An investigation of the psychological experiences of patients under mechanical ventilation following open heart surgery

Yousef Aslani, Reyhaneh Niknezhad, Maryam Moghimian, Jaefar Maghaddasi, Mohammad Akbari

Abstract


BACKGROUND: Breathing and living on mechanical ventilation develops a different feeling in patients. Most of such feelings and experiences are not pleasant and can lead to psychiatric disorders in the patients after they are detached from the ventilator. The aim of this study is to explore the psychological experiences of patients under mechanical ventilation.

METHODS: This qualitative study was conducted according to an interpretive epistemological approach in 2016. Fifteen participants were selected according to purposive sampling. Data were drawn from the transcripts of in-depth, semi-structured interview that were not discontinued until data saturation was ensured. The participants were asked to share what they experienced when they were under mechanical ventilation and intubation. Data analysis was conducted according to Diekelmann method.

RESULTS: Altogether, 2 themes, 7 subthemes, and 27 sub-subthemes were drawn from the data. Two themes were dread (a horrible experience) and hope (an inspiring experience). Dread consisted of anxiety, hopelessness, and dependency. Hope consisted of spiritual connection as the only possible effort, the presence of health team the source of comfort, the family looking forward, and overcoming the illness (a step to life).

CONCLUSION: The psychological experiences of patients under mechanical ventilation are specific, and nurses can play an important role in decreasing tension and increasing hope among them through gaining knowledge about their experiences.

 


Keywords


Mechanical Ventilation; Psychology; Patients; Heart Surgery

References


Engstrom A, Nystrom N, Sundelin G, Rattray J. People’s experiences of being mechanically ventilated in an ICU: A qualitative study. Intensive Crit Care Nurs 2013; 29(2): 88-95.

Rose L, Nonoyama M, Rezaie S, Fraser I. Psychological wellbeing, health related quality of life and memories of intensive care and a specialised weaning centre reported by survivors of prolonged mechanical ventilation. Intensive Crit Care Nurs 2014; 30(3): 145-51.

Tsay SF, Mu PF, Lin S, Wang KW, Chen YC. The experiences of adult ventilator-dependent patients: A meta-synthesis review. Nurs Health Sci 2013; 15(4): 525-33.

Akhtar MI, Hamid M, Minai F, Wali AR, Anwar UH, Aman-Ullah M, et al. Safety profile of fast-track extubation in pediatric congenital heart disease surgery patients in a tertiary care hospital of a developing country: An observational prospective study. J Anaesthesiol Clin Pharmacol 2014; 30(3): 355-9.

Breckenridge SJ, Chlan L, Savik K. Impact of tracheostomy placement on anxiety in mechanically ventilated adult ICU patients. Heart Lung 2014; 43(5): 392-8.

Nguyen YL, Perrodeau E, Guidet B, Trinquart L, Richard JC, Mercat A, et al. Mechanical ventilation and clinical practice heterogeneity in intensive care units: A multicenter case-vignette study. Ann Intensive Care 2014; 4(1): 2.

Hardin SR, Kaplow R. Cardiac surgery essentials for critical care nursing. Burlington, MA: Jones & Bartlett Learning; 2010.

Crocker C, Kinnear W. Weaning from ventilation: Does a care bundle approach work? Intensive Crit Care Nurs 2008; 24(3): 180-6.

Egbers PH, Bultsma R, Middelkamp H, Boerma EC. Enabling speech in ICU patients during mechanical ventilation. Intensive Care Med 2014; 40(7): 1057-8.

Coyer FM, Wheeler MK, Wetzig SM, Couchman BA. Nursing care of the mechanically ventilated patient: What does the evidence say? Part two. Intensive Crit Care Nurs 2007; 23(2): 71-80.

Elder NC, Brungs SM, Nagy M, Kudel I, Render ML. Nurses’ perceptions of error communication and reporting in the intensive care unit. J Patient Saf 2008; 4(3): 162-8.

Eckerblad J, Eriksson H, Karner A, Edell-Gustafsson U. Nurses’ conceptions of facilitative strategies of weaning patients from mechanical ventilation-a phenomenographic study. Intensive Crit Care Nurs 2009; 25(5): 225-32.

MacIntyre N. Discontinuing mechanical ventilatory support. Chest 2007; 132(3): 1049-56.

Schou L, Egerod I. A qualitative study into the lived experience of post-CABG patients during mechanical ventilator weaning. Intensive Crit Care Nurs 2008; 24(3): 171-9.

Schandl AR. Physical and psychological problems after critical illness prediction, detection and treatment. Stockholm, Sweden: Karolinska Institutet; 2013.

Jubran A, Lawm G, Duffner LA, Collins EG, Lanuza DM, Hoffman LA, et al. Post-traumatic stress disorder after weaning from prolonged mechanical ventilation. Intensive Care Med 2010; 36(12): 2030-7.

Karlsson V, Bergbom I, Forsberg A. The lived experiences of adult intensive care patients who were conscious during mechanical ventilation: A

phenomenological-hermeneutic study. Intensive Crit Care Nurs 2012; 28(1): 6-15.

Speziale HS, Streubert HJ, Carpenter DR. Qualitative research in nursing: Advancing the humanistic imperative. Philadelphia, PA: Lippincott Williams & Wilkins; 2011.

Diekelmann N, Allen D, Tanner CA. The NLN criteria for appraisal of baccalaureate programs: A critical hermeneutic analysis. Washington, DC: National League for Nursing; 1989.

Loghmani L, Borhani F, Abbaszadeh A. Determination of the content of communication between the care team and family members of patients in the intensive care unit: The experience of nurses and patients’ families. J Qual Res Health Sci 2014; 3(3): 257-68. [In Persian].

Rezaee N, Rafii F, Mardani M, Ranjbar H. A concept analysis of hope of patient recovery among nurses in intensive care: A hybrid model. J Qual Res Health Sci 2013; 2(2): 101-10. [In Persian].

Abedi HA, Monemiyan S, Naji SA. Spiritual-psychological experiences of heart transplant recipientS. J Qual Res Health Sci 2012; 1(1): 52-8. [In Persian].

Foster A. More than nothing: The lived experience of tracheostomy while acutely ill. Intensive Crit Care Nurs 2010; 26(1): 33-43.

Arslanian-Engoren C, Scott LD. The lived experience of survivors of prolonged mechanical ventilation: A phenomenological study. Heart Lung 2003; 32(5): 328-34.

Wang K, Zhang B, Li C, Wang C. Qualitative analysis of patients’ intensive care experience during mechanical ventilation. J Clin Nurs 2009; 18(2): 183-90.

Khayyam-Nekouei Z, Neshatdoost H, Yousefy A, Sadeghi M, Manshaee G. Psychological factors and coronary heart disease. ARYA Atheroscle 2013; 9(1): 102-11.


Full Text: PDF

Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution 3.0 License.