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.
研究概览
详细说明
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.
研究类型
介入性
注册 (实际的)
60
阶段
- 不适用
参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
18年 至 65年 (成人、年长者)
接受健康志愿者
是的
有资格学习的性别
全部
描述
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,
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：支持治疗
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
无干预：控制组
没有干预
|
|
|
实验性的：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.
|
研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
change of anxiety over time
大体时间：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
大体时间：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
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
hemodynamic data
大体时间：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
大体时间：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
|
合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 首席研究员：bircan kolcak, lecturer、University of Health Sciences, Gulhane Faculty of Nursing, Ankara, Turkey
出版物和有用的链接
负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始 (实际的)
2016年1月15日
初级完成 (实际的)
2017年4月20日
研究完成 (实际的)
2017年6月15日
研究注册日期
首次提交
2020年2月17日
首先提交符合 QC 标准的
2020年2月28日
首次发布 (实际的)
2020年3月3日
研究记录更新
最后更新发布 (实际的)
2020年3月3日
上次提交的符合 QC 标准的更新
2020年2月28日
最后验证
2020年2月1日
更多信息
与本研究相关的术语
计划个人参与者数据 (IPD)
计划共享个人参与者数据 (IPD)？
是的
IPD 计划说明
options collected on this subject will be shared in a way that they can be used by other researchers.
IPD 共享时间框架
This work is only available after publication
IPD 共享访问标准
it was approved by the responsible researcher of the study to share this study.
IPD 共享支持信息类型
- 研究方案
- 树液
- 国际碳纤维联合会
- 分析代码
- 企业社会责任
药物和器械信息、研究文件
研究美国 FDA 监管的药品
不
研究美国 FDA 监管的设备产品
不
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.