Effectiveness of augmented alternative communication method on communication satisfaction among patients on mechanical ventilator

Mrs.Geethu M R; Mrs. Betty P Kunjumon

Volume : VIII, Issue : IV, April - 2019

Effectiveness of augmented alternative communication method on communication satisfaction among patients on mechanical ventilator

Mrs. Geethu M R, Mrs. Betty P Kunjumon

Abstract :

Background: Communication is the basic element of human interaction. [1]. Many disease conditions and health deviations led to impairment in communication. Intensive care unit procedures like intubation and mechanical ventilation are necessary to support respiratory function and life, these technologies create many distressful physiological and psychological experiences for patients.[2]. Invasive mechanical ventilation prevents patients from communication. To be aware, but unable to communicate is a novel experience for patients and it will be distressing for them.[3]. Augmented alternative communication (AAC) method includes unaided systems such as gestures, eye blinks and head nods as well as aided techniques such as picture board, alphabet board, word board, pencil and paper. It helps the patients on mechanical ventilator to express their thoughts, needs and problems [4]. Objectives: The study focused on assessment of communication satisfaction among patients on mechanical ventilator, evaluation of the effectiveness of augmented alternative communication method on the communication satisfaction among patients on mechanical ventilator. Materials and methods: Quantitative approach was adopted for the study. Study design selected was Quasi experimental (non equivalent control group) post test only design. Non probability purposive sampling technique was used to select 30 subjects in the control group and 30 subjects in the experimental group in Govt. Medical College Hospital, Kottayam. The data were collected using socio personal data sheet, clinical data sheet and communication satisfaction rating scale. The patients on synchronized intermittent mandatory ventilation or continuous positive airway pressure or spontaneous modes of mechanical ventilator for more than 24 hours were only included in the study. No pre test was conducted in this study. During the data collection period, the intervention ie, augmented alternative communication method was given only to the experimental group. It is a continuous therapy, patients were practiced this method for communicating their thoughts, needs and problems until extubation. Post test was conducted after extubation. Results: The study proved that augmented alternative communication method had a statistically significant effect on communication satisfaction (p <0.05, U=177) among patients on mechanical ventilator. Conclusion: Based on the findings of the study it can be concluded that there is an evident improvement in communication satisfaction among patients on mechanical ventilator as a result of augmented alternative communication method.