The Effects of the Use of a Needs Communication Assistance Application on Frustration and Anxiety Among Intubation Patients
Keywords:
The use of a needs communication assistance application, Frustration, Anxiety, Intubation patientsAbstract
Communication is a basic human need. Intubation patients cannot communicate orally, leading to frustration and anxiety. This quasi-experimental research aimed to examine the effects of a needs communication assistance application, based on the human needs concept developed by Yura and Walsh (1983) and the technology acceptance model developed by Davis (1989), on the levels of frustration and anxiety among intubation patients. The samples consisted of 60 endotracheal intubated patients. The purposive randomized sampling method was applied to divide the participants into two groups, a control group and an experimental group. Data were collected between April and July, 2021. The research instruments consisted of the following: 1) the use of the needs communication assistance application; 2) a communication application for intubation patients; 3) the video stories: "Sound That the World Can’t Hear", "Application Touches Sounds", and "Easy to Say Without Much Effort"; 4) a Personal Information Record Form; 5) a Frustration in Communication Questionnaire; and 6) the State Anxiety Inventory. Data were analyzed using descriptive statistics, Chi-squared test, Fisher's exact test, the Mann-Whitney U test, and the Wilcoxon-signed rank test
The findings indicated that the experimental group’s post-intervention mean rank score on frustration in communication was lower than the pre-intervention score, and also was significantly lower than that of the control group (p <.001). Moreover, the experimental group’s post-intervention mean rank score on anxiety in communication was lower than the pre-intervention score, and was also significantly lower than that of the control group (p < .001).
This study illustrates that the use of a needs communication assistance application can reduce frustration and anxiety. Hence, it is recommended that nurses apply this use of a needs communication assistance application to patients having undergone endotracheal tube intubation in order to promote their communication ability, which can lead to the maintenance of their mental and emotional well-being.
References
Bandura, A., (1986). Social foundations of thought and action: A social cognitive theory. Prentice-Hall.
Bandura, A., & Walters, R. H. (1977). Social learning theory. Englewood Cliffs, NJ: Prentice Hall.
Chan-ui, P., Thaniwattananon, P., & Petpichetchian, W. (2010). Effects of communication card on received care based on needs and perceived communication frustration in endotracheal intubated patients. Journal of Nursing Science and Health, 33(3), 1-11. (in Thai)
Choi, J., Tate, J. A., Rogers, M. A., Donahoe, M. P., & Hoffman, L. A. (2016). Depressive symptoms and anxiety in intensive care unit (ICU) survivors after ICU discharge. Heart & lung: The Journal of Critical Care, 45(2), 140-146.
Davis, F. D. (1989). Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Quarterly, 13(3), 319-340.
Gaudel, P., & Bai, J. (2017). Effectiveness of communication board on communication and level of frustration among mechanically ventilated post cardiothoracic surgery patients. International Journal of Current Advanced Research, 6(3), 2980-2986.
Gottschalk, M. G., & Domschke, K. (2017). Genetics of generalized anxiety disorder and related traits. Dialogues in Clinical Neuroscience, 19(2), 159-168.
Holm, A., & Dreyer, P. (2018). Use of communication tools for mechanically ventilated patients in the intensive care unit. Computers, Informatics, Nursing: CIN, 36(8), 398–405.
Javier, A., & Moral, P. G. (2012). Effectiveness of touchscreen device (iPad) as communication tool for intubated patients admitted at the University of Santo Tomas Hospital. European Respiratory Journal, 40(56), P2003.
Kitsripisarn, S., & Peepratoom, B., Puributr, C. (2012). Perceptions and needs for necessary knowledge about self care among patients with one day cataract surgery and caregivers. Thai Science and Technology Journal, 20(5), 437-448. (in Thai)
Koszalinski, R. S., Tappen, R. M., Melhuish, T., & Grumme, V. (2017). Evaluation of a novel communication application from nurses' perspectives. Computers, Informatics, Nursing, 35(6), 300-306.
Liu, J. J., Chou, F. H., & Yeh, S. H. (2009). Basic needs and their predictors for intubated patients in surgical intensive care units. Heart & Lung: The Journal of Critical Care, 38(3), 208–216.
Maclean, N., Pound, P., Wolfe, C., & Rudd, A. (2002). The concept of patient motivation: A qualitative analysis of stroke professionals’ attitudes. Stroke, 33(2), 444-448.
Margret, G. (2016). The effectiveness of vidatak-ez board on anxiety and frustration among mechanically ventilated patients in Ganga Hospital, Coimbatore (Doctoral dissertation). Cherraan's College of Nursing, Coimbatore.
Merilainen, M., Kyngas, H., & Ala-Kokko, T. (2013). Patients' interactions in an intensive care unit and their memories of intensive care: A mixed method study. Intensive and Critical Care Nursing Journal, 29(2), 78-87.
Nieuwboer, M. S., Perry, M., van der Sande, R., Maassen, I., Olde Rikkert, M. G. M., & van der Marck, M. A. (2018). Identification of influencing factors and strategies to improve communication between general practitioners and community nurses: A qualitative focus group study. Family Practice, 35(5), 619-625.
Otuzoglu, M., & Karahan, A. (2014). Determining the effectiveness of illustrated communication material for communication with intubated patients at an intensive care unit. International Journal of Nursing Practice, 20(5), 490-498.
Pankasikorn, P., & Kitsripisarn, S. (2020). Benefits of a self-care-promoting programme for cataract surgery patients’ knowledge and self-care behaviour. Journal of Thailand Nursing and Midwifery Council, 35(4), 84-98. (in Thai)
Pukkaeraka, W., Wongpiriyayotha, A., Wongpanara, N., & Suwunat, N. (2013). Effects of communication with handheld computer on satisfaction in communication among endotracheal intubation patients. Journal of Nurses' Association of Thailand, North-Eastern Division, 31(2), 72-79. (in Thai)
Rahimi, B., Nadri, H., Lotfnezhad Afshar, H., & Timpka, T. (2018). A Systematic Review of the technology acceptance model in health informatics. Applied Clinical Informatics, 9(3), 604-634.
Rodrigues, I. T., & Martinho, C. (2016). Communication of mechanically ventilated patients in intensive care units. Revista Brasileira de Terapia Intensiva, 28(1), 132-140.
Spielberger, C. D. (1989). State-trait anxiety inventory: Bibliography (2nd ed.). Palo Alto, CA: Consulting Psychologists Press.
Spielberger, C. D., Gorsuch, R. L., Lushene, R., Vagg, P. R., & Jacobs, G. A. (1983). Manual for the state-trait inventory. Mind Garden, Palo Alto, CA, USA.
Tou, S., Tou, W., Mah, D., Karatassas, A., & Hewett, P. (2013). Effect of preoperative two-dimensional animation information on perioperative anxiety and knowledge retention in patients undergoing bowel surgery: A randomized pilot study. International Journal of Colorectal Disease, 15(5), 256-265.
Wu, R. T., Yang, J. F., Zucconi, W., Lacadie, C., Swallow, M. S., Sun, A. H., . . . Persing, J. A. (2019). Frustration and emotional regulation in nonsyndromic craniosynostosis. Plastic and Reconstructive Surgery, 144(6), 1371-1383.
Yura, H., & Walsh, M. B. (1983). Human needs 3 and the nursing process. New York: Appleton-Century-Crofts.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Nursing Journal
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวารสารพยาบาลสาร
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับมหาวิทยาลัยเชียงใหม่ และคณาจารย์ท่านอื่นๆในมหาวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว