Comfort, tolerance and preference of patients on helmet ventilation therapy / Norshamatul Aidah Osran

Helmet non-invasive ventilation (NIV) is a latest NIV interface which allows the delivery of positive pressure ventilation to the lungs via both nose and mouth. Studies suggested that helmet NIV is more tolerated with better clinical outcomes than the other NIV interfaces in treating Acute Respirato...

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Main Author:	Osran, Norshamatul Aidah
Format:	Thesis
Language:	English
Published:	2019
Subjects:	Public health Hygiene Preventive Medicine Emergency medical services
Online Access:	https://ir.uitm.edu.my/id/eprint/52133/1/52133.pdf
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id	my-uitm-ir.52133
record_format	uketd_dc
spelling	my-uitm-ir.521332021-10-13T02:00:43Z Comfort, tolerance and preference of patients on helmet ventilation therapy / Norshamatul Aidah Osran 2019-01 Osran, Norshamatul Aidah Public health. Hygiene. Preventive Medicine Emergency medical services Helmet non-invasive ventilation (NIV) is a latest NIV interface which allows the delivery of positive pressure ventilation to the lungs via both nose and mouth. Studies suggested that helmet NIV is more tolerated with better clinical outcomes than the other NIV interfaces in treating Acute Respiratory Failure (ARF) patients. However, helmet NIV intolerance and failure are the typical responses reported. Since the helmet NIV is new in Malaysia, this study is proposed to provide an overview on comfort, tolerance and preference of patients with ARF on this therapy. This study used a mixed method design. In quantitative phase, 67 patients with ARF who completed helmet NIV therapy were purposively selected from the Emergency Department in one of the Northern Malaysia public hospitals. After at least 15 minutes post therapy and confirmed hemodynamically stable, patients were asked to score their comfort level on a visual analog scale (VAS). Next, their external behaviour were evaluated using Kolcaba’s Comfort Behavioural Checklist (CBC). The evaluation were completed by 43 males and 24 females. The general comfort level was moderate, with the VAS mean score of 75.82, SD 20.53 and the CBC mean score of 88.54, SD 7.35. In qualitative phase, the subset of 12 patients were interviewed to explore their experience throughout the therapy. The thematic analysis revealed six themes: comfort definition, impression, acceptance, changes and encounters (comfort and discomfort- unable to breath, entrapped, noise and insecure), wishes and hopes and closure. Despite of different impression on NIV helmet, patients shared similar comfort definition which led to the therapy acceptance. However, the changes and encounters during the therapy affect their overall experience and eventually influenced their tolerance and future therapy decision. The findings provide an overview and insight on comfort experience of the patients with helmet NIV, which indirectly provide a basis for therapy improvement. 2019-01 Thesis https://ir.uitm.edu.my/id/eprint/52133/ https://ir.uitm.edu.my/id/eprint/52133/1/52133.pdf text en public masters Universiti Teknologi MARA ( Kampus Puncak Alam ) Faculty of Health Sciences Majid, Norhaini
institution	Universiti Teknologi MARA
collection	UiTM Institutional Repository
language	English
advisor	Majid, Norhaini
topic	Public health Hygiene Preventive Medicine Emergency medical services
spellingShingle	Public health Hygiene Preventive Medicine Emergency medical services Osran, Norshamatul Aidah Comfort, tolerance and preference of patients on helmet ventilation therapy / Norshamatul Aidah Osran
description	Helmet non-invasive ventilation (NIV) is a latest NIV interface which allows the delivery of positive pressure ventilation to the lungs via both nose and mouth. Studies suggested that helmet NIV is more tolerated with better clinical outcomes than the other NIV interfaces in treating Acute Respiratory Failure (ARF) patients. However, helmet NIV intolerance and failure are the typical responses reported. Since the helmet NIV is new in Malaysia, this study is proposed to provide an overview on comfort, tolerance and preference of patients with ARF on this therapy. This study used a mixed method design. In quantitative phase, 67 patients with ARF who completed helmet NIV therapy were purposively selected from the Emergency Department in one of the Northern Malaysia public hospitals. After at least 15 minutes post therapy and confirmed hemodynamically stable, patients were asked to score their comfort level on a visual analog scale (VAS). Next, their external behaviour were evaluated using Kolcaba’s Comfort Behavioural Checklist (CBC). The evaluation were completed by 43 males and 24 females. The general comfort level was moderate, with the VAS mean score of 75.82, SD 20.53 and the CBC mean score of 88.54, SD 7.35. In qualitative phase, the subset of 12 patients were interviewed to explore their experience throughout the therapy. The thematic analysis revealed six themes: comfort definition, impression, acceptance, changes and encounters (comfort and discomfort- unable to breath, entrapped, noise and insecure), wishes and hopes and closure. Despite of different impression on NIV helmet, patients shared similar comfort definition which led to the therapy acceptance. However, the changes and encounters during the therapy affect their overall experience and eventually influenced their tolerance and future therapy decision. The findings provide an overview and insight on comfort experience of the patients with helmet NIV, which indirectly provide a basis for therapy improvement.
format	Thesis
qualification_level	Master's degree
author	Osran, Norshamatul Aidah
author_facet	Osran, Norshamatul Aidah
author_sort	Osran, Norshamatul Aidah
title	Comfort, tolerance and preference of patients on helmet ventilation therapy / Norshamatul Aidah Osran
title_short	Comfort, tolerance and preference of patients on helmet ventilation therapy / Norshamatul Aidah Osran
title_full	Comfort, tolerance and preference of patients on helmet ventilation therapy / Norshamatul Aidah Osran
title_fullStr	Comfort, tolerance and preference of patients on helmet ventilation therapy / Norshamatul Aidah Osran
title_full_unstemmed	Comfort, tolerance and preference of patients on helmet ventilation therapy / Norshamatul Aidah Osran
title_sort	comfort, tolerance and preference of patients on helmet ventilation therapy / norshamatul aidah osran
granting_institution	Universiti Teknologi MARA ( Kampus Puncak Alam )
granting_department	Faculty of Health Sciences
publishDate	2019
url	https://ir.uitm.edu.my/id/eprint/52133/1/52133.pdf
_version_	1783734845616160768

Comfort, tolerance and preference of patients on helmet ventilation therapy / Norshamatul Aidah Osran

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