Effect of Nursing Care Protocol daily Interruption of Sedation on Mechanical Ventilated Patients 'Outcome

Abstract

Nursing care protocol daily sedation is very important to optimize sedation for patients on mechanical ventilators, these requires nursing staff is very crucial in this aspect to avoid complication of sedation and earlier extubation. Aim: This study was aimed to identify impact nursing care protocol for daily interruption sedation on mechanical ventilation patients outcome. Design: a quasi-experimental design. Setting: Carried at ICU at Assiut university hospital. Subjects: A purposive sample of 70 adults patients. Sample was assigned to two equal groups (study and control). Tools: Four tools were utilized to collect data of study, tool I: Patient assessment sheet. Tool II: Interruption and infusion sedation assessment scales tool. Tool III: Intensive Care Delirium Screening Checklist. Tool IV:patients outcome tool. Results: the present study revealed that there was a statistical significant differences (P<0.001**) between study and control groups in relation to sedative complication, Delirium , ICU stay, and Duration of mechanical ventilation. Conclusion: Patient who received nursing care protocol during daily interruption of sedation leading to improve outcome and reduce complication. Recommendation: Provide in service education and training program for critical care nurses regarding applying daily interruption of sedation and how managed these patients