Experiences of Older Patients in Successful Weaning from Noninvasive Positive Pressure Ventilation
Article Sidebar
Main Article Content
Abstract
Purpose: To describe and explain the meanings of the lived experiences of older patients in successful weaning from Noninvasive Positive Pressure Ventilation (NIPPV).
Design: Hermeneutic phenomenological qualitative research design.
Methods: Ten informants who were older patients in successful weaning from NIPPV were purposively recruited for the study. Data were collected using in–depth interview. Data were analyzed using van Manen’s approach. Trustworthiness was established by following Lincoln and Guba’s criteria.
Main findings: The informant reflected seven thematic categories of meanings within their five life-worlds. The lived body included two themes: 1) Learning to be with a ventilator patiently, and 2) Strengthening the mind to pass through the life crisis. The lived relation included two themes: 1) Receiving understanding and attentiveness from nurses, and 2) Having family members to care lovingly. The lived space included one theme: Recognizing that it was safe and must adapt to disturbances. The lived time included one theme: Accepting illness as a consequence of karma. The lived things included one theme: Perceiving that ventilation devices could save their life and extend breathing.
Conclusion and recommendations: The findings of this study provided understanding of older patients in successful weaning from NIPPV. The findings can be used to assist and care for older patients to overcome their life crisis appropriately and safely.
Article Details
Copyright Notice: Nursing Science Journal of Thailand has exclusive rights to publish and distribute the manuscript and all contents therein. Without the journal’s permission, the dissemination of the manuscript in another journal or online, and the reproduction of the manuscript for non-educational purpose are prohibited.
Disclaimer: The opinion expressed and figures provided in this journal, NSJT, are the sole responsibility of the authors. The editorial board bears no responsibility in this regard.
References
Rasmin M, Elhidsi M, Yahya WS. Characteristics and outcome of acute respiratory failure patients: a cross-sectional study from the National Referral Hospital for Respiratory Diseases. Pneumologia. 2018;67(2):77-81.
Scala R, Heunks L. Highlights in acute respiratory failure. Eur Respir Rev. 2018;27(147):180008. doi: 10.1183/16000617.0008-2018.
Pan C, Liu L, Xie J-F, Qiu H-B. Acute respiratory distress syndrome: challenge for diagnosis and therapy. Chin Med J. 2018;131(10):1220-24. doi: 10.4103/0366-6999.228765.
Safdar N, Dezfulian C, Collard HR, Saint S. Clinical and economic consequences of ventilator-associated pneumonia: a systematic review. Crit Care Med. 2005;33(10):2184-93. doi: 10.1097/01.ccm.0000181731.53912.d9.
Chawla R, Dixit SB, Zirpe KG, Chaudhry D, Khilnani GC, Mehta Y, et al. ISCCM guidelines for the use of non-invasive ventilation in acute respiratory failure in adult ICUs. Indian J Crit Care Med. 2020:24 Suppl 1:S61-81. doi: 10.5005/jp-journals-10071-G23186.
Jutong S. Clinical use of noninvasive ventilation. 2011 Practical application of noninvasive ventilation. In: Phurayanontachai R, editor. Overview and history of NIV development. Songkhla: Suburb of Printing; 2011. p.81-95. (in Thai).
Aziz AOA, El Bary IMA, Fattah MTA, Magdy MA, Osman AM. Effectiveness and safety of noninvasive positive-pressure ventilation in hypercapnia respiratory failure secondary to acute exacerbation of chronic obstructive pulmonary disease. The Egyptian Journal of Bronchology. 2017;11(3):215-23. doi: 10.4103/1687-8426.211398.
Ngandu H, Gale N, Hopkinson JB. Experiences of noninvasive ventilation in adults with hypercapnic respiratory failure: a review of evidence. Eur Respir Rev. 2016;25(142):451-71. doi: 10.1183/16000617.0002-2016.
Sellares J, Ferrer M, Anton A, Loureiro H, Bencosme C, Alonso R, et al. Discontinuing noninvasive ventilation in severe chronic obstructive pulmonary disease exacerbations: a randomised controlled trial. Eur Respir J. 2017;50(1):1601448. doi: 10.1183/13993003.01448-2016.
Pinthong P, Junda T, Panpakdee O, Theerawit P. Experience of patient with acute respiratory failure in receiving noninvasive positive–pressure ventilation. Ramathibodi Nursing Journal. 2011;17(3):343-57. (in Thai).
Heidegger M. What calls for thinking? In: Basic writing. San Francisco, CA: HarperCollins; 1993. 369-91 p.
van Manen M. Phenomenology of practice: meaning-giving methods in henomenological research and writing. New York: Routledge; 2014. 412 p.
Malterud K, Siersma VD, Guassora AD. Sample size in qualitative interview studies: guided by information power. Qual Health Res. 2016;26(13):1753-60. doi: 10.1177/1049732315617444.
Kongsuk T, Arunpongpaisal S, Janthong S, Prukkanone B, Sukhawaha S, Leejongpermpoon J. Criterion-related validity of the 9 questions depression rating scale revised for Thai central dialect. Journal of the Psychiatric Association of Thailand. 2018;63(4):321-34. (in Thai).
Lincoln YS, Gula EG. Naturalistic inquiry. Baverly Hills, CA: 1985. 416 p.
Sorensen D, Frederiksen K, Groefte T, Lomborg K. Striving for habitual well-being in noninvasive ventilation: a grounded theory study of chronic obstructive pulmonary disease patients with acute respiratory failure. J Clin Nurs. 2014;23(11-12):1726-35. doi: 10.1111/jocn.12322.
Toonsiri C, Hengudomsub P, Chaimongkol N, Photihung P. Factors influencing resilience among community - dwelling older adults with chronic illness: a causal model testing. The Journal of Faculty of Nursing Burapha University. 2019;27(1):78-88. (in Thai).
Locsin RC, Kongsuwan W. Lived experience of patients being cared for in ICUs in Southern Thailand. Nurs Crit Care. 2013;18(4):200-11. doi: 10.1111/nicc.12025.
Tabootwong W. Experiences of elderly with ventilator [master’ thesis]. Chon Buri: Burapha University; 2012. 94 p. (in Thai).
Ariffin SM, Pinyokham N, Tachaudomdach C. Intensive care experience among intensive care unit survivors. Nursing Journal. 2018;45(4):181-91. (in Thai).
Fisher KA, Mazor KM, Goff S, Stefan MS, Pekow PS, Williams LA, et al. Successful use of noninvasive ventilation in chronic obstructive pulmonary disease. How do high-performing hospitals do it? Ann Am Thorac Soc. 2017;14(11):1674-81. doi: 10.1513/AnnalsATS.201612-1005OC.
D’Orazio A, Dragonetti A, Campagnola G, Garza C, Bert F, Frigerio S. Patient compliance to non-invasive ventilation in sub-intensive care unit: an observational study. Journal of Critical Care Nursing. 2018;11(1):1-11. doi: 10.5812/ccn.65300.
Baumgarten M, Poulsen I. Patients' experiences of being mechanically ventilated in an ICU: a qualitative metasynthesis. Scand J Caring Sci. 2015;29(2):205-14. doi: 10.1111/scs.12177.
Thaniwattananon P. Care towards best nursing practice in geriatric syndromes. Songkhla: Suburb of Printing; 2016. 308 p. (in Thai).