• O Yaman, M Aygun, and H Erten.
• Department of Nursing, Demiroğlu Bilim University, Health Sciences Institute, İstanbul, Turkey.
• Niger J Clin Pract. 2021 Feb 1; 24 (2): 177-185.

BackgroundThe success of noninvasive ventilation (NIV) treatment is closely related to high levels of clinical support.AimsIn this study, we sought to analyze patient mask compliance and minor side effects and to evaluate additional nursing workload needed for the NIV care.Materials And MethodsThe study was designed as a prospective and observational. The data were collected from an intensive care unit. Clinical and physiological data, patient tolerance and adverse effects, subjects' complaints about their experience, and additional nursing workload associated with NIV treatment were assessed.ResultsStatistically significant improvements were obtained in arterial blood gas analysis, respiratory rate, and heart rate during treatment. In the first 2 h, 65% of subjects had poor mask compliance, patients' comfort scores were poor, and incompliance was associated with discomfort. The ratio of skin problems was 15% in the first 24 h and reached 60% at 48 h. The pain rate due to mask ties was 80% and then increased to 90% at 48 h. There was a significant relationship between the problems detected by the nurses and problems described by the subjects. Additional nursing workload was found as 110 min for 0-6 h.ConclusionsWe observed that the mask compliance and comfort levels of the subjects were poor. Skin breakdowns increased depending on the duration of treatment. Treatment would require continuous nursing support in seven areas. NIV treatment generated a significant amount of workload for nurses. Additional nursing workforce planning is required for NIV units for successful NIV treatment.

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