Cargando…

Evaluating the Use of Communication Board on Cortisol Level and Physiological Parameters in Mechanically Ventilated Patients

BACKGROUND: Mechanically ventilated patients experience a high level of anxiety due to their therapeutic condition. Anxiety is one of the strongest emotions that patients under mechanical ventilation experience due to their inability to communicate with others. The aim of this study was to investiga...

Descripción completa

Detalles Bibliográficos
Autores principales: Divani, Anahita, Manookian, Arpi, Haghani, Shima, Meidani, Mohsen, Navidhamidi, Mojdeh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9552588/
https://www.ncbi.nlm.nih.gov/pubmed/36237952
http://dx.doi.org/10.4103/ijnmr.ijnmr_82_21
_version_ 1784806281809231872
author Divani, Anahita
Manookian, Arpi
Haghani, Shima
Meidani, Mohsen
Navidhamidi, Mojdeh
author_facet Divani, Anahita
Manookian, Arpi
Haghani, Shima
Meidani, Mohsen
Navidhamidi, Mojdeh
author_sort Divani, Anahita
collection PubMed
description BACKGROUND: Mechanically ventilated patients experience a high level of anxiety due to their therapeutic condition. Anxiety is one of the strongest emotions that patients under mechanical ventilation experience due to their inability to communicate with others. The aim of this study was to investigate the effect of using a communication board on these patients’ by assessing serum cortisol level and vital signs. MATERIALS AND METHODS: This randomized clinical trial study was conducted in 2020. This study included 60 ventilated patients, who had been randomly assigned into two intervention and control groups. After blood sampling and evaluation of cortisol and physiological parameters, patients in the control group received routine communication by nurses, whereas those in the intervention group received communication using a communication board. Subsequently, the serum cortisol level and physiological parameters were measured again. RESULTS: No significant difference was observed between the two groups in terms of demographic characteristics. There was a significant difference in blood cortisol levels before and after in the intervention group (t(29) = 15.52, p < 0.001). After the intervention, the intervention group's systolic blood pressure (t(58) = −3.78, p < 0.001), diastolic blood pressure (t(58) = −3.79, p < 0.001), and heart rate (t(58) = −2.09, p = 0.041) were significantly lower than the control group. CONCLUSIONS: Communication through a communication board in mechanically ventilated patients leads to decreased cortisol levels and physiological parameters. It is recommended to do more studies about communication boards’ content and use this tool for more prolonged periods.
format Online
Article
Text
id pubmed-9552588
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Wolters Kluwer - Medknow
record_format MEDLINE/PubMed
spelling pubmed-95525882022-10-12 Evaluating the Use of Communication Board on Cortisol Level and Physiological Parameters in Mechanically Ventilated Patients Divani, Anahita Manookian, Arpi Haghani, Shima Meidani, Mohsen Navidhamidi, Mojdeh Iran J Nurs Midwifery Res Original Article BACKGROUND: Mechanically ventilated patients experience a high level of anxiety due to their therapeutic condition. Anxiety is one of the strongest emotions that patients under mechanical ventilation experience due to their inability to communicate with others. The aim of this study was to investigate the effect of using a communication board on these patients’ by assessing serum cortisol level and vital signs. MATERIALS AND METHODS: This randomized clinical trial study was conducted in 2020. This study included 60 ventilated patients, who had been randomly assigned into two intervention and control groups. After blood sampling and evaluation of cortisol and physiological parameters, patients in the control group received routine communication by nurses, whereas those in the intervention group received communication using a communication board. Subsequently, the serum cortisol level and physiological parameters were measured again. RESULTS: No significant difference was observed between the two groups in terms of demographic characteristics. There was a significant difference in blood cortisol levels before and after in the intervention group (t(29) = 15.52, p < 0.001). After the intervention, the intervention group's systolic blood pressure (t(58) = −3.78, p < 0.001), diastolic blood pressure (t(58) = −3.79, p < 0.001), and heart rate (t(58) = −2.09, p = 0.041) were significantly lower than the control group. CONCLUSIONS: Communication through a communication board in mechanically ventilated patients leads to decreased cortisol levels and physiological parameters. It is recommended to do more studies about communication boards’ content and use this tool for more prolonged periods. Wolters Kluwer - Medknow 2022-05-23 /pmc/articles/PMC9552588/ /pubmed/36237952 http://dx.doi.org/10.4103/ijnmr.ijnmr_82_21 Text en Copyright: © 2022 Iranian Journal of Nursing and Midwifery Research https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Divani, Anahita
Manookian, Arpi
Haghani, Shima
Meidani, Mohsen
Navidhamidi, Mojdeh
Evaluating the Use of Communication Board on Cortisol Level and Physiological Parameters in Mechanically Ventilated Patients
title Evaluating the Use of Communication Board on Cortisol Level and Physiological Parameters in Mechanically Ventilated Patients
title_full Evaluating the Use of Communication Board on Cortisol Level and Physiological Parameters in Mechanically Ventilated Patients
title_fullStr Evaluating the Use of Communication Board on Cortisol Level and Physiological Parameters in Mechanically Ventilated Patients
title_full_unstemmed Evaluating the Use of Communication Board on Cortisol Level and Physiological Parameters in Mechanically Ventilated Patients
title_short Evaluating the Use of Communication Board on Cortisol Level and Physiological Parameters in Mechanically Ventilated Patients
title_sort evaluating the use of communication board on cortisol level and physiological parameters in mechanically ventilated patients
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9552588/
https://www.ncbi.nlm.nih.gov/pubmed/36237952
http://dx.doi.org/10.4103/ijnmr.ijnmr_82_21
work_keys_str_mv AT divanianahita evaluatingtheuseofcommunicationboardoncortisollevelandphysiologicalparametersinmechanicallyventilatedpatients
AT manookianarpi evaluatingtheuseofcommunicationboardoncortisollevelandphysiologicalparametersinmechanicallyventilatedpatients
AT haghanishima evaluatingtheuseofcommunicationboardoncortisollevelandphysiologicalparametersinmechanicallyventilatedpatients
AT meidanimohsen evaluatingtheuseofcommunicationboardoncortisollevelandphysiologicalparametersinmechanicallyventilatedpatients
AT navidhamidimojdeh evaluatingtheuseofcommunicationboardoncortisollevelandphysiologicalparametersinmechanicallyventilatedpatients