Paper: Analyze the Efficacy of Weaning Training Program for Mechanically Ventilated Patients (Sigma Theta Tau International's 21st International Nursing Research Congress)

Thursday, 15 July 2010: 2:05 PM

Lin-Ying Chiang, RN
Taipei Veterans General Hospital(TVGH), Taipei Veterans General Hospital(TVGH), Taipei, Taiwan
Yu-Chu Pai
Nursing Department, Taipei Veterans General Hospital(TVGH), Taipei, Taiwan
Po-Yao Lin, RN
Nursing Department, Taipei Veterans General Hospital, No.201, Sec 2, Shi-Pai Rd., Pei-Tou, Taipei 11217 Taiwan, Taipei Veterans General Hospital, Taipei, Taiwan
Mei-chuan Chen, MS
Nursing Department, Taipei Veterans General Hospital, Taiwan

Learning Objective 1: our results could significantly reduce hospital readmission rate and hospitalization days to improve self-care ability and quality of life.

Learning Objective 2: our results could save medical spending and society resources.

The purpose of this study was to analyze the efficacy of weaning training program for mechanically ventilated patients. A retrospective study was conducted to review patient medical records from 2006 to 2009 in an intensive care unit at a medical center. These ventilator patients had received three training programs, including mobilization, sitting position or arm exercise. The tools included patient’s demographic data and weaning ventilated scale. The validity and reliability had been validated through respiratory specialty expertise’s opinions associated with Cronbach’s alpha .864. The collected data were analyzed using 17.0 SPSS/Windows statistical package software. Our results showed that the successful rate of weaning ventilator in the train group (90.0%) was higher than that of the non-train group (78.2%) (t= 3.07, p < .01). In comparison the train and non-train groups, weaning ventilator scale(t= 5.03, p <.001), hospitalization days(t= -2.63, p <.01), ventilator-carried days (t= -3.13, p<.01)and cost(t= -1604, p < .001)were significant difference. The predictors of successfully weaning ventilator were age, BUN, RSI, the ventilator-carried days and hospitalization days. The predictors of psychological scores were APACHE score, neural system disorder and ventilator-carried days; the explained variance was 48%. In addition, our results could significantly reduce hospital readmission rate and hospitalization days to improve self-care ability and quality of life, for further saving medical spending and society resources.

See more of: Intensive Care Interventions
See more of: Evidence-Based Practice Sessions – Oral Paper & Posters