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288887

Effect of Implementing Selected Nursing Interventions on Experiencing Post-Extubation Stridor in Ventilated Patients

Article

Last updated: 26 Dec 2024

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Abstract

Background: Post-extubation stridor occur in less than one quartile between extubated patients and it may be asymptomatic or mildly symptomatic for ICU staff. Extubated patients may need reintubation after extubation, which increases the mortality rate among those patients.  Purpose: To study the effect of implementing selected nursing interventions on experiencing post-extubation stridor in ventilated patients. Design: A quasi-experimental research design. Study participants: A Purposive sample of 200 patients were included, divided into 50 patients in each of the control and intervention groups. Setting: General intensive care units at governmental hospitals of Albeheria government  in Egypt. Methods: A Purposive sample from adult mechanically ventilated patients admitted to the selected study settings. Intubated patients with the end-stage disease were planned for tracheostomy, but those with a history of multiple extubation trial failures were excluded from the study. Instruments: Two instruments were used, instrument one assessed demographic and clinical data and risk factors associated with post-extubation stridor. Instrument two assessed post-extubation stridor manifestations, Clinical outcomes associated with the post-extubation stridor assessment instrument. Results: The selected nursing interventions decreased the clinical manifestations of post-extubation stridor, reintubation need, and ICU length of stay with percentage changes of -16%, -49.25, and -29.97. They improved the oxygenation indexes, such as PaO2 (% change12.62), SaO2 (% change 5.161), and ROX index (% change 44.37). Moreover, ventilation parameters improved in the minute ventilation (% change-17.4) and PaCO2 (% change -9.09) of the intervention group. Conclusion: The selected nursing interventions improved ventilation and oxygenation parameters associated with post-extubation stridor clinical manifestations. Recommendations: Further studies should be conducted to assess the long-term outcomes of selected nursing interventions

DOI

10.21608/menj.2023.288887

Keywords

Extubation, Nursing, Post-extubation stridor, mechanical ventilator, Weaning

Authors

First Name

Hanaa

Last Name

Elbana

MiddleName

Atef

Affiliation

Lecturer of Critical Care and Emergency Nursing, Critical Care and Emergency Nursing Department, Faculty of Nursing, Tanta University, Egypt.

Email

hanaa.atef4424@gmail.com

City

-

Orcid

-

First Name

Hanaa

Last Name

Amin

MiddleName

Elsayed

Affiliation

Lecturer of Medical-Surgical Nursing Department, Medical Surgical Nursing Department, Faculty of Nursing, Suez Canal University, Egypt.

Email

-

City

-

Orcid

-

First Name

Shimmaa

Last Name

Elsayed

MiddleName

Mohamed

Affiliation

Lecturer of Critical Care and Emergency Nursing, Critical Care and Emergency Nursing Department, Faculty of Nursing, Damanhour University,Egypt.

Email

-

City

-

Orcid

-

Volume

8

Article Issue

1

Related Issue

39442

Issue Date

2023-03-01

Receive Date

2023-03-06

Publish Date

2023-03-01

Page Start

95

Page End

111

Print ISSN

2735-3974

Online ISSN

2735-3982

Link

https://menj.journals.ekb.eg/article_288887.html

Detail API

https://menj.journals.ekb.eg/service?article_code=288887

Order

288,887

Type

Original Article

Type Code

1,480

Publication Type

Journal

Publication Title

Menoufia Nursing Journal

Publication Link

https://menj.journals.ekb.eg/

MainTitle

Effect of Implementing Selected Nursing Interventions on Experiencing Post-Extubation Stridor in Ventilated Patients

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Type

Article

Created At

26 Dec 2024