Use of Illustrated Material in Communication With the Patient in the Mechanical Ventilator
2020年2月28日 更新者：Bircan Kolcak、Saglik Bilimleri Universitesi Gulhane Tip Fakultesi
The Effect of Using Illustrated Communication Material on Anxiety and Comfort in Communication With Patients Receiving Mechanical Ventilator: Randomised Controlled Clinical Trial
This study was carried out to determine the effect of the use of communication material on the anxiety and comfort of the patient in communication with patients receiving mechanical ventilators.As a result, the use of communication material reduces anxiety and increases patient satisfaction and comfort level.
In communicating with intubated patients receiving mechanical ventilator therapy, the use of illustrated communication material is recommended.
調査の概要
詳細な説明
The use ofcommunication material in communication with patients receiving mechanical ventilator support increases patient satisfaction and reduces communication difficulties.
However, there was no randomized controlled clinical study showing the effect of the use of these materials on patient care outcomes such as anxiety and comfort level.Patients were randomly assigned to the control groups using illustrated communication material and intervention and routine communication methods.
The research was carried out in three stages: preoperative, intensive care and one day after surgery.
The primary outcomes of the study were pain, anxiety and comfort levels of the patients.
Secondary outcomes were the patients' satisfaction with hemodynamic parameters and communication method.
研究の種類
介入
入学 (実際)
60
段階
- 適用できない
参加基準
研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。
適格基準
就学可能な年齢
18年～65年 (大人、高齢者)
健康ボランティアの受け入れ
はい
受講資格のある性別
全て
説明
Inclusion Criteria:
- Having undergone cardiac surgery
- Being applied mechanical ventilator therapy
- Being 18 or over
- To have scored minimum 2 to maximum 2 from Richmond Agitation Sedation Scale (RASS)
- Agree to participate in the research.
Exclusion Criteria:
- not knowing Turkish
- Having vision and hearing loss,
- Having a cognitive or psychological problem that prevents them from communicating. 4. Having an intubation experience before
5. Bleeding, etc. in the early postoperative period. industrial development such as undergoing revision surgery or needing additional sedation,
研究計画
このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：支持療法
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
介入なし：対照群
介入なし
|
|
|
実験的：intervention group
In the intervention group, communication was established with the illustrated communication material.
The pain, anxiety scores, and hemodynamic data of the patients were recorded by the intensive care nurse in three consecutive measurements starting with the first communication (0th minute) and at 30th and 60th minutes.
On the first postoperative day, the satisfaction of the communication established with them, as well as their evaluations regarding the adequacy of this communication and their comfort levels were determined during the time they received mechanical ventilation therapy.
|
Illustrated communication material was introduced to the patients in the intervention group.
In the process (intensive care) that patients received mechanical ventilation support after the operation, agitation and sedation levels were monitored by the intensive care nurse who was to communicate with the patient using the Richmond Agitation Sedation Scale (RASS).
According to this scale, having minimum -2 and maximum +2 points was accepted as the starting criteria for communication (Sessler et al., 2002).
Communication was established with the illustrated communication material.
|
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
change of anxiety over time
時間枠：The anxiety scores were recorded by the intensive care nurse in three consecutive measurements starting with the first communication (0th minute) and at 30th and 60th minutes
|
it was measured by using the Faces Anxiety Scale
|
The anxiety scores were recorded by the intensive care nurse in three consecutive measurements starting with the first communication (0th minute) and at 30th and 60th minutes
|
|
comfort level
時間枠：1 day after surgery
|
Postoperative comfort levels of the patients were determined by the Early Postoperative Comfort Scale.The highest total score that can be obtained from the scale is 144, and the lowest total score is 24.
High scores show that comfort is good, and low scores show that comfort is depraved
|
1 day after surgery
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
hemodynamic data
時間枠：Hemodynamic data were recorded through the patient monitor by intensive care nurses in three consecutive measurements starting with the first communication (0th minute) and at 30th and 60th minutes
|
hemodynamic data are systolic and diastolic blood pressure, heart rate, respiration rate, and peripheral oxygen
|
Hemodynamic data were recorded through the patient monitor by intensive care nurses in three consecutive measurements starting with the first communication (0th minute) and at 30th and 60th minutes
|
|
communication satisfaction and adequacy of communication techniqu, change of pain over time
時間枠：Pain data were recorded as 30th and 60th minutes, starting from the first communication (0th minute) in mechanical ventilation. Satisfaction and adequacy of communication were evaluated an average of 24 hours after surgery
|
It is stated that numerical scales have been adopted more in clinical practice because they are useful in facilitating the definition of pain intensity, facilitating scoring and recording, and evaluating ceiling and floor effects.
"The Numerical Evaluation Scale" was used to determine the pain levels of patients and to evaluate their satisfaction with the communication method used and the adequacy of the method
|
Pain data were recorded as 30th and 60th minutes, starting from the first communication (0th minute) in mechanical ventilation. Satisfaction and adequacy of communication were evaluated an average of 24 hours after surgery
|
協力者と研究者
ここでは、この調査に関係する人々や組織を見つけることができます。
捜査官
- 主任研究者：bircan kolcak, lecturer、University of Health Sciences, Gulhane Faculty of Nursing, Ankara, Turkey
出版物と役立つリンク
研究に関する情報を入力する責任者は、自発的にこれらの出版物を提供します。これらは、研究に関連するあらゆるものに関するものである可能性があります。
研究記録日
これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。
主要日程の研究
研究開始 (実際)
2016年1月15日
一次修了 (実際)
2017年4月20日
研究の完了 (実際)
2017年6月15日
試験登録日
最初に提出
2020年2月17日
QC基準を満たした最初の提出物
2020年2月28日
最初の投稿 (実際)
2020年3月3日
学習記録の更新
投稿された最後の更新 (実際)
2020年3月3日
QC基準を満たした最後の更新が送信されました
2020年2月28日
最終確認日
2020年2月1日
詳しくは
本研究に関する用語
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
はい
IPD プランの説明
options collected on this subject will be shared in a way that they can be used by other researchers.
IPD 共有時間枠
This work is only available after publication
IPD 共有アクセス基準
it was approved by the responsible researcher of the study to share this study.
IPD 共有サポート情報タイプ
- STUDY_PROTOCOL
- SAP
- ICF
- ANALYTIC_CODE
- CSR
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
いいえ
米国FDA規制機器製品の研究
いいえ
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