{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T03:38:36Z","timestamp":1783136316709,"version":"3.54.6"},"reference-count":35,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,7,24]],"date-time":"2023-07-24T00:00:00Z","timestamp":1690156800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>During the pandemic outbreak, helmet continuous positive airway pressure (CPAP) was widely used as respiratory support for COVID\u201019 patients, inside and outside of intensive care units. The available literature suggests specific interventions to improve the comfort of patients treated with helmet\u2010CPAP. Few reports are available on the experiences of patients undergoing this treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>This qualitative study aimed to explore the views and recollections of COVID\u201019 patients undergoing helmet\u2010CPAP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>We conducted semi\u2010structured interviews with thematic analysis. Participants were recruited from the follow\u2010up programme for COVID\u201019 patients discharged from an Italian general intensive care unit. Participants were interviewed by telephone. Data analysis followed the principles of thematic synthesis approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>We conducted 29 phone calls in patients eligible for the study. Five participants declared that they did not remember the time spent in hospital on helmet\u2010CPAP. Twenty\u2010four patients were then included. Two themes and six subthemes were generated from their interview data: (1) The helmet\u2010CPAP as a life\u2010saving treatment (subthemes: recognition of the usefulness of treatment and resilience); (2) the negative feelings related to helmet\u2010CPAP application (subthemes: communication problems, entrapment, mental confusion, fear of dying). Each patient's experience was unique, but some discomfort elements such as noise, gas flow turbulence, choking sensation and thirst were found to be very common.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The application of helmet\u2010CPAP treatment generated positive and negative memories and feelings in COVID\u201019 patients during the pandemic. The patients' experience has provided an overview of the main factors of discomfort. This can be a starting point for taking corrective measures to promote greater helmet tolerance and subsequent treatment success.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to Clinical Practice<\/jats:title><jats:p>This study has provided an insight into the patient's recollections about helmet\u2010CPAP treatment during a worldwide pandemic. The findings suggested strict applications of interventions aimed to reduce some issues that participants reported, to improve their compliance to treatment. Results from this study could help nurses in understanding the needs of patients treated with helmet\u2010CPAP and may foster a care focused on patient\u2010centred outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/nicc.12951","type":"journal-article","created":{"date-parts":[[2023,7,25]],"date-time":"2023-07-25T00:09:17Z","timestamp":1690243757000},"page":"49-57","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Patients' recollections of helmet\u2010CPAP treatment during COVID\u201019 pandemic: A qualitative study"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7475-277X","authenticated-orcid":false,"given":"Alberto","family":"Lucchini","sequence":"first","affiliation":[{"name":"General Adult and Pediatric Intensive Care Unit, Emergency Department \u2013 Fondazione IRCCS San Gerardo dei Tintori University of Milano\u2010Bicocca  Monza 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