Using Chest Vibration Nursing Intervention to Improve Expectoration of Airway Secretions and Prevent Lung Collapse in Ventilated ICU Patients:üFA Randomized Controlled Trial

2.50
Hdl Handle:
http://hdl.handle.net/10755/150529
Type:
Presentation
Title:
Using Chest Vibration Nursing Intervention to Improve Expectoration of Airway Secretions and Prevent Lung Collapse in Ventilated ICU Patients:üFA Randomized Controlled Trial
Abstract:
Using Chest Vibration Nursing Intervention to Improve Expectoration of Airway Secretions and Prevent Lung Collapse in Ventilated ICU Patients:üFA Randomized Controlled Trial
Conference Sponsor:Sigma Theta Tau International
Conference Year:2010
Author:Chen, Yu-chih, PhD
P.I. Institution Name:Taipei Veterans General Hospital
Title:Deputy Director of Nursing
Co-Authors:Li F. Wu, MS, RN; Pei-Fan Mu, PhD, RN; Li H. Lin, MS, RN; Shin-shang Chou, RN, MSN, MBA
21st INRC [Research Presentation] Purpose: The purpose of this study is to evaluate the effect of a chest vibration nursing intervention on the expectoration of airway secretions and thus preventing lung collapse among ventilated critically illness patients. Methods: This was a randomized, single-blind experimental design. In total, 95 patients enrolled were from two ICUs and were randomly assigned into the experimental group (n=50) and control group (n=45). Patients in the control group received routine positioning care, which consisted of a change in body position every 2 hours. Patients in experimental group received routine positioning care plus the use of chest vibration nursing intervention for 72 hours. The chest vibration intervention tool places six times per day. Outcome variables were dry sputum weight (DSW) per 24 hours and lung collapse index (LCI); these were measured at 24 hours, 48 hours and 72 hours. Results: The patients who received the chest vibration nursing intervention had a greater DSW and a lower lung collapse index score after 24 hours. The pre-test DSW and group could explain 48.2% of the variance of the DSW at 24 hours. The LCI at the 24, 48 and 72 hours were all significantly improved in the intervention group compared to the control group. The previous LCI measured was the most significant predictor of the next LCI measured. A significant difference was found between the control and experimental groups in their 24, 48 and 72 hour DSW and lung collapse index after vibration, when monitored by the generalized estimating equation in time sequence. Conclusion: The results suggest that the chest vibration may contribute to expectoration and thus improve lung collapse among ventilated patients in an ICU. Chest vibration nursing intervention is a safe and effective alternative pulmonary clearance method and can be used on patients with ventilators in ICUs.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleUsing Chest Vibration Nursing Intervention to Improve Expectoration of Airway Secretions and Prevent Lung Collapse in Ventilated ICU Patients:üFA Randomized Controlled Trialen_GB
dc.identifier.urihttp://hdl.handle.net/10755/150529-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Using Chest Vibration Nursing Intervention to Improve Expectoration of Airway Secretions and Prevent Lung Collapse in Ventilated ICU Patients:&uuml;FA Randomized Controlled Trial</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Chen, Yu-chih, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Taipei Veterans General Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Deputy Director of Nursing</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">ycchen@vghtpe.gov.tw</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Li F. Wu, MS, RN; Pei-Fan Mu, PhD, RN; Li H. Lin, MS, RN; Shin-shang Chou, RN, MSN, MBA</td></tr><tr><td colspan="2" class="item-abstract">21st INRC [Research Presentation] Purpose: The purpose of this study is to evaluate the effect of a chest vibration nursing intervention on the expectoration of airway secretions and thus preventing lung collapse among ventilated critically illness patients. Methods: This was a randomized, single-blind experimental design. In total, 95 patients enrolled were from two ICUs and were randomly assigned into the experimental group (n=50) and control group (n=45). Patients in the control group received routine positioning care, which consisted of a change in body position every 2 hours. Patients in experimental group received routine positioning care plus the use of chest vibration nursing intervention for 72 hours. The chest vibration intervention tool places six times per day. Outcome variables were dry sputum weight (DSW) per 24 hours and lung collapse index (LCI); these were measured at 24 hours, 48 hours and 72 hours. Results: The patients who received the chest vibration nursing intervention had a greater DSW and a lower lung collapse index score after 24 hours. The pre-test DSW and group could explain 48.2% of the variance of the DSW at 24 hours. The LCI at the 24, 48 and 72 hours were all significantly improved in the intervention group compared to the control group. The previous LCI measured was the most significant predictor of the next LCI measured. A significant difference was found between the control and experimental groups in their 24, 48 and 72 hour DSW and lung collapse index after vibration, when monitored by the generalized estimating equation in time sequence. Conclusion: The results suggest that the chest vibration may contribute to expectoration and thus improve lung collapse among ventilated patients in an ICU. Chest vibration nursing intervention is a safe and effective alternative pulmonary clearance method and can be used on patients with ventilators in ICUs.</td></tr></table>en_GB
dc.date.available2011-10-26T10:35:38Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:35:38Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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