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題名:比較兩種固定方案對氣管插管相關性壓瘡之預防成效
書刊名:健康與建築雜誌
作者:廖淑貞張文忠游曉蕙蘇瑜鵑蔡雅琪陳尹甄
作者(外文):Liao, Shu-chenChang, Wen-chungYu, Siao-huiSu, Yu-chuanTsai, Ya-chiChen, Yin-chen
出版日期:2016
卷期:3:2
頁次:頁49-55
主題關鍵詞:壓瘡氣管插管護理品質Endotracheal tubePressure ulcerQuality of nursing care
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(2) 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:2
  • 共同引用共同引用:18
  • 點閱點閱:3
背景:壓瘡是反映臨床照護品質的重要指標之一。目的:比較彈性宜拉膠帶與親水性固定帶兩種方案對氣管插管相關性壓瘡之預防成效。方法:採類實驗研究設計,立意取樣,以某醫學中心加護室留置經口氣管插管之病人為對象。研究工具『氣管插管相關性壓瘡觀察記錄表』專家內容效度為.97, Conbach's alpha 為 .95。結果:彈性宜拉膠帶組收案51人、親水性固定帶組46人,兩組基本屬性無顯著差異。彈性宜拉膠帶組有8位發生皮膚破損、親水性固定帶組有4位;兩組固定氣管內管之耗材平均花費達顯著差異(p =.000) 。彈性宜拉膠帶組232.1±92.2元,親水性固定帶組460±0元;彈性宜拉膠帶組每日固定氣管內管的護理工時較長平均263.8±125.3秒,親水性固定帶組77.45±73.8秒( p =.000)。結論/ 實務應用:結果可作為制定臨床氣管內管照護方案之參考,亦可作為訂定在職教育方案及標準作業之依據。
Background: Pressure ulcer is one of the major indicators to reflect the quality of nursing care Purposes: The purpose of this study was to compare the effectiveness of Elastic Adhesive Tape (EAT) and Anchorfast Endotracheal Tube Faster (ATF) endotracheal tube securing method for prevention endotracheal tube association pressure ulcer. Methods: The quasi-experimental study design with purpose sampling and subjects were recruited from critical care unit in medical center. The observation record of endotracheal tube correlation pressure ulcer, the CVI is .97, internal consistency alpha is .95. Results: The EAT group recruited 51 participants and ATF group recruited 46 participants. The results showed that there were no significant difference to demographic data, The EAT group reported n=8 face skin tears, the ATF group reported n=4.The EAT group was 232.1±92.2 NT dollars for endotracheal tube securing. The ATF group was 232.1±92.2 NT dollars (p=.000). Compared with the ATF, the EAT group took longer time in operation endotracheal tube daily care (263.8±125.3 with 77.45±73.8 seconds, p=.000). Conclusion/Implications for practice: The results of this study may be used to develop clinical guidelines for endotracheal tube care and offer important references for continued education and standard operating procedures of securing endotracheal tube.
期刊論文
1.靳燕芬、吳蕙菱、林淑真、邱月璧(20060300)。某醫學中心住院病人壓瘡盛行率及發生壓瘡相關因素探討。長庚護理,17(1)=53,11-21。new window  延伸查詢new window
2.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
3.Levy, H.、Griego, L.(1993)。A comparative of oral endotracheal tube securing methods。Chest,104(5),1537-1540。  new window
4.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
5.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
6.張昭惠、陳惠玲、陳香祺(2007)。降低神經外科手術患者壓瘡發生率之方案。護理雜誌,54(6),53-60。new window  延伸查詢new window
7.翁敏雪、張敏瓊、顏鴻欽(2006)。使用非插管式呼吸機病人接受親水性敷料保護臉部以降低壓瘡成效之探討。中華民國重症醫學雜誌,7(3),111-118。  延伸查詢new window
8.Lai, P. B.、Pang, P. C.、Chan, S. K.、Lau, W. Y.(2001)。Necrosis of the nasal after improper taping of a nasogastric tube。International Journal of Clinical Practice,55(2),145。  new window
9.Black, L.、Alves, P.、Brindle, C. T.、Dealey, C.、Santamaria, N.、Call, E.、Clark, M.(2015)。Use of wound dressing to enhance prevention of pressure ulcers caused by medical devices。International Wound Journal,12(3),322-327。  new window
10.范淑珍、黃月嬌、莊寶玉(20050400)。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。護理雜誌,52(2),39-47。new window  延伸查詢new window
圖書論文
1.Deutsch, J. M.(2001)。Endotracheal tube care。American Association of Critical-Care Nurses procedure manual for critical care。Philadelphia:W. B. Saunders。  new window
2.黃嫦芳(2001)。呼吸治療與照護。重症護理學。台北:永大。  延伸查詢new window
 
 
 
 
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