30, 2011; DOI: https://doi.org/10.4040/jkan.2011.41.2.175

Abstract PDF

Purpose

This study was conducted to identify endotracheal colonization and the incidence of ventilator-associated pneumonia related to the type of endotracheal suction system.

Methods

The participants in this study were ICU patients hospitalized between October 2009 to March 2010 who used ventilators for over 48 hr with closed (CSS, n=30) or open (OSS, n=32) suction systems. To standardize the pre-intervention suction system, a suctioning protocol was taught to the ICU nurses. Collected data were analyzed using χ²-test, Fisher's exact test, Wilcoxon rank sums test, Wilcoxon test, Log-rank test and Poisson regression.

Results

Endotracheal colonization was higher in OSS than CSS from day 1 to day 8 while using a ventilator and there was a significant difference between the two groups. The CSS reached 50% of endotracheal colonization by the 4th day, whereas for the OSS, it was the 2nd day (p=.04). The incidence of ventilator-associated pneumonia showed no significant difference.

Conclusion

For patients with a high risk of pneumonia, CSS must be used to lower endotracheal colonization.

Citations

Citations to this article as recorded by

Development of a Tool for Measuring Ventilator-Associated Pneumonia Prevention Behaviors of Intensive Care Unit Nurses
Sungjung Kwak, Sujeong Han
International Journal of Environmental Research and Public Health.2022; 19(14): 8822. CrossRef
Optimizing effects on airway pressure and minute volume during closed endotracheal suctioning: a simulated lung model
Fang Jung, Shang-Shing P Chou, Shih-Hsing Yang, Jau-Chen Lin, Guey-Mei Jow
SIMULATION.2021; 97(7): 439. CrossRef
Closed Endotracheal Suctioning Impact on Ventilator-Related Parameters in Obstructive and Restrictive Respiratory Systems: A Bench Study
Fang Jung, Shang-Shing P. Chou, Shih-Hsing Yang, Jau-Chen Lin, Guey-Mei Jow
Applied Sciences.2021; 11(11): 5266. CrossRef
Impact of closed suction system on the incidence of ventilator-associated pneumonia, patient colonization and contamination of inanimate surfaces
K.S. Lapin, V.V. Kuzkov, T.V. Chernova, T.V. Galkina, M.Yu. Kirov
Anesteziologiya i reanimatologiya.2020; (4): 32. CrossRef
Who Comes to the Emergency Room with an Infection from a Long-term Care Hospital? A Retrospective Study Based on a Medical Record Review
Kyoung Wan Kim, Soong-Nang Jang
Asian Nursing Research.2018; 12(4): 293. CrossRef
Effects of Normal Saline and Essential Oil Gargling on Bacterial Colonization in Intubated Patients for General Anesthesia
Sang Jin Ko, Yeon Kyung Na, Hae Sook Hong
Journal of Korean Biological Nursing Science.2014; 16(2): 123. CrossRef
A Closed-Suction Catheter with a Pressure Valve Can Reduce Tracheal Mucosal Injury in Intubated Patients
Jin-Heon Jeong, Sung-Jin Nam, Young-Jae Cho, Yeon Joo Lee, Se Joong Kim, In-Ae Song, Sang-Heon Park, Young-Tae Jeon
Korean Journal of Critical Care Medicine.2014; 29(1): 7. CrossRef
Comparison of the Pattern in Semi-Quantitative Sputum Cultures Based on Different Endotracheal Suction Techniques
Jiwoong Oh, Kum Whang, Hyenho Jung, Jongtaek Park
Korean Journal of Critical Care Medicine.2012; 27(2): 70. CrossRef

268 View
0 Download
8 Crossref

Ventilator-associated Pneumonia with Circuit Changes Every 7 Days versus Every 14 Days: Jeong-Sil Choi, Jeong-haw Yeon; J Korean Acad Nurs 2010;40(6):799-807. Published online December 31, 2010; DOI: https://doi.org/10.4040/jkan.2010.40.6.799

Abstract PDF

Purpose

To determine whether the practice of not routinely changing ventilator circuits in patients who require prolonged mechanical ventilation is associated with ventilator-associated pneumonia (VAP).

Methods

Patients were divided into two groups, ventilator circuits were routinely changed every 7 days for the control group (39) and every 14 days for the experimental group (40) over a period of 1 yr (April 1, 2009-March 31, 2010). Pediatric patients (age 17 yr or less) were not included. VAP was diagnosed by the criteria of the Centers of Disease Control and Prevention (CDC). Incidence of VAP and characteristics of infection were evaluated.

