Nursing Outcomes of Noninvasive Positive Pressure Ventilation Therapy in Congestive Heart Failure Patient with Dyspnea in Emergency Room
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Abstract
Purpose: to study the nursing outcomes of congestive heart failure patients with dyspnea who were treated by noninvasive positive pressure ventilation at the emergency room.
Design: Combined retrospective-prospective study.
Methods: Fifty-four patients with congestive heart failure who had dyspnea and received noninvasive positive pressure ventilation therapy were equally separated into control and intervention groups with 27 each. The control group received standard conventional nursing care, while the intervention group received nursing care according to clinical nursing practice guideline for the therapy in patients with congestive heart failure having dyspnea symptom in emergency room. The data were collected from medical record forms and nurses’ notes. Descriptive statistics, independent t-test, and paired t-test were used for data analysis.
Main findings: Demographic data and vital signs at enrollment of both groups were not different. The mean heart rate before being discharged from emergency room of the intervention group was significantly lower than that of the control group (mean difference = 14.52, 95%CI = 1.94, 27.10). Failure rate of NIPPV therapy in the intervention and the control groups were 3.7% and 14.8%, respectively.
Conclusion and recommendations: A nursing care according to the therapy guideline could improve heart rate significantly and tended to decrease the failure rate of NIPPV therapy. It should be continually applied this clinical nursing practice guideline to improve the better nursing outcomes.
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