Effects of Nurse-Led Mechanical Ventilator Weaning Protocol on Ventilator Duration and Weaning Success in Preterm Infants with Ventilator-Nasal Continuous Positive Airway Pressure

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Chonticha Kuladnarm
Renu Pookboonmee
Pisamai Orathai

Abstract

This quasi-experimental research with nonrandomized control group posttest only design purposed to investigating the effects of nurse-led mechanical ventilator weaning protocol on ventilator duration and weaning success in preterm infants with ventilator-nasal continuous positive airway pressure (V-NCPAP). The study sample consisted of preterm infants who received V-NCPAP and were admitted into the pediatric and neonatal intensive care unit (P-NICU) at Sirindhorn Hospital. Twenty nine subjects in the control group received routine weaning, while thirty subjects in the experimental group received the nurse-led mechanical ventilator weaning protocol which consisted of 3 phases: 1) pre-weaning 2) inter-weaning and 3) post-weaning. The research instruments were composed of the nurse-led mechanical ventilator weaning protocol, the V-NCPAP record form and the nursing record form based on the nurse-led mechanical ventilator weaning protocol. Data were analyzed using descriptive statistics, Chi-square test, Fisher’s probability exact test, independent t-test and Mann-Whitney U test. The study findings demonstrated that preterm infants in the experimental group had ventilator duration shorter than that of the preterm infants in the control group with statistical significance (p <.05), while weaning success in the experimental group had no significant difference with the control group with statistical significance (p >.05). The study findings revealed that  the nurse-led mechanical ventilator weaning protocol could reduce ventilator duration but could not induce weaning success. Therefore, the further studies on the effects of nurse-led mechanical ventilator weaning protocol in different settings or in addition to clinical outcomes of weaning success are needed for enhancing the quality of care provided to preterm infants with V-NCPAP.

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How to Cite
1.
Kuladnarm C, Pookboonmee R, Orathai P. Effects of Nurse-Led Mechanical Ventilator Weaning Protocol on Ventilator Duration and Weaning Success in Preterm Infants with Ventilator-Nasal Continuous Positive Airway Pressure. Rama Nurs J [Internet]. 2017Oct.31 [cited 2020Jul.8];23(2):129-44. Available from: https://he02.tci-thaijo.org/index.php/RNJ/article/view/80385
Section
บทความวิจัย
Author Biographies

Chonticha Kuladnarm, Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University

Registered Nurse at Sirindhorn Hospital.

Renu Pookboonmee, Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University.

Asscociat Professor at Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University.

Pisamai Orathai, Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University.

Assistant Professor at Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University.