Perceptual and Mental Readiness of Patients with Nursing Practice in Weaning From Mechanical Ventilation

Authors

  • Nuntikan Klinchet The Royal Thai Army Nursing College
  • Kusuma Kanglee The Royal Thai Army Nursing College
  • Usanee Angkanawin The Royal Thai Army Nursing College
  • Pramote Suksirisuk Navaminda Kasatriyadhiraj Royal Air Force Academy

Keywords:

perceptual, mental, nursing practice, readiness for weaning from mechanical ventilation

Abstract

Currently, increasing numbers of patients require treatment by mechanical ventilation with upward trends. Therefore, starting the assessment of the patient’s readiness for weaning from the mechanical ventilation as soon as possible is the most important goal in caring for patients who use ventilators. Prolonged use of a ventilator results in physical, psychological and economic losses. Evaluation of the patient to prepare the breathing muscles and physiological factors including the perception and psychological factors of the patient including anxiety, self-efficacy and perceived severity of illness. This is another factor that is considered important for weaning off a ventilator. Because these factors affect the availability of physiological factors with weaning the ventilator was successful. Nurses’role to prepare readiness and manage factors that led to an unsuccessful weaning from the ventilator.

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References

Coyer FM, Wheeler MK, Wetzig SM, & Couchman BA. Nursing care of the mechanically ventilated patient: what does the evidence say?.Intensive & Critical Care Nursing. 2007;23(2):71-80.

Suh ES, & Hart N. Respiratory failure. Medicine. 2012;40(6):293-7.

Pierucci P, Carlucci A, Schreiber A, & Nava S. Weaning from mechanical ventilation and post-extubation failure. Turkish Thoracic Journal. 2011;12(1):27-31.

Manthous C, Tobin M, & Primer A. Mechanical ventilation. American Journal of Respiratory Critical Care Medicine. 2005;172:1-3.

McConvilleJF, & Kress JP. Weaning patients from the ventilator. The New England Journal of Medicine. 2012;367(23):2233-9.

Tonnelier A, Tonnelier JM, Nowak E, Gut Gobert C, Prat G, Renault A, et al. Clinical Relevance of Classification According to Weaning Difficulty. Respiratory Care. 2011;56(5):583-90.

Funk GC, Anders S, Breyer MK, Burghuber OC, Edelmann G, Heindl W, et al. Incidence and outcome of weaning from mechanical ventilation according to new categories. European Respiratory Journal. 2010;35(1): 88-94.

Edriss H, Whiting J, Nugent K. A ventilator-associated event in an intensive care unit patient with multiple comorbidities and prolonged mechanical ventilation. Gaziantep Medical Journal. 2014; 20(3): 277-80.

Chen YJ, Jacobs WJ, Quan SF, Figueredo AJ, Davis AHT. Psychophysiological Determinants of Repeated Ventilator Weaning Failure: An Explanatory Model. American Journal of Critical Care. 2011;20(4):292-302.

Zilberberg MD, Wit M, & Shorr AF. Accuracy of previous estimates for adult prolonged acute mechanical ventilation volume in 2020: update using 2000–2008 data. Critical Care Medicine. 2012;40(1):18-20.

Kusoom W, & Krongyuth S. Psychological impacts on patients with critical illness: Management strategies. Thai Journal of Nursing. 2020;69(3): 53-61. (in Thai).

Savi A, Teixeira C, Silva JM, Borges LG, Pereira PA, Pinto KB, et al. Weaning predictors do not predict extubation failure in simple-towean patients. Journal of Critical Care. 2012; 27(2):221.e1-8.

Chaiviradech M, Uakit N, &Uamtanee A. Experiences of being an adult patient receiving ventilator. Songklanagarind Journal of Nursing. 2013;33(2):31-46. (in Thai).

Pheugdee K, Jitpanya C. Factors related to sleep quality in mechanically ventilated patients: a sytematic review of literature. Journal of the Police Nurses. 2016;8(2):23-33. (in Thai).

Udchumpisai M, Na Ayuthya K, Pongthavornkamon K, Wongsurakiat P. Factors influencing prolonged mechanical ventilation in critically-ill medical patients. Thai Journal of Cardio-Thoracic Nursing. 2010;21(1):14-30. (in Thai).

Boles JM, Bion J, Connors A, Herridge M, Marsh B, Melot C, et al. Weaning from mechanical ventilation. Eur Respir J. 2007;29(6):1033-56.

Klinchet N. Influences of creatinine clearance, cough effectiveness, perceived sleep quality, perceived severity of illness on duration of spontaneous breathing trial in patients with simple ventilator weaning. Journal of The Royal Thai Army Nurses. 2015;16(3): 105-113. (in Thai).

Heffelfinger S, Calamari JE, Workman DE, Lawn G, & Kelly J. Anxiety sensitivity and ventilator weaning : A preliminary analysis. Anxiety Stress and Coping. 2006; 19(3): 211-26

Williams VSL, Morlock RJ, Feltner D. Psychhometric evaluation of a visual analog scale for the assessment of anxiety. Health Qual Life Outcomes. 2010;8:57.

Published

29-04-2022

How to Cite

1.
Klinchet น, Kanglee ก, Angkanawin อ, Suksirisuk ป. Perceptual and Mental Readiness of Patients with Nursing Practice in Weaning From Mechanical Ventilation. J Royal Thai Army Nurses [Internet]. 2022 Apr. 29 [cited 2022 Jun. 29];23(1):49-56. Available from: https://he01.tci-thaijo.org/index.php/JRTAN/article/view/256104

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Section

Academic articles