Use of Illustrated Material in Communication With the Patient in the Mechanical Ventilator

NCT04293913 | Completed

• 1 other identifier: 16161616
• Study Type: interventional
• Target: 60
• Locations: 0 countries
• Sites: N/A

Brief Summary

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.

Conditions

Anxiety; Comfort; Communication

Keywords

patient; mechanical ventilator; communication material

Outcome Measures

Primary Outcomes (2)

• change of anxiety over time

  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

  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

Secondary Outcomes (2)

• hemodynamic data

  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

  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

Study Arms (2)

intervention group

EXPERIMENTAL

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.

Behavioral: illustrated communication material

control group

NO INTERVENTION

no intervention

Interventions

illustrated communication material BEHAVIORAL

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.

intervention group

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• 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.

You may not qualify if:

• 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
• \. Bleeding, etc. in the early postoperative period. industrial development such as undergoing revision surgery or needing additional sedation,

Sponsors & Collaborators

• Saglik Bilimleri Universitesi Gulhane Tip Fakultesi: lead

Related Publications (2)

• Wang Y, Li H, Zou H, Li Y. Analysis of Complaints from Patients During Mechanical Ventilation After Cardiac Surgery: A Retrospective Study. J Cardiothorac Vasc Anesth. 2015 Aug;29(4):990-4. doi: 10.1053/j.jvca.2015.01.036. Epub 2015 Jan 29.

  PMID: 25939965 RESULT

• Kolcak B, Ayhan H, Tastan S. The effect of using illustrated materials for communication on the anxiety and comfort of cardiac surgery patients receiving mechanical ventilator support: A randomized controlled trial. Heart Lung. 2023 May-Jun;59:157-164. doi: 10.1016/j.hrtlng.2023.02.005. Epub 2023 Feb 22.

  PMID: 36827715 DERIVED

MeSH Terms

Conditions

Anxiety Disorders; Communication

Condition Hierarchy (Ancestors)

Mental Disorders; Behavior

Study Officials

• bircan kolcak, lecturer

  University of Health Sciences, Gulhane Faculty of Nursing, Ankara, Turkey

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: This study was planned as a randomized controlled clinical trial with two arms: Patients who had undergone cardiac surgery were randomly assigned to intervention (illustrated communication material were used) and control (routine methods in the communication were used) groups when they were connected to the mechanical ventilator.

Study Record Dates

• First Submitted: February 17, 2020
• First Posted: March 3, 2020
• Study Start: January 15, 2016
• Primary Completion: April 20, 2017
• Study Completion: June 15, 2017
• Last Updated: March 3, 2020

Record last verified: 2020-02

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF, CSR, ANALYTIC CODE
• Time Frame: This work is only available after publication
• Access Criteria: it was approved by the responsible researcher of the study to share this study.