الفهرس 
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Abstract
Summary
Breathing discomfort contributes to worse outcomes among mechanically ventilated
patient and had bad effects on ICU as long stay, so implementing breathing discomfort
evaluation and nursing care are important to be done.
The current study aimed to implement nursing care for the mechanically ventilated
patients suffering from breathing discomfort to improve outcomes. The design of this study
was quasi-experimental research design. This study was carried out in intensive care units of
anesthesia department at assiut university hospital (general, trauma, critical care and coronary
ICU). Moreover, this study was conducted to test the hypotheses:
• Breathing discomfort was expected to have high prevalence rate among
mechanically ventilated patients
• Breathing discomfort was expected to have deleterious effects on the clinical
outcomes
• Nursing interventions for relieving breathing discomfort were expected to be
effective.
A purposive sample of 80 patients who were mechanically ventilated for >24 hrs.
Breathing discomfort was evaluated according to patient conscious level and nursing
interventions were done for study group and routine care for control group at Assiut
University Hospital.
Three tools were utilized to collect data pertinent to the study, which are
Tool I: Patient assessment sheet Tool II: Breathing discomfort assessment: it consisted of
two parts: Part I: Respiratory distress observation scale (RDOS) Part II: Dyspnea Visual
Analogue Scale (VAS) Tool III: Factors affecting breathing discomfort Tool IV: Patient
outcomes assessment.
Finding of the present study revealed that there was high statistical significant
difference between study group and control group in relation to arterial blood gases and
haemodynamic parameters one hour after intervention. Concerning to clinical outcomes; 57%
of control group experienced weaning failure versus 35% in study group, and concerning to
mean length of stay in ICU, it was found (14.8±12) and (21±2.3) for study and control group
respectively with highly significant statistical difference between them (P=.004)
Summary
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Conclusion:
Implementing nursing care among the mechanically ventilated patients was effective
in relieving breathing discomfort.
Based on the study findings, the following recommendations are suggested:
o Applying breathing discomfort evaluation as a routine care for all patient in ICUs
o Patients with high score of breathing discomfort encouraged for chest physiotherapy
for better score, and then breathing discomfort evaluation is applied again.
o Providing nursing educational program for nurses about nursing care for relieving
breathing discomfort.
o Reapply this research on a larger probability sample acquired from different
geographical areas in Egypt for generalization