Comparison of mechanically ventilated patients with three types of

Abstract

ABSTRACTBackground and aim: Communication is one of the most essential needs of humanbeings.Mechanical ventilation compromises patients’ ability to communicate their needs. Thisresearch was conducted to assess the effect of three methods of communication with patientsreceiving mechanical on their satisfaction in Arak hospitals 1389(2010).Method and materials: This randomized clinical trial was conducted in Intensive Care Units ofValey Asr, Amir Al Momenin and Ghods hospitals in Arak ,Iran. 60 patients who were admitted inICU and were receiving mechanical ventilation were included in the study. These patients wererandomly allocated in three groups.During a 12 hours period researcher used 1 method ofcommunication for each group of these patients. These mrthods of communication included :A:Communicational board (words & letters). B: Communicational board (pictures & letters). C: Theconventional method. Data were collected using a questionnaire. The questionnaire consisted ofthree parts: demographic variables, medical history and satisfaction with communicationmethod.Validity of the instrument was assured by content validity index. , Cronbach's alpha wasused to determine the reliability of the iinstrument. SPSS, version 16 was used for data analysis.Findings:There was not a significant difference among three groups in terms of age, gender, meanlength of stay in the ICU before mechanical ventilation treatment. The mean satisfaction scoreswere 2.58, 3.83 and 4.10 for conventional communication group, communication board A ( words& letters) and communication board B( pictures and letters) respectively. There was a significantdifference among three groups in terms of their satisfaction with communication method(P<0.001).The one way analysis of variance indicated that using communication boards A & Bsignificantly increased patient satisfaction.Conclusion: Using communication boards facilitates communication with mechanically ventilatedpatients and increase their satisfaction.*Corresponding Author: Ziba Farahani Borzabadi, Borzabadi Farahani. Dept.of Nursing, Facultyof Nursing and Midwifery, Shahid Beheshti University of Medical Science, Tehran, IranEmail: ziba_farahani_2000@Yahoo.com-Cabe C (2004). Nurse – patient communication: an exploration of patient’s experiences. Journal of ClinicalNursing.13(1) 41-49.-Elder N et al. (2008). Nurse's perception of error communication and reporting in intensive care unit. Journal of PatientSafety. 4 (3)162-168.-Ghamari zare A et al (2008) [Quality of nurse's performance and patient's satisfaction in cardiac care units]. Tabib eShargh Journal 10 (1) 27-36. (Persian)-Imani-Pour M [Quasi experimental research on anxiety and satisfaction of patients undergoing open cardiac surgeryhaving intubation in selective hospital of Tehran Medical university 2001] MSc Thesis in nursing. Tehran University ofMedical Science.(Persian)-Kozier B et al (2008). Fundamental of Nursing Concept and Procedure. 8th edition. New Jersey: Prentice-Hall. Inc.-Patak L Gawlinski A Fung I et al (2006) Communication boards in critical care: patients’ views.Applied NursingResearch 19(4) 182-190-Potter P Perry A (2005). Fundamental of Nursing.7th edition. St.Louis: Mosby.-Price A (2004). Intensive care nurses' experiences of assessing and dealing with patient's psychological needs. Nursingin Critical Care. 9(3):134-142.-Rask MT et al (2009). Effects of an intervention aimed at improving nurse-patient communication in an oncologyoutpatient clinic. Cancer Nursing.32 (1)1-11-Schulmeister L et al (2005). Quality of life quality of care, and patient satisfaction: Perceptions of patient undergoingoutpatient autologous stem cell transplantation. Oncology Nursing Forum. 32 (1) 57-59-Stovesky B et al. (1988). Comparison of two types of communication methods used after cardiac surgery with patientswith endotracheal tubs. Heart& Lung.17 (3) 281-289.-Taylor C Lillis C Lemone P (2008).Fundamental of Nursing: The Art and Science of Nursing Care. 6 th edition.Philadelphia: Lippincott. Co-Trovo De Araujo M Paes Da Silva M (2004). Communication with dying patient –perception of intensive care unitsnurses in Brazil. Journal of Clinical Nursing. 13 (5) 143-153.