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conferenceseries.com
Volume 6, Issue 3 (Suppl) J Nurs Care
ISSN: 2167-1168 JNC, an open access journal Nursing Edu 2017
May 22- 24, 2017
May 22- 24, 2017 Osaka, Japan
20th World Nursing
Education Conference
Effects of nurse-led mechanical ventilator weaning protocol on ventilator duration and weaning success in
preterm infants with ventilator-nasal continuous positive airway pressure
Chonticha Kuladnarm
Mahidol University Ramathibodi, Thailand
The present study was a quasi-experimental research with non-randomized control group, post-test 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 phases: 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, and
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 could reduce ventilator duration and promote
weaning success. Therefore, further study is needed for the effectiveness of nurse-led mechanical ventilator weaning protocol in
different setting or add on other dimensional outcomes of weaning success to enhance quality of care provided to preterm infants
with V-NCPAP.
Biography
Chonticha Kuldnarm has completed her BSN from Kaukarun College of Nursing. She is a Professional Nurse at Sirindhorn Hospital, Bangkok and pursuing Master
of Nursing Science (Pediatric Nursing) in Ramathibodi School of Nursing, Faculty of Medicine, Ramathibodi Hospital, Mahidol University.
Chonticha Kuladnarm, J Nurs Care 2017, 6:3 (Suppl)