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Suffering from weaning failure leads to mind-body disharmony; however, reducing anxiety and self-reliance on breathing control may inspire patients’ capability to wean from mechanical ventilation. This randomized controlled trial examined the effects of the Integrated Concentration Meditation Care Program on anxiety level and breathing control among 54 participants suffering with difficult weaning from mechanical ventilator. Participants were randomly assigned to either the experimental (n=23) or the control group (n= 31). The experimental group received nine steps of a nurse-initiated strategy called “GREATWEAN” (Goal setting, Reducing fear and anxiety, Engaging the family to be present with the patient, Active involvement of the patient, Technology safely and appropriately used, Working together, Empowerment, Assessing, and Nurturing) in addition to usual care, while the control group received only usual care. Data collection instruments were: a) Demographic Data Record Form, b) Visual Analogue Scale for Anxiety, and c) Breathing Control measured by respiration rate, minute ventilation and oxygen saturation in an Observation Record Form.
The findings showed a statistical significance in anxiety reduction in the experimental group as compared to the control group at day 3 and 7 of the program implementation, whereas self-breathing control was not significant difference between the two groups. The meditation care program can be applied to reduce anxiety level in persons with difficult weaning.
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