Volume 26, Issue 82 (June 2013)                   IJN 2013, 26(82): 62-73 | Back to browse issues page

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Salmani F. The Effect of Discontinuation Protocol on the Duration of Mechanical Ventilation. IJN 2013; 26 (82) :62-73
URL: http://ijn.iums.ac.ir/article-1-1567-en.html
Doctoral student, Dept of nursing, Najafabad Branch, Islamic Azad University, Isfahan, Iran , f-salmani@iaun.ac.ir
Abstract:   (8330 Views)


  Background and Aim: While in many instances, mechanical ventilation discontinuation is assessed subjectively by a number of parameters protocols would provide safe and effective discontinuation. This study aimed to determine the effect of discontinuation protocol on the duration of mechanical ventilation among patients hospitalized in intensive care units (ICUs) of Al Zahra hospital in Esfahan city.

  Materials and Methods: It was a randomized clinical trial. Fifty patients who had been connected to mechanical ventilators for more than 48 hours were assigned to either experimental (n=25) or control (n=25) group by minimization . The experimental group was weaned by a special protocol by trained nurses and the control group was weaned as usual. Data was analyzed by descriptive and inferential statistics (t-test, chi-square, Fisher's exact and Mann-Whitney) using SPSS-PC (v. 17).

  Results: The findings showed that the mean duration of mechanical ventilation in experimental group is significantly lower than the control group (p=0.03). The mean length of stay in intensive care unit of patients in the experimental group was significantly lower than the control group (p=0.006). There were also a significant deference between unsuccessful extubaion in experimental and control groups (p=0.01).

 Conclusions : The results showed that using a structured guideline and weaning tool shortens the length of mechanical ventilation and length of stay in ICUs and also reduces unsuccessful extubation comparing routine methods .

  Received: 9 March 2013

  Accepted: 10 Jun 2013


Full-Text [PDF 265 kb]   (14871 Downloads)    
Type of Study: Research | Subject: nursing
Received: 2013/11/30 | Accepted: 2013/11/30 | Published: 2013/11/30

Add your comments about this article : Your username or Email:

Send email to the article author

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2015 All Rights Reserved | Iran Journal of Nursing

Designed & Developed by : Yektaweb