:::

詳目顯示

回上一頁
題名:置放口內氣管內管病患臉部皮膚暨口腔黏膜組織完整性缺損改善方案
書刊名:護理雜誌
作者:范淑珍黃月嬌莊寶玉
作者(外文):Fan, Shu-chenHwang, Yuen-jiauChuang, Pao-yu
出版日期:2005
卷期:52:2
頁次:頁39-47
主題關鍵詞:氣管內管皮膚完整性固定標準Endotracheal intubationSkin integritySecurement standard
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(5) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:5
  • 共同引用共同引用:11
  • 點閱點閱:74
     氣管內管插管所造成的皮膚及口腔黏膜受損甚少受到關注,本專案目的在改善置放口內氣管內管病患,臉部皮膚暨口腔黏膜組織完整性缺損的發生率。經由觀察及實地查檢發現,造成缺損的主要因素為:(1)固定方法不當,(2)唇部黏膜乾燥,(3)阻咬器大且壓力點多,(4)病患頻繁的咬合動作,(5)病患對特殊管路膠布過敏等。針對原因,經由置放口內氣管內管固定標準的建立與推行以及更換新型阻咬器;其結果除受限於病患本身特性(如營養不良、癌末惡病體質等),無法經由本專案設計加以改善外,發生率由改善前的67%,下降至對策方案實施後的25%。由此結果可知本改善方案對置放口內氣管內管病患是有幫助的,且可提供臨床上固定口內氣管內管的參考。
     The problems of damage to facial skin and oral mucus affecting intubated patients have seldom been effectively improved. The purpose of this project was to reduce the incidence of defects in facial skin and oral mucosa integrity in patients with oral endotracheal intubation. The main factors identified by data collection were: 1. Inappropriate endotracheal tube securement. 2. Dry lip mucosa. 3. Pressure points caused by large bite-blocks. 4. Patient's frequent movement of mouth. 5. Allergic reaction caused by adhesive tape. Through the implementation of a new standard for oral endotracheal tube securement and the application of new bite-blocks to deal with the problems mentioned above, the incidence rate of defects in facial skin and oral mucosa integrity decreased from 67% to 25%. The results indicate that the new standard of securement and the new bite-block can help to solve these problems.
期刊論文
1.鄭淑玲、藍麗美、劉鳳英(19980300)。鼻壓瘡改善方案之實施與評值。榮總護理,15(1),74-82。new window  延伸查詢new window
2.Barnason, S.、Graham, J.、Wild, C.、Jesen, L. B.、Rasmussen, D.、Schulz, P.(1998)。Comparison of two endotracheal tube securement techniques, on unplanned extubation, oral mucosa, and facial skin integrity。Heart and Lung,27(6),409-416。  new window
3.Bergstrom, N.、Braden, B.、Kemp, M.、Champagen, M.、Ruby, E.(1998)。Predicting pressure ulcer risk: A multisite study of the predictive validity of the braden scale。Nursing Research,47(5),261-269。  new window
4.Kaplow, R.、Bookbinder, M.(1994)。A comparison of four endotracheal tube holders。Heart and Lung,23(1),59-66。  new window
5.Levy, H.、Griego, L.(1993)。A comparative of oral endotracheal tube securing methods。Chest,104(5),1537-1540。  new window
6.Page, N. E.、Giehl, M.、Luke, S.(1998)。Intubation complications in the critically ill child。American Association of Critical-Care Nurses Clinical Issues,9(1),25-35。  new window
7.Williams, L.、Inc, W.(2004)。Did you know?。Advance in Skin and Wound Care,17(4),160-162。  new window
8.王曼溪(19990300)。預防勝於治療:談壓瘡護理。榮總護理,16(1),88-94。new window  延伸查詢new window
9.杜美蓮(20030100)。氣管內管之照護。中華民國呼吸治療期刊,2(1),1-8。  延伸查詢new window
10.莊寶玉、黃秀梨(20011200)。成人失禁性皮膚炎。護理雜誌,48(6),77-82。new window  延伸查詢new window
圖書論文
1.黃嫦芳(2001)。呼吸治療與照護。重症護理學。臺北:永大。  延伸查詢new window
2.Deutsch, J. M.(2001)。Endotracheal tube care。American Association of Critical-Care Nurses procedure manual for critical care。Philadelphia:W. B. Saunders。  new window
3.Goodrich, C.(2001)。Performing endotracheal intubation。American Association of Critical-Care Nurses procedure manual for critical care。Philadelphia:W.B. Saunders。  new window
 
 
 
 
第一頁 上一頁 下一頁 最後一頁 top