Periyarselvi, V K R (2012) Assess the effectiveness of specific nursing interventions among patients on mechanical ventilator in Toxicology Unit at Rajiv Gandhi Government General Hospital, Chennai -03. Masters thesis, College of Nursing, Madras Medical College, Chennai.
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Abstract
Patients on mechanical ventilator pass through a period of physical stress are both physiologic and psychologic in its effects. Ventilator Associated Pneumonia is a major complication, which leads to increase the length of stay in the Intensive Care Unit and increases the mortality and morbidity rates. A Quasi- experimental, Pre-test Post- test Control group design study was conducted to assess the effectiveness of specific nursing interventions among patients on mechanical ventilator in Toxicology unit at Rajiv Gandhi Government General Hospital. Total 30 samples were selected by convenient sampling technique and allotted into experimental and control group. Pre intervention assessment was done for both groups. Specific nursing interventions, like head of the bed elevation 30-40 degree angle, closed tracheal suctioning, and maintenance of adequate endotracheal tube cuff pressure was provided for experimental group three times a day and based on the needs for three consecutive days. Samples in the control group received routine care as per Hospital protocols and physician’s prescription and their vital parameters were assessed daily three times a day for three consecutive days. Post intervention assessment was done for both experimental and control group. The health status was observed and assessed through observational check list. The results showed that majority(13) (80%) of them improved well and their conscious level, ventilator mode, O2 saturation% was improved, and the auscultation of the chest was clear in the experimental group, where as only(2) 20% of the sample’s conscious level, ventilator mode and the O2 saturation% was improved in the control group. The association between auscultation of chest, ventilator mode and the level of conscious with clinical variables, less than three days of ventilation and not presence of co morbid disease are significant(P=0.001***). The results revealed that these specific nursing interventions, had a significant effect on the improvement of health status of the patients and it helps to prevent Ventilator Associated Pneumonia among patients on mechanical ventilator.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Nursing Interventions; Patients; Mechanical Ventilator; Toxicology Unit; Chennai |
| Subjects: | NURSING > Medical Surgical Nursing |
| Depositing User: | Ramakrishnan J |
| Date Deposited: | 28 Sep 2017 05:48 |
| Last Modified: | 28 Sep 2017 05:48 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/3417 |
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