Burn’s Wean Assessment Program versus Routine Method to Predict Weaning Outcomes of Mechanically Ventilated Patients

Omaima Ahmed, W. Mohammed, Manal Abd elnaeem, S. Mohamed
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Abstract

Background : Knowing the weaning criteria is crucial to ensuring the success of mechanically ventilated patients, as weaning from the ventilator is the most challenging task for nurses. The study aim to compare utilizing Burn's Wean Assessment Program Versus Routine Method to predict outcomes of mechanically ventilated patient's Quasi experimental research design was used. Setting : This study was carried out in general intensive care unit at sohag university hospital 110 adult patients who had been on the ventilator for more than 72 hours served as a convenient sample . Three tools were utilized in this study: tool 1 patient characteristic, medical data, hemodynamic parameter, level of conscious assessment, Mechanical ventilation data and Acute Physiological and Chronic Health Evaluation tool 2 Burn's wean assessment checklist ; tool 3 patient's outcomes. Results: Burn's score and weaning outcome had a statistically significant and inverse relationship, which meant that a high Burn's score was linked to a shorter ventilation time and effective weaning. Conclusion: According to the study, using the Burn's program was preferable than using the conventional approach of weaning. Recommendations: Making a burn wean evaluation program training session for new nurses working in the critical care.
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烧伤的断奶评估程序与常规方法预测机械通气患者的断奶结果
背景:了解脱机标准对于确保机械通气患者的成功至关重要,因为脱机是护士最具挑战性的任务。本研究采用准实验研究设计,比较烧伤断奶期评估程序与常规方法对机械通气患者预后的预测。环境:本研究在索哈格大学医院普通重症监护室进行,110例使用呼吸机超过72小时的成年患者作为方便样本。本研究使用了三个工具:工具1患者特征、医疗资料、血流动力学参数、意识水平评估、机械通气数据和急性生理和慢性健康评估工具2烧伤断奶评估清单;工具3患者预后。结果:烧伤评分与脱机结果具有统计学上显著的负相关,这意味着高烧伤评分与较短的通气时间和有效的脱机有关。结论:根据研究,使用Burn程序比使用传统的断奶方法更可取。建议:为从事重症监护工作的新护士制定烧伤断奶评估计划培训课程。
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