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IRCT20181113041632N1 IRCT 2018-12-26 Ahvaz University of Medical Sciences The effect of Nursing Interventions based on Bern's tool on the success rate of Weaning Study of the effect of Nursing Interventions based on Bern's tool on the success rate of Weaning 2018-11-11 anticipated 70 Complete https://irct.ir/trial/35188 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Other, Purpose: Treatment, Randomization description: The method of assigning intervention to patients was randomized and random blocked blocks with block size 4 (using the table for random permutations). A randomized list is provided by a statistician. The interrogation used in this study is based on a randomized list by a person outside the study who is not aware of the research objectives and will be conducted according to the different codes in the sealed envelopes. N/A Condition 1: Traumatic patients connected to a mechanical ventilation device. Condition 2: Traumatic patients connected to a mechanical ventilation device. Condition 3: Traumatic patients connected to a mechanical ventilation device. Condition 4: Traumatic patients connected to a mechanical ventilation device. Intervention 1: Nurses will plan and conduct nursing care for patients undergoing mechanical ventilation in the intervention group, according to Bern's checklist criteria.The researcher will evaluate the patients on a daily basis according to the checklist, and will complete the checklist for the intervention group, and will assess the readiness of the patient's weaning.If the optimal score (17 and above) is obtained, the process of weaning begins.In the absence of a desirable score, nursing interventions will focus more on the main problem that is identified in Bern during the day. Intervention 2: Control group: In the control group according to routine medical and weaning of patients with the use of certain criteria and will be done experimentally. The routine weaning method is such that the patient is alert, has a good cough and swallowing reflex, has no respiratory ventilation, and respiratory rate is not more than 35. Yes - There is a plan to make this available What will be shared: Information on age, sex, history of underlying illness, history of smoking and drug use, and duration of admission When: 6 months after the publication of results To whom: Researchers of academic and academic institutions Conditions: Use results Where to obtain: maryamsepahyar@yahoo.com 0098 61 9166003501 How to obtain: One to two weeks after the call Comments:
public Maryam Sepahyar
No.104, Rezvan2 Ave, Payam Town
Ahvaz Iran (Islamic Republic of) 6138815339 +98 61 3443 0804 sepahyar.m@ajums.ac.ir Ahvaz University of Medical Sciences scientific Maryam Sepahyar
No.104, Rezvan2 Ave, Payam Town
Ahvaz Iran (Islamic Republic of) 6138815339 +98 61 3443 0804 sepahyar.m@ajums.ac.ir Ahvaz University of Medical Sciences Iran (Islamic Republic of) Age of 18-65 Years Failure to develop Neuromuscular diseases Do not receive Neuromuscular blockers 18 years 65 years Both Brain death Patients S06.3 S06.4 S06.5 S06.6 Focal traumatic brain injury Epidural hemorrhage Traumatic subdural hemorrhage Traumatic subarachnoid hemorrhage Treatment - Other Treatment - Other Nurses will plan and conduct nursing care for patients undergoing mechanical ventilation in the intervention group, according to Bern's checklist criteria.The researcher will evaluate the patients on a daily basis according to the checklist, and will complete the checklist for the intervention group, and will assess the readiness of the patient's weaning.If the optimal score (17 and above) is obtained, the process of weaning begins.In the absence of a desirable score, nursing interventions will focus more on the main problem that is identified in Bern during the day. Control group: In the control group according to routine medical and weaning of patients with the use of certain criteria and will be done experimentally. The routine weaning method is such that the patient is alert, has a good cough and swallowing reflex, has no respiratory ventilation, and respiratory rate is not more than 35. Successful and unsuccessful weaning. Timepoint: From weaning to 48 hours after it. Method of measurement: Registration in vital-laboratory variables questionnaire. Duration of mechanical ventilation connection. Timepoint: The number of days a patient connected to a ventilator. Method of measurement: Record in vital-laboratory questionnaire. Length of admission to the intensive care unit. Timepoint: From the time of admission to the intensive care unit until the discharge from this department. Method of measurement: Demographic information questionnaire. The number of re-intubation. Timepoint: From the beginning of the patient's connection to the ventilator until the patient's discharge from the department. Method of measurement: Vital Laboratory Information Questionnaire. The RSBI index is the day before and after the weaning. Timepoint: The day before weaning and at the time of weaning. Method of measurement: Vital Laboratory Information Questionnaire. Ahvaz University of Medical Sciences Approved 2018-11-10 The Ethics Committee of Ahvaz Jundishapur University of Medical Sciences No. 104, Rezvan2 Ave, Payam Town Ahvaz Khouzestan Iran (Islamic Republic of)