Patient Characteristics and Care Problems Associated with Prolonged Mechanical Ventilation (PMV) in Critical Care Units in Palestine رسالة ماجستير

Abstract

Background: The large number and frequency of patients with prolonged mechanical ventilation will raise care issues, which will raise the mortality rate. Inadequate standards and protocols for treating prolonged mechanical ventilation patients led to a higher rate of complications, obstacles, and hospital stays. Objectives: To determine the characteristics of intensive care unit Patients, as well as the consumption of intensive care unit bed days by these admissions, another goal is to investigate care problems associated with prolonged mechanical ventilation in the Palestinian critical care units that need mechanical ventilation of 7 to 21 days or more Methodology: The researcher was used cross-sectional, descriptive quantitative design, Sample: all intensive care nurses were included in the study because the research sample consisted of convenience samples from 15 hospitals and was purposive. The number of participants in the study is determined by the response rate, which for government and non -governmental hospitals is 75.1 percent (n=290). Time of data collection: from 30 May to 20- July. Tool: the researcher used a questionnaire that was developed based on a study that was done in Swedish with 59 questions Results: most respondents(n=201) (69.3 %) were working in general intensive care units and using a 1:2 nurse-to-patient ratio (n=156) (53.8%). More than half of them(n=171) (59.0%) received in-service intensive care unit training. Cardiac patients(n=243) (85.0%) followed by respiratory patients (n=231)(80.8%) were more common in Palestinian adult intensive care units . Acute respiratory distress syndrome(n=264) (91.0%), followed by cardiovascular disorders (n=179) (61.7%) was the most frequent primary diagnosis for prolonged mechanical ventilation. Most respondents adopted an individualized weaning approach (n=257) (88.6%), swallowing assessment(n=241) (83.1%), and person-centered care routines (n=205) (70.7%). A low level of respondents followed nutrition (n=109) (37.6%), weaning(n=69) (23.8%), and mobilization(n=49) (16.9%) protocols. Conclusions: Overall, the level of implementation of care practices policies specific to prolonged mechanical ventilation patients was more common in non -governmental Palestinian intensive care units