Mechanical ventilation support is used to ensure airway clarity in patients after surgery.If patients are not informed about mechanical ventilation treatment in the pre -operation period, panic, anxiety and comfort may be experienced when they wake up from anesthesia and find them in intensive care under mechanical ventilation with various tubes and equipment. The separation from the mechanical ventilator (MV) covers the patient's mechanical support and the entire process of separation of endotrakeal tube.During the separation of the mechanical ventilator, the support of one of the patient members of the patient may increase the stress and comfort of the patient. Therefore, this research is planned
Intensive care nurses spend a long time with patients and observe them closely. Intensive care nurses in the MV separation process; plays a special and important role. Recently, family support has been used in patient care. An increase in anxiety and comfort levels is observed in patients receiving family support. This study was planned with the aim of supporting the patient by the family member during the separation of the patient from the mechanical ventilator after cardiac surgery and to evaluate the comfort and anxiety level of the patients.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
OTHER
Masking
NONE
Enrollment
40
Before the extubation procedure, the patient's relatives will be informed, and the patient will be allowed to enter the intensive care unit, and the patient will be able to express that he is with the patient by holding his hand and talking.
Kastamonu University
Kastamonu, Turkey (Türkiye)
State Anxiety
State Anxiety Inventory was used to assess state anxiety. The Turkish validity and reliability of the scale were undertaken by Oner and Le Compte . The state anxiety scale composed of 20-items that shows how a person feels at a certain moment and under certain conditions. The scale score ranges from 20 to 80, with a high scores indicating high anxiety.
Time frame: 30 minutes before the weaning procedure.
State Anxiety
State Anxiety Inventory was used to assess state anxiety. The Turkish validity and reliability of the scale were undertaken by Oner and Le Compte. The state anxiety scale composed of 20-items that shows how a person feels at a certain moment and under certain conditions. The scale score ranges from 20 to 80, with a high scores indicating high anxiety.
Time frame: after 30 minutes the weaning procedure.
Perianesthesia Comfort
This scale was developed by Kolcaba in 2003, and its Turkish validity and reliability were made by Üstündağ and Eti Aslan in 2010. It is used to evaluate the situation of reaching the expected increase in comfort by determining the comfort requirements. The scale consists of 24 items that question the self-concept and feelings of the individual reflecting the general thought process before and after the surgical intervention. The scale score ranges from 24 to 144, with a high scores indicating high comfort.
Time frame: on the 1st day after surgery
Patient's systolic blood pressure (mmHg)
before weaning 1
Time frame: 10 minutes before weaning
Diastolic blood pressures (mmHg)
before weaning 2
Time frame: 10 minutes before weaning
Heart rate (per minute)
before weaning 3
Time frame: 10 miniutes before weaning procedure
Oxygen saturation (SpO2)
before weaning 4
Time frame: 10 miniutes before weaning procedure
Patient's systolic blood pressure (mmHg) - after weaning 1
Patient's systolic blood pressure (mmHg)
Time frame: 10 miniutes after weaning procedure
Diastolic blood pressures (mmHg) after weaning 2
Diastolic blood pressures (mmHg)
Time frame: 10 miniutes after weaning procedure
Heart rate (per minute) - after weaning 3
Heart rate (per minute)
Time frame: 10 miniutes after weaning procedure
Oxygen saturation (SpO2) - after weaning 4
Oxygen saturation (SpO2)
Time frame: 10 miniutes after weaning procedure
The Visual Analog Scale
A 10-centimeter vertical VAS was used to assess the satisfaction assessment by patients after weaning procedure. The scale score ranges from 0 to 10, with a high scores indicating high satisfaction.
Time frame: 10 minutes after weaning procedure
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