The effect of the family presence on anxiety and agitation of patients under mechanical ventilation after open heart surgery: a randomized clinical trial

Abstract Background Family-centered care has been considered as a philosophy of care. Family presence in intensive care units (ICUs), especially in the acute phase of the disease is controversial. This study has been carried out in order to determine the effect of the family presence on anxiety and...

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Autores principales:	Jamileh Mokhtari Nouri, Leila Safaeipour, Zohreh Vafadar, Seyed Tayeb Moradian
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Anxiety Coronary artery bypass surgery Critical care Family-centered nursing Psychomotor agitation Weaning Surgery RD1-811
Acceso en línea:	https://doaj.org/article/dd163e19b45646a18f85f9a7a89ac795
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spelling	oai:doaj.org-article:dd163e19b45646a18f85f9a7a89ac7952021-11-08T11:15:25ZThe effect of the family presence on anxiety and agitation of patients under mechanical ventilation after open heart surgery: a randomized clinical trial10.1186/s13741-021-00207-22047-0525https://doaj.org/article/dd163e19b45646a18f85f9a7a89ac7952021-11-01T00:00:00Zhttps://doi.org/10.1186/s13741-021-00207-2https://doaj.org/toc/2047-0525Abstract Background Family-centered care has been considered as a philosophy of care. Family presence in intensive care units (ICUs), especially in the acute phase of the disease is controversial. This study has been carried out in order to determine the effect of the family presence on anxiety and agitation in patients undergoing coronary artery bypass grafting (CABG). Materials and methods In a clinical trial, 70 patients were randomly allocated into groups of experimental and control. In the experimental group, during the weaning process from the mechanical ventilation, a family member was present at the bedside. The degree of anxiety and Richmond’s Agitation and Sedation Scale (RASS) were compared in seven consecutive time stages, including the time of entry into the ICU, the first respiratory drive, the family entrance, 20 min and 1 h after the presence of the family member, the time of extubation, and 1 h after extubation. Results There was a significant difference between the two groups in the mean scores of the anxiety scale in the first (P =0.008), second (P=0.002), and third stages (P =0.005). This difference was not significant in the fourth to seventh stages (P>0.05). As the baseline anxiety levels were different, a covariate adjustment was used for comparisons between treatments, adjusting the main analyses for baseline anxiety levels. Analysis showed that groups were not different. Also, there was no significant difference in the mean scores of RASS between the two experimental and control groups at any of the seven stages (P> 0.05). Conclusion According to the findings of the present study, the presence of a family member does not reduce the level of anxiety and agitation of patients undergoing cardiac surgery. However, it can be concluded that this intervention is feasible in acute and complex situations after open heart surgeries. Trial registration This study has been registered in the Iranian Registry of Clinical Trials with the code IRCT201609014299N4 .Jamileh Mokhtari NouriLeila SafaeipourZohreh VafadarSeyed Tayeb MoradianBMCarticleAnxietyCoronary artery bypass surgeryCritical careFamily-centered nursingPsychomotor agitationWeaningSurgeryRD1-811ENPerioperative Medicine, Vol 10, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Anxiety Coronary artery bypass surgery Critical care Family-centered nursing Psychomotor agitation Weaning Surgery RD1-811
spellingShingle	Anxiety Coronary artery bypass surgery Critical care Family-centered nursing Psychomotor agitation Weaning Surgery RD1-811 Jamileh Mokhtari Nouri Leila Safaeipour Zohreh Vafadar Seyed Tayeb Moradian The effect of the family presence on anxiety and agitation of patients under mechanical ventilation after open heart surgery: a randomized clinical trial
description	Abstract Background Family-centered care has been considered as a philosophy of care. Family presence in intensive care units (ICUs), especially in the acute phase of the disease is controversial. This study has been carried out in order to determine the effect of the family presence on anxiety and agitation in patients undergoing coronary artery bypass grafting (CABG). Materials and methods In a clinical trial, 70 patients were randomly allocated into groups of experimental and control. In the experimental group, during the weaning process from the mechanical ventilation, a family member was present at the bedside. The degree of anxiety and Richmond’s Agitation and Sedation Scale (RASS) were compared in seven consecutive time stages, including the time of entry into the ICU, the first respiratory drive, the family entrance, 20 min and 1 h after the presence of the family member, the time of extubation, and 1 h after extubation. Results There was a significant difference between the two groups in the mean scores of the anxiety scale in the first (P =0.008), second (P=0.002), and third stages (P =0.005). This difference was not significant in the fourth to seventh stages (P>0.05). As the baseline anxiety levels were different, a covariate adjustment was used for comparisons between treatments, adjusting the main analyses for baseline anxiety levels. Analysis showed that groups were not different. Also, there was no significant difference in the mean scores of RASS between the two experimental and control groups at any of the seven stages (P> 0.05). Conclusion According to the findings of the present study, the presence of a family member does not reduce the level of anxiety and agitation of patients undergoing cardiac surgery. However, it can be concluded that this intervention is feasible in acute and complex situations after open heart surgeries. Trial registration This study has been registered in the Iranian Registry of Clinical Trials with the code IRCT201609014299N4 .
format	article
author	Jamileh Mokhtari Nouri Leila Safaeipour Zohreh Vafadar Seyed Tayeb Moradian
author_facet	Jamileh Mokhtari Nouri Leila Safaeipour Zohreh Vafadar Seyed Tayeb Moradian
author_sort	Jamileh Mokhtari Nouri
title	The effect of the family presence on anxiety and agitation of patients under mechanical ventilation after open heart surgery: a randomized clinical trial
title_short	The effect of the family presence on anxiety and agitation of patients under mechanical ventilation after open heart surgery: a randomized clinical trial
title_full	The effect of the family presence on anxiety and agitation of patients under mechanical ventilation after open heart surgery: a randomized clinical trial
title_fullStr	The effect of the family presence on anxiety and agitation of patients under mechanical ventilation after open heart surgery: a randomized clinical trial
title_full_unstemmed	The effect of the family presence on anxiety and agitation of patients under mechanical ventilation after open heart surgery: a randomized clinical trial
title_sort	effect of the family presence on anxiety and agitation of patients under mechanical ventilation after open heart surgery: a randomized clinical trial
publisher	BMC
publishDate	2021
url	https://doaj.org/article/dd163e19b45646a18f85f9a7a89ac795
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The effect of the family presence on anxiety and agitation of patients under mechanical ventilation after open heart surgery: a randomized clinical trial

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