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Research Paper
Effect of an Intervention Using Voice Recording of a Family Member on Patients Undergoing Mechanical Ventilator Weaning Process
Choi, Ah Young , Kim, Min Young , Song, Eun Kyeung
J Korean Acad Nurs 2024;54(1):32-43.   Published online February 29, 2024
DOI: https://doi.org/10.4040/jkan.23082
AbstractAbstract PDF
Purpose
This study aimed to determine the impact of an intervention using voice recording of family members on pain, anxiety, and agitation in patients undergoing weaning from mechanical ventilation.
Methods
A randomized control pre-post experimental design was implemented to 53 participants, with 27 and 26 participants in the experimental and control groups, respectively. A 70-second voice recording of a family member, repeated three times at 10-minute intervals was used as an intervention for the experimental group. Meanwhile, participants in the control group used headset for 30 minutes. Structured instruments were utilized to measure pain, anxiety, agitation, and the weaning process. Wilcoxon Signed Ranks test and the Mann-Whitney U test, or χ2 test, were used for data analysis.
Results
The experimental group exhibited significant decrease in pain (Z = - 3.53, p < .001), anxiety (t = 5.45, p < .001), and agitation (Z = - 2.99, p = .003) scores compared with those of the control group. However, there was no significant difference between groups in the weaning process’ simplification (χ2 = 0.63, p = .727).
Conclusion
Intervention using family members’ voice recording effectively reduces pain, anxiety, and agitation in patients undergoing weaning from mechanical ventilation. This can be actively utilized to provide a more comfortable process for patients.
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Original Article
The Effect of Hand-Massage on the Relaxation of Dementia Patients
Jin Joo Oh
Journal of Korean Academy of Nursing 2000;30(4):825-835.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.4.825
AbstractAbstract PDF

The agitation of dementia patient is a factor which aggravates the care-givers' burdon, and it is needed to develop intervention methods. Hall and Buckwalter hypothesized that an increase in agitation behavior occur when persons experience high levels of stress. This study was conducted to explore the efficacy of hand massage in producing relaxation and decreasing agitation behaviors in persons with dementia. Hand massage was administered once a day in afternoon for 8days to 24 patients and 4days to 23 patients. There was no difference in result between the two groups. Significant differences were found in systolic blood pressure, pulse rate, emotional state from pre to post -intervention with the use of hand massage. The change of systolic blood pressure was 26% explained by ADL, MMSE-K and institutionalized period. The most significant variable was institutionalized period. The change of diastolic blood pressure was 11% explained by ADL, and it was significant. But no decrease in agitation behavior was observed and no increase in functional capacity.

Citations

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  • Effectiveness of Hand Massage Combined with Analgesics on Pain Control in Patients with Terminal Cancer
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    Journal of Korean Academy of Nursing.2008; 38(4): 493.     CrossRef
  • Touch-Stress Model and Alzheimer's Disease
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    Journal of Gerontological Nursing.2004; 30(12): 33.     CrossRef
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