The Effect of Family Support on Hemodynamic Parameters, Comfort, and Anxiety During Mechanical Ventilation Weaning in Cardiovascular Surgery: A Randomized Controlled Trial
Year: 2026
Type: article
Study designs: Randomized Controlled Trial, Clinical Trial
Abstract: Objective: The primary goal of postoperative care after cardiovascular surgery is to discontinue sedation, promote patient awakening, and restore spontaneous breathing during the weaning process.Family support may play an important role in improving patients' psychological adaptation and reducing anxiety during this process.This study aimed to evaluate the effect of family support on hemodynamic parameters, comfort, and anxiety levels during weaning from mechanical ventilation after cardiovascular surgery.Methods: This experimental, randomized controlled study was conducted between April 30 and December 30, 2023, in the cardiovascular surgery intensive care unit of a training and research hospital in Northern Türkiye.A total of 52 patients were recruited and randomly assigned to two groups.Data were collected using a Patient Descriptive Characteristics Form and an Observation Form; anxiety, comfort, and patient satisfaction were measured using the State Anxiety Inventory, the Perianesthesia Comfort Scale, and the Numeric Rating Scale, respectively.In the experimental group, coordination was established with patients' family members, and they were allowed to be present with the patients during the extubation process.Results: The intervention was associated with a significant reduction in state anxiety (p=0.01) and a marked improvement in perianesthesia comfort (p=0.01)compared with standard care.Patient satisfaction after extubation was likewise significantly greater in the intervention group (p=0.01).For the majority of hemodynamic indicators, the two groups exhibited similar values without statistically significant differences (p>0.05).In contrast, oxygen saturation measured after extubation was significantly higher among patients receiving the intervention (p=0.002).Conclusion: This study indicates that family support-based intervention reduces state anxiety and improves comfort, satisfaction, and oxygen saturation in postoperative cardiovascular intensive care unit patients.These findings suggest that integrating family-centered care into intensive care unit practice may enhance both psychological and clinical recovery.
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7204270291