|
Patient Compliance to Non-Invasive Ventilation in Sub-IntensiveCare Unit: An Observational Study
|
| |
|
|
|
چکیده: (2483 مشاهده) |
Background:Thesuccessof noninvasiveventilationdependsonmanyfactorsandeffectivedeliveryrequiresteamwork.Informationonthetherapeuticprogrammustbesustainedbyhealthcarestaffandfamily. Objectives: Investigatetheclinicalandcarefactorsthataffectthelevelof patientcompliancetononinvasiveventilation. Methods: A prospective, observational and multicentre study was conducted between November 1, 2015 and February 15, 2016 in three sub-intensive wards. A data collection tool was created with the working definition of “Patient intolerant to non invasive ventilation” and a structured interview was conducted to investigate patient experience of NIV. Statistical analysis was conducted withtheSTATAMP13software. Results: Coordination of patient-ventilator interaction prevents intolerance (OR = 0.68, 95% IC 0.46 - 0.98; P = 0.04). Overweight andobesepatientsshowedahigherprobabilityof intolerancetononinvasiveventilationwithrespecttounderweightandnormal weight patients (OR = 0.53, 95% IC 0.34 - 0.82; P = 0.005). Patients with a higher probability of intolerance experienced a NRS level of 4/5(OR=1.76, 95% IC1.30-2.41; P≤0.001)whilereceivingcontinuoustreatment(OR=1.26, 95% IC1.04-1.53; P=0.019). Patients in open-space settings experienced less intolerance (4.7 SD±1.2) with respect to patients in single rooms (2.5 SD±0.9). Anxious patientsdevelopedmoreintolerancethancalmandinformedpatients(OR=7.39,95% IC3.19-17.13;P≤0.001) Conclusions: Compliance to non invasive ventilation depends on multiple factors, including relational aspects that affect treatment success. Attention to patient comfort, pain control, and collaboration with the caregiver appear to have the most influence onpatientcompliance.
Keywords: Nurses,Patients,NoninvasiveVentilation,IntensiveCareUnits,Compliance,Masks |
|
| |
|
|
متن کامل [PDF 153 kb]
(2705 دریافت)
|
نوع مطالعه: پژوهشي |
موضوع مقاله:
عمومى
دریافت: 1398/4/2 | پذیرش: 1398/4/2 | انتشار: 1398/4/2
|
|
|
|
|
|
|
| ارسال نظر درباره این مقاله |
|
|
|
