Family Support Weaning from Mechanical Ventilation in Cardiovascular Surgery

Not Applicable

Completed

• Conditions: Anxiety; Patient Satisfaction; Patient Comfort
• Interventions: Other: Family support

• Registration Number: NCT05820789
• Lead Sponsor: Kastamonu University

Brief Summary

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

Detailed Description

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 Timeline

• Study First Submitted: 2023-03-14
• Study First Submitted QC: 2023-04-19
• Study First Posted: 2023-04-20
• Study Start: 2023-04-30
• Primary Completion: 2023-04-30
• Status Verified: 2024-04
• Study Completion: 2024-04-20
• Last Update Submitted: 2025-03-04
• Last Update Posted: 2025-03-06

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• Volunteering to participate in the research
• To agree to participate in the research verbally and in writing
• To be over the age of 18
• Knowing Turkish
• Not having any psychiatric disease
• No vision, hearing and perception problems
• Receiving mechanical ventilator support after cardiac surgery and being followed in the intensive care unit.

Exclusion Criteria

• Patients who do not meet the inclusion criteria
• Other patients receiving mechanical ventilator support after surgery in the intensive care unit other than cardiac surgery

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Experimental Group	Family support	When the patient comes intubated from the surgery to the cardiovascular surgery intensive care unit, when they meet the extubation criteria, the patients will be extubated by the healthcare professionals working in the intensive care unit in accordance with the service protocol.Patients in the experimental group will be provided with their relatives and support during weaning from the mechanical ventilator.

Primary Outcome Measures

Name	Time	Method
Oxygen saturation (SpO2)	10 miniutes before weaning procedure	before weaning 4
Heart rate (per minute) - after weaning 3	10 miniutes after weaning procedure	Heart rate (per minute)
Oxygen saturation (SpO2) - after weaning 4	10 miniutes after weaning procedure	Oxygen saturation (SpO2)
Heart rate (per minute)	10 miniutes before weaning procedure	before weaning 3
State Anxiety	after 30 minutes the weaning procedure.	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.
Perianesthesia Comfort	on the 1st day after surgery	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.
Patient's systolic blood pressure (mmHg) - after weaning 1	10 miniutes after weaning procedure	Patient's systolic blood pressure (mmHg)
Patient's systolic blood pressure (mmHg)	10 minutes before weaning	before weaning 1
Diastolic blood pressures (mmHg) after weaning 2	10 miniutes after weaning procedure	Diastolic blood pressures (mmHg)
Diastolic blood pressures (mmHg)	10 minutes before weaning	before weaning 2

Secondary Outcome Measures

Name	Time	Method
The Visual Analog Scale	10 minutes after weaning procedure	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.

Trial Locations

Locations (1)

Kastamonu University; 🇹🇷 Kastamonu, Turkey