Effect of Family Presence on the Success of Weaning in Intensive Care Units
- PMID: 37025322
- PMCID: PMC10073960
Effect of Family Presence on the Success of Weaning in Intensive Care Units
Abstract
Background: Weaning of the patient from mechanical ventilator is one of important stages of treatment in patients undergoing mechanical ventilation. Therefore, this study was done to determine the effect of family presence on weaning success in patients admitted to intensive care units (ICUs).
Materials and methods: The present interventional quasi-experimental study was performed on 154 patients undergoing mechanical ventilation who were selected through available sampling method and based on inclusion criteria and were randomly divided into intervention and control groups. For the intervention group, the presence of one of the family members was used in process of weaning from the mechanical ventilator. A questionnaire of patients' demographic information, family satisfaction of patients admitted to ICU, and a checklist of recording the patient's vital signs were used to collect the required information.
Results: Based on the results, After the intervention, the patients in the intervention group were in a better condition than the control group in terms of vital signs, time spent for intubation and number of re-intubation, as well as family satisfaction (P<0.05).
Conclusion: The results showed that the presence of family in the process of weaning of patients admitted to the intensive care unit is effective in improving vital signs and physiological indicators and reduces the time spent for intubation and the number of re-intubation in these patients while promoting family satisfaction. Therefore, the use of this method can be used in coordination with members of the treatment team to help patients admitted to the intensive care unit.
Keywords: Family; Intensive Care Unit; Satisfaction; Weaning.
Copyright© 2022 National Research Institute of Tuberculosis and Lung Disease.
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References
-
- Chaiwat O, Sarima N, Niyompanitpattana K, Komoltri C, Udomphorn Y, Kongsayreepong S. Protocol-directed vs. physician-directed weaning from ventilator in intra-abdominal surgical patients. J Med Assoc Thai 2010;93(8):930–6. - PubMed
-
- Keykha A, Khoshfetrat M, Dahmardeh AR, Dashipour A, Dahmardeh M, Sarhadi A. Success rate of weaning from mechanical ventilation in patients admitted to the intensive care unit with utilization burn’s wean assessment program. Archives of Anesthesiology and Critical Care 2017;3(2):319–23.
-
- Asgari M, Soleimani M. Intensive nursing care in ICU, CCU and dialysis. 33th, editor. Tehran: Boshra Publication; 2020. 692 p.
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