Chonticha Kuladnarm
Mahidol University Ramathibodi School of Nursing, Ramathibodi Hospital, Thailand
Biography
The present study was a quasi-experimental research with non-randomized control group, posttest only design which aimed at investigating effects of a nurse-led mechanical ventilator weaning protocol on ventilator duration and weaning success of preterm infants with ventilator-nasal positive airway pressure (V-NCPAP). The study sample consisted of preterm infants who received V-NCPAP and were admitted into the pediatric and neonatal intensive care unit (P-NICU) at Sirindhorn Hospital. Twenty-nine subjects in the control group received routine weaning, while thirty subjects in the experimental group received the nurse-led mechanical ventilator weaning protocol which consisted of 3 phase : 1) pre- weaning phase 2) inter- weaning phase and 3) post- weaning phase. The research instruments composed of the nurse-led mechanical ventilator weaning protocol, the V-NCPAP record form, the nursing record form base on nurse-led mechanical ventilator weaning protocol. Data were analyzed by using descriptive statistics, chi-square test, Fisher’s probability exact test, independent t-test and Mann-Whitney U test. The study findings demonstrated that preterm infants in experimental group had ventilator duration shorter than that preterm infants in control group with statistical significance (p <.05), while weaning success in experimental group more than control group without statistical significance (p >.05).
The study findings revealed the nurse-led mechanical ventilator weaning protocol might be could reduce ventilator duration and promote weaning success. Therefore, the further study is needed of the effectiveness of nurse-led mechanical ventilator weaning protocol in difference setting or add on other dimensional outcomes of weaning success for enhance quality of care provided to preterm infants with V-NCPAP.