Mahbobeh Rashidi1, Shahram Molavynejad2, Nasser Javadi3, Mohammad Adineh4, Assad Sharhani5, Tayebeh Poursangbur6. 1. Assistant Professor, Department of Anesthesiology, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. 2. Assistant Professor, Nursing Care Research Center in Chronic Diseases, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. 3. Instructor, School of Nursing and Midwifery, Lorestan University of Medical Sciences, Koramabad, Iran. 4. PhD Student in Critical Care Nursing, Student Research Committee, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. 5. Assistant Professor of Epidemiology, Department of Biostatistics and Epidemiology, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. 6. Practitioner Nurse, Golestan Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Abstract
BACKGROUND: Managing the amount of use of sedatives due to their high side effects in the intensive care unit is essential. Sedation-agitation protocols may play an important role in this regard. However, they have not been practically applied in Iran. AIMS: This study aimed to evaluate the effect of using the Richmond agitation and sedation scale on hospital stay duration and dependency rate on the intensive care unit ventilator system in Ahwaz City, Iran, in 2016-2017. METHODS: This randomised clinical trial was conducted on 74 patients. The subjects were selected by a stratified sampling method and divided into the experimental (n = 32) and control (n = 32) groups. Sedation and agitation levels were managed by the Richmond agitation and sedation scale as soon as the samples were anxious and agitated, and every 6 hours in the intervention group. However, the control group received routine care. The data obtained were analysed by the Statistical Package for the Social Sciences (SPSS). RESULTS: There was no significant difference between the two groups in terms of demographic variables, such as age, gender, admission diagnosis and Glasgow coma scale scores on admission. However, they differed in terms of hospital stay duration and ventilator connection (P < 0.001), Glasgow coma scale score at the separation time from the device (P < 0.001), Glasgow coma scale score at the discharge time from the intensive care unit (P < 0.02) and intensive care unit death rate (P < 0.001). In all cases mentioned previously, the intervention group's condition was better. CONCLUSIONS: Based on the results of this study, as well as the approval of validation and reliability of the Richmond agitation and sedation scale in different studies, this protocol can be very effective in optimising the use of sedatives in the intensive care unit.
BACKGROUND: Managing the amount of use of sedatives due to their high side effects in the intensive care unit is essential. Sedation-agitation protocols may play an important role in this regard. However, they have not been practically applied in Iran. AIMS: This study aimed to evaluate the effect of using the Richmond agitation and sedation scale on hospital stay duration and dependency rate on the intensive care unit ventilator system in Ahwaz City, Iran, in 2016-2017. METHODS: This randomised clinical trial was conducted on 74 patients. The subjects were selected by a stratified sampling method and divided into the experimental (n = 32) and control (n = 32) groups. Sedation and agitation levels were managed by the Richmond agitation and sedation scale as soon as the samples were anxious and agitated, and every 6 hours in the intervention group. However, the control group received routine care. The data obtained were analysed by the Statistical Package for the Social Sciences (SPSS). RESULTS: There was no significant difference between the two groups in terms of demographic variables, such as age, gender, admission diagnosis and Glasgow coma scale scores on admission. However, they differed in terms of hospital stay duration and ventilator connection (P < 0.001), Glasgow coma scale score at the separation time from the device (P < 0.001), Glasgow coma scale score at the discharge time from the intensive care unit (P < 0.02) and intensive care unit death rate (P < 0.001). In all cases mentioned previously, the intervention group's condition was better. CONCLUSIONS: Based on the results of this study, as well as the approval of validation and reliability of the Richmond agitation and sedation scale in different studies, this protocol can be very effective in optimising the use of sedatives in the intensive care unit.
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