The Effect of Provision of Information and Supportive Nursing Care on Blood Gas, Vital Signs, Anxiety, Stress, and Agitation Levels in COPD Patients Treated with NIV: A Randomized Controlled Trial

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ÇEKİÇ Y., YILMAZ BULUT T., Avci I. A.

INDIAN JOURNAL OF CRITICAL CARE MEDICINE, cilt.26, sa.9, ss.1011-1018, 2022 (ESCI) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 26 Sayı: 9
  • Basım Tarihi: 2022
  • Doi Numarası: 10.5005/jp-journals-10071-24315
  • Dergi Adı: INDIAN JOURNAL OF CRITICAL CARE MEDICINE
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Premier, CAB Abstracts, CINAHL, EMBASE, Veterinary Science Database
  • Sayfa Sayıları: ss.1011-1018
  • Anahtar Kelimeler: Agitation, Intensive care, Noninvasive ventilation, Supportive nursing care, OBSTRUCTIVE PULMONARY-DISEASE, NONINVASIVE VENTILATION, INTENSIVE-CARE, ACUTE EXACERBATION, UNIT
  • Kocaeli Üniversitesi Adresli: Evet

Özet

Background: Informative and supportive nursing care is essential to reduce complications and improve outcomes in people with chronic obstructive pulmonary disease (COPD) treated with noninvasive ventilation (NIV). The aim of this study was to determine the effect of provision of information and supportive nursing care on blood gas, vital signs, anxiety, stress, and agitation levels in people with COPD treated with NIV. Methods: A randomized controlled design was used between September and December 2019. Patients with COPD treated with NIV in the intensive care unit (ICU) in a state hospital were included. A total of 60 patients, composed of 30 interventions and 30 controls, were randomly included in the sample. Provision of information and supportive nursing care was applied to the patients in the intervention group. Results: Following the intervention, the findings showed that the provision of information and supportive nursing care has a positive effect on the blood gas, vital signs, anxiety, stress, and agitation levels of patients. It was determined that the change in the averages of DASS-Anxiety, DASS-Stress, and RASS-Agitation of the intervention and control groups were statistically significant in terms of group x time (respectively, F = 41.214, p = 0.003; F = 7.561,p = 0.008; F = 65.004,p = 0.000) interaction (p < 0.05). Conclusions: The provision of information and supportive nursing care is recommended to alleviate anxiety, stress, and agitation in people with COPD treated with NIV.