@article{Temkeaw_Thaniwattananon_Matchim_2017, title={Effects of Integrated Ventilator Weaning Program on the Reduction of Uncertainty Feeling in Older Patients}, volume={37}, url={https://he02.tci-thaijo.org/index.php/nur-psu/article/view/106590}, abstractNote={<p>A number of patients with critical illness are intubated until their clinical condition is better. Weaning<br>elderly patients off of ventilators is challenging. This study aimed to examine the effects of an integrated<br>ventilator weaning program on the uncertainty and time spent in breathing as tolerate during weaning process<br>of older patients at a university hospital in Southern Thailand. First 25 patients and 25 family caregivers were<br>purposively selected to be in the control group which received usual care. After data collection of the control<br>group completion, 25 patients and 25 family caregivers were purposively selected to be in the experimental<br>group. The experimental group received the integrated ventilator weaning program which was developed<br>based on the uncertainty in illness framework of Mishel. Instruments used for data collection included (1)<br>the Demographic and Illness Questionnaire (DIQ), (2) the Uncertainty for Weaning Assessment (UWA),<br>(3) The Weaning Flow Sheet (WFS) for recording time and parameters during weaning, and (4) The semi<br>structured interview questions. Five participants who were successfully removed endotracheal tube during<br>the program were interviewed to explore their experience during the weaning phase. Demographic data were<br>analyzed by using descriptive statistics and Chi-Square test. The uncertainty scores and time spent during<br>the weaning process were analyzed by using paired t-test and independent t-test. Content analysis was used<br>to analyze qualitative data.<br>After intervention completion, mean scores of uncertainty of the intervention group were statistically<br>significantly lower than before receiving the intervention (p< .05), mean scores of uncertainty of the<br>intervention group were statistically significantly lower than those in the control group (p< .05). There was<br>no statically significant difference of time spent in weaning process between both groups. Qualitative data<br>analysis revealed that the integrated ventilator weaning program helped the patients reduce uncertainty and<br>promote their ability of breathing.<br>The findings indicate that the integrated ventilator weaning program could reduce uncertainty feeling<br>in older patients. However, the program could not extend time of breathing as tolerate during weaning<br>process.</p>}, number={Supplement}, journal={Journal of Research in Nursing-Midwifery and Health Sciences }, author={Temkeaw, Sukuma and Thaniwattananon, Ploenpit and Matchim, Yaowarat}, year={2017}, month={Dec.}, pages={32–40} }