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- 滴入0.45%生理食鹽水後行氣管插管抽吸術之成果評量
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頁籤選單縮合
題名 | 滴入0.45%生理食鹽水後行氣管插管抽吸術之成果評量=Outcome Measurement of Instillation of 0.45% Saline to Catheter Suction on the Endotracheal Patients |
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作者 | 曾修儀; 張敏瓊; 許佩婷; 鄭秀雯; 彭銘業; 李春蘭; | 書刊名 | 中華民國重症醫學雜誌 |
卷期 | 6:1 民93 |
頁次 | 頁8-20 |
分類號 | 419.73 |
關鍵詞 | 氣管抽吸; 動脈血氧分壓值; 血氧飽和度值; 細菌菌落; Endotracheal suction; PaO[feaf]/FiO[feaf]; SaO[feaf]; Bacterial colonies