Health-related Quality of Life and Nursing-sensitive Outcomes in Mechanically Ventilated Patients in an Intensive Care Unit
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 184
- 主要终点
- Health-Related Quality of Life (HRQL) of patients admitted to ICU
研究概览
简要总结
This study will allow us to determine the perceived Health-Related Quality of Life (HRQL) a year after ICU discharge, and compare it with HRQL measured earlier on in the process, as well as analyse the negative experiences they had while in the ICU and as a result of MV and their impact over time. It will also allow us to assess the effect of Nursing Sensitive Outcomes and ICU stressors on health-related outcomes and how they affect HRQL.
详细描述
Mechanical ventilation (MV) is one the most utilised therapeutic techniques within the intensive care unit (ICU). It is commonly used to support patients diagnosed with severe respiratory failure, but several complications have been documented in the literature that can appear during both the acute phase of treatment and in later phases, becoming a chronic problem in some cases. Most of these complications are related to the length of treatment, and they could affect patients' health-related quality of life (HRQL).
HRQL conceptualisation is vital for the analysis and evaluation of health-related outcomes. Knowing the patient's health perception, his wishes and motivating factors when making decisions related to his own health, as well as applying procedures to evaluate healthcare providers are essential to the definition of HRQL.
Diagnosis and treatment of illness exclusively at a biomedical level in addition to technologically advanced procedures represent a qualitative improvement in patient survival in recent decades, but they have reduced a more holistic approach to health care because they only fight against illness without promoting patient welfare.
From a more holistic perspective and in an attempt to quantify the contribution of nursing to health-related outcomes, the term "nursing-sensitive outcome" (NSO) was created. According to the National Quality Forum, those indicators that are sensitive to certain nursing interventions are measurements of the process' structure (the process itself and its outcomes) and are affected or influenced by the intervention of nurses, although the responsibility is shared with other professionals. The forum agreed on several NSO standards such as pressure ulcer care, infection control, falls prevention, expertise of the nursing team, patient satisfaction and HRQL.
Outcome evaluation and knowledge of HRQL in mechanically ventilated critical care patients is vital to understanding how this therapeutic technique affects patients and therefore to designing care strategies for both acute and later phases of treatment. The goal is to minimize unwanted effects and improve cost-effectiveness, always considering the patient's perspective during the decision-making process.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Over 18 years old.
- •Mechanical ventilation for more than 48 hours.
- •Voluntary participation (signed informed consent).
排除标准
- •Patients admitted from other ICUs that had been mechanically ventilated for more than 48 hours at the time of admission to our centre.
- •Patients with domiciliary respiratory support.
- •Mentally or psychologically impaired patients (unable to comprehend the questionnaire).
- •Patients who do not speak Spanish fluently.
- •Patient without a permanent address (unable to do a proper follow-up).
结局指标
主要结局
Health-Related Quality of Life (HRQL) of patients admitted to ICU
时间窗: 1 year after discharge for ICU
次要结局
- Relationship between the duration (in days) of mechanical ventilation and HRQL one year after discharge from the ICU(1 year after discharge for ICU)
- Relationship between Nursing Sensitive Outcome 1 (Pressure Ulcer Care) and the HRQL of mechanically ventilated patients in ICU.(1 year after discharge for ICU)
- Number of stressors that mechanically ventilated patients admitted in ICU identify when discharged utilizing the ICU Stressful Experience Questionnaire (ICU-SEQ)(1 year after discharge for ICU)
- Differences in HRQL in mechanically ventilated patients prior to admission into ICU and one year after discharge from the ICU(1 year after discharge for ICU)
- Relationship between Nursing Sensitive Outcome 2 (Falls Prevention) and the HRQL of mechanically ventilated patients in ICU.(1 year after discharge for ICU)
- Differences between the patient's own assessment of HRQL and the main caregiver's perception.(1 year after discharge for ICU)
- Relationship between the amount and type of stressors perceived by mechanically ventilated patients during their admission and their HRQL one year after discharge from the ICU(1 year after discharge for ICU)
- Relationship between Nursing Sensitive Outcome 3 (Infection Control) and the HRQL of mechanically ventilated patients in ICU.(1 year after discharge for ICU)
- Relationship between Nursing Sensitive Outcome 4 (Expertise of the Nursing Team) and the HRQL of mechanically ventilated patients in ICU.(1 year after discharge for ICU)