Results

In the experimental group, 2 episodes of pneumonia were observed in 40 patients and 1,322 ventilator days. The rate of VAP was 1.5 per 1,000 ventilator days. There was 1 episode of pneumonia in 39 patients and 481 ventilator days for the control group. The rate of VAP was 2.1 per 1,000 ventilator days. The difference between both groups was not significant (p=.695).

Conclusion

Extending ventilator circuit change interval from 7 days to 14 days does not increase the risk for VAP.

Citations

Citations to this article as recorded by

Efficacy of compliance with ventilator-associated pneumonia care bundle: A 24-month longitudinal study at Bach Mai Hospital, Vietnam
Hoan Minh Hoang, Co Xuan Dao, Hoang Huy Ngo, Tatsuya Okamoto, Chieko Matsubara, Son Ngoc Do, Giang Thi-Huong Bui, Han Quang Bui, Nguỵen Thi Duong, Ngoan Thi Nguyen, Toan Xuan Vuong, Kham Van Vu, Thach The Phạm, Cuong Van Bui
SAGE Open Medicine.2024;[Epub] CrossRef
Actualización de las recomendaciones del proyecto Neumonía Zero
S. Arias-Rivera, R. Jam-Gatell, X. Nuvials-Casals, M. Vázquez-Calatayud
Enfermería Intensiva.2022; 33: S17. CrossRef
Survey on Self Care, Respiratory Difficulty, Sleep Impediment, Anxiety and Depression among Patients with Neuromuscular Disease dependent on Home Mechanical Ventilator
Moon Sook Hwang, Mi Kyung Lee, Jong Rye Song
Korean Journal of Adult Nursing.2016; 28(5): 595. CrossRef

209 View
6 Download
3 Crossref

Study on the Changes in Limb Circumferences and Muscle Areas of Critically Ill Patients using Ventilators: Young-Hui Hwang, Myoung-Ae Choe; J Korean Acad Nurs 2008;38(6):874-880. Published online December 31, 2008; DOI: https://doi.org/10.4040/jkan.2008.38.6.874

Abstract PDF

Purpose

The purpose of this study was to identify muscle atrophy in critically ill patients on ventilators. A comparison was made between limb circumferences and muscle areas on the day of admission to an intensive care unit (ICU) and on the 8th day after admission.

Methods

The data were collected from 30 critically ill patients using ventilators at S hospital ICU in Seoul during the period from October 2005 to April 2006. Limb circumferences and skinfold thickness were measured on the day of admission and on the 8th day after admission to the ICU. Limb circumferences and skinfold thickness were measured on the right mid-arm, right mid-thigh, and right mid-calf using a measuring tape and a skinfold calipers. Limb muscle areas were calculated by an equation after measuring limb circumferences and skinfold thickness. The data were analyzed by paired t-test and independent t-test.

Results

1) Mid-arm circumference, mid-thigh circumference and mid-calf circumference on the 8th day after admission to the ICU were significantly less than those on the day of admission to the ICU, 2) Mid-arm muscle area, mid-thigh muscle area and mid-calf muscle area on the 8th day after admission to the ICU were significantly less than those on the day of admission to the ICU, 3) Steroid and vecuronium medication didn't affect changes in limb circumferences (mid-arm, mid-thigh, mid-calf) and muscle areas (mid-arm, mid-thigh, mid-calf) on the 8th day after admission to the ICU compared to the day of admission.

Conclusion

Limb muscle atrophy may occur on the 8th day after admission to the ICU in critically ill patients using ventilator.

Citations

Citations to this article as recorded by

Effects of functional training on strength, function level, and quality of life of persons in intensive care units
Byul Seo, Won-Seob Shin
Physical Therapy Rehabilitation Science.2019; 8(3): 134. CrossRef
Measurement of Muscle Mass as a Nutritional Assessment Tool in Critically Ill Patients
최나예, 조영재, 이은숙, 최수안, 이정화
Journal of Korean Society of Health-System Pharmacists.2013; 30(2): 119. CrossRef
Validation of a Korean Translated Version of the Critical Care Pain Observation Tool (CPOT) for ICU Patients
Eun-Mi Kwak, Heeyoung Oh
Journal of Korean Academy of Nursing.2012; 42(1): 76. CrossRef

163 View
0 Download
3 Crossref

First
Prev
Page of 1
Next
Last

Search