Effect of changing positions on Lung mechanics of traumatized ventilated patients
A. Abd-ElAziz, M., M. Mehany, M., Mohamed morsy, K., Abd el baky Abdelrahman, K. (2021). Effect of changing positions on Lung mechanics of traumatized ventilated patients. EKB Journal Management System, 12(2), 468-484. doi: 10.21608/ejhc.2021.163265
Mervat A. Abd-ElAziz; Mogedda M. Mehany; Khalid Mohamed morsy; Khaled Abd el baky Abdelrahman. "Effect of changing positions on Lung mechanics of traumatized ventilated patients". EKB Journal Management System, 12, 2, 2021, 468-484. doi: 10.21608/ejhc.2021.163265
A. Abd-ElAziz, M., M. Mehany, M., Mohamed morsy, K., Abd el baky Abdelrahman, K. (2021). 'Effect of changing positions on Lung mechanics of traumatized ventilated patients', EKB Journal Management System, 12(2), pp. 468-484. doi: 10.21608/ejhc.2021.163265
A. Abd-ElAziz, M., M. Mehany, M., Mohamed morsy, K., Abd el baky Abdelrahman, K. Effect of changing positions on Lung mechanics of traumatized ventilated patients. EKB Journal Management System, 2021; 12(2): 468-484. doi: 10.21608/ejhc.2021.163265

Effect of changing positions on Lung mechanics of traumatized ventilated patients

Egyptian Journal of Health Care
Article 28, Volume 12, Issue 2, June 2021, Page 468-484  XML PDF (506.33 K)
Document Type: Original Article
DOI: 10.21608/ejhc.2021.163265
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Authors
Mervat A. Abd-ElAziz1; Mogedda M. Mehany1; Khalid Mohamed morsy2; Khaled Abd el baky Abdelrahman3
1Critical & Emergency Care Nursing, Faculty of Nursing, Assiut University, Assiut, Egypt
2Department of Anesthesia Technology, College of Applied Medical Sciences in Jubail, Imam Abdulrahman bin Faisal
3Anesthesia and intensive care unit, Faculty of Medicine, Assiut University Egypt.
Abstract
Background: Positioning is a major pc art of nursing care for critically ill patients.
Turning the patients in bed promotes adequate ventilation and stimulates circulation. Aim: To
investigate the effect of changing positions on Lung mechanics of traumatized ventilated
patients in addition to explore the effect of changing positions on ABG, duration of connection
with MV &ICU staying, and the occurrence of complications of traumatized ventilated
patients. Study design: Quasi-experimental research design was used to conduct this study.
Setting: The study was conducted in trauma ICU at Assiut University hospital. Sample: A
purposive sample of 60 traumatized male and female patients. They were matched &
randomly assigned into two equal groups of 30 patients in each (control group &intervention
group). The Control group has received routine hospital care and the intervention group who
were repositioned every 2 hours. Tools: two tools were used for data collection, Tool one:
Patient assessment tool, Tool two: patient outcomes assessment tool. Results: it was observed
that there was a statistically significant difference between intervention and control groups
regarding lung mechanics, ABG (arterial blood gases), and decrease the length of ICU staying
(P value < 0.05) especially in the last three days of the study period. Conclusion: changing
patients' positions every 2 hours improved patients outcomes related to lung mechanics,
oxygenation, and ventilation Recommendation: Early changing positions should be started
early as possible for traumatized mechanically ventilated patients.
Keywords
Changing positions; lung mechanics; traumatized ventilation
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