Respiratory failure in mechanically ventilated and intubated patients during ventilator weaning Respiratory failure Mechanical ventilation Ventilator weaning Self-regulation iPad-assisted communication Anxiety Critical care Patient participation Nursing intervention Randomized controlled trial
Conditions
Interventions
Participants in the intervention group received the Self-Regulation with iPad Use Program SRIUP developed by the principal investigator based on self-regulation theory and aligned with the three phase
Experimental Behavioral,No Intervention Behavioral
Self Regulation Program with iPad Assisted Communication,Standard Intensive Care Unit Care
Sponsors
Faculty of Nursing, Rattana Bundit University
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Age 18 years or older, 2. Diagnosed with respiratory failure requiring intubation, 3. On mechanical ventilation for at least 24 hours but not more than 7 days, 4. Assessed by physician as ready to begin T piece weaning, 5. No previous experience with ventilator weaning, 6. Conscious and oriented, 7. Stable vital signs including heart rate 50 to 120 beats per minute, respiratory rate less than 30 breaths per minute, systolic blood pressure 90 to 180 mmHg, diastolic blood pressure 60 to 110 mmHg, and oxygen saturation at least 90 percent or partial pressure of oxygen greater than 60 mmHg, 8. No vasodilator use or receiving only low dose administration, 9. Not receiving continuous intravenous sedation such as fentanyl, midazolam, or cisatracurium besylate, 10. Motor power score of 4 or higher and literate in Thai language, 11. No visual or auditory impairment, 12. Able to nod and read printed text in Angsana New 20 point font from a distance of 1 to 2 feet
Exclusion criteria
Exclusion criteria: 1. Active COVID-19 infection or tuberculosis during the contagious phase, 2. Diagnosis of Parkinson's disease, circulatory disorders, or schizophrenia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Anxiety level Baseline (before intervention) and 2 hours after intervention State-Trait Anxiety Inventory 20-item questionnaire with scores ranging from 20 to 80 higher scores indicate greater anxiety | — |
Secondary
| Measure | Time frame |
|---|---|
| Perceived fulfillment of care needs Baseline (before intervention) and 2 hours after intervention 30 item questionnaire developed based on Petro Yura and Walsh framework 5 point Likert scale higher scores indicate higher perceived fulfillment,Ventilator weaning success 48 hours post-extubation Successful extubation defined as maintaining spontaneous breathing without reintubation within 48 hours | — |
Countries
Thailand
Contacts
Public ContactNuttapol Chaihan
Faculty of Nursing, Rattana Bundit University
Outcome results
None listed