Effect of Using Nonverbal Communication Method versus Traditional Methods toward Expressing Needs and Satisfaction for Mechanically Ventilated Patients
Journal Title: IOSR Journal of Nursing and health Science - Year 2019, Vol 7, Issue 1
Abstract
Background: Critically ill patients in the intensive care unit (ICU) often experience pain, anxiety, fear, dyspnea, and other forms of distress related to ICU interventions and mechanical ventilation. When a patient is intubated and mechanically ventilated, communication is often accomplished through facial expressions, gestures, and/or writing, however, these simple modes of communication are not always effective. Communication board is one of the methods that help patients point to a picture which express their complain Aim: This study was conducted to evaluate the effectiveness of using nonverbal communication method versus traditional methods toward expressing needs ,anxiety level and satisfaction for mechanically ventilated Patients. Design: A quasi-experimental study design was used to conduct this study. The study was conducted at cardiothoracic surgery ICU, at Ain Shams University Hospitals affiliated to Ain Shams University. A purposive sample of 80 patients undergoing open heart surgery who were randomly divided into two equal groups Tools for data collection: Four tools were used in this study. Tool Patient’s characteristics questionnaire. Tool 2 Anxiety Hamilton scale. Tool 3 Patient’s needs expression assessment questionnaire. Tool 4 Interviewing patient's satisfaction questionnaire (IPSQ).Results there was a statistically significant difference regarding expressing patients’ needs using developed communication board rather than traditional methods with highly statistical significance difference as well as the anxiety level has been decreased in intervention group .Also based on ( IPSQ) ,85% of study group were satisfied by using the developed communication board compared to 8% of control group with a highly statically significantly difference Conclusion: The developed communication board improved the mechanically ventilated patients’ ability to express their needs , decreased their anxiety level and increase their satisfaction level with this way of communication. Recommendations: communication boards should be used as a standard method in communicating with conscious mechanically ventilated patients and the board should be provided with more pictures that show all patients’ need.
Authors and Affiliations
Nany Mohamed Erfan, Hanan Sobeih Sobeih, Dalia Ali Ameen
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