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

Not Applicable

Completed

• Conditions: Anxiety; Communication; Comfort
• Interventions: Behavioral: illustrated communication material

• Registration Number: NCT04293913
• Lead Sponsor: Saglik Bilimleri Universitesi Gulhane Tip Fakultesi

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.

Detailed Description

The use ofcommunication material in communication with patients receiving mechanical ventilator support increases patient satisfaction and reduces communication difficulties. However, there was no randomized controlled clinical study showing the effect of the use of these materials on patient care outcomes such as anxiety and comfort level.Patients were randomly assigned to the control groups using illustrated communication material and intervention and routine communication methods. The research was carried out in three stages: preoperative, intensive care and one day after surgery. The primary outcomes of the study were pain, anxiety and comfort levels of the patients. Secondary outcomes were the patients' satisfaction with hemodynamic parameters and communication method.

Study Timeline

• Study Start: 2016-01-15
• Primary Completion: 2017-04-20
• Study Completion: 2017-06-15
• Status Verified: 2020-02
• Study First Submitted: 2020-02-17
• Study First Submitted QC: 2020-02-28
• Last Update Submitted: 2020-02-28
• Study First Posted: 2020-03-03
• Last Update Posted: 2020-03-03

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

1. Having undergone cardiac surgery
2. Being applied mechanical ventilator therapy
3. Being 18 or over
4. To have scored minimum 2 to maximum 2 from Richmond Agitation Sedation Scale (RASS)
5. Agree to participate in the research.

Exclusion Criteria

1. not knowing Turkish

2. Having vision and hearing loss,

3. Having a cognitive or psychological problem that prevents them from communicating. 4. Having an intubation experience before

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
intervention group	illustrated communication material	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.

Primary Outcome Measures

Name	Time	Method
change of anxiety over time	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	it was measured by using the Faces Anxiety Scale
comfort level	1 day after surgery	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

Secondary Outcome Measures

Name	Time	Method
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	hemodynamic data are systolic and diastolic blood pressure, heart rate, respiration rate, and peripheral oxygen
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	It is stated that numerical scales have been adopted more in clinical practice because they are useful in facilitating the definition of pain intensity, facilitating scoring and recording, and evaluating ceiling and floor effects. "The Numerical Evaluation Scale" was used to determine the pain levels of patients and to evaluate their satisfaction with the communication method used and the adequacy of the method