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Can Addressing Family Education Improve Outcomes of Patients Under Home Invasive Mechanical Ventilation? a Randomized Controlled Clinical Trial Publisher Pubmed



Esmaeili M1 ; Dehghan Nayeri N2 ; Bahramnezhad F3 ; Fattah Ghazi S4 ; Asgari P5
Authors
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Authors Affiliations
  1. 1. Department of Critical Care Nursing, Nursing and Midwifery Care Research Center, School of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Nursing Management, Nursing and Midwifery Care Research Center, School of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Critical Care Nursing, Nursing and Midwifery Care Research Center, Spiritual Health Group, Research Center of Quran, Hadith and Medicine, School of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Critical Care Medicine, Imam Khomeini hospital complex, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Department of Critical Care Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran

Source: Home Health Care Services Quarterly Published:2023


Abstract

The use of home mechanical ventilation is increasingly developing. The present study aimed to examine the effect of a family-centered training program on patients under home invasive mechanical ventilation. A total of 60 adult patients under invasive mechanical ventilation were selected and randomly allocated into two groups. The supportive home care program consisting of six training sessions using a teach-back technique and follow up training at home. The rate of hospital readmission and mortality in the intervention group was significantly lower than the control group(P =.02 and P =.03, respectively). Moreover, the home caregivers’ level of knowledge in the intervention group was significantly higher than that of the control group(P = 0/000). In addition, implementing the intervention effectively increased home caregivers’ ability of functional skills. Therefore, comprehensive preparation of the patient and family before discharge and coherent support and continuity of care after discharge with the effective presence of nurses. © 2023 Taylor & Francis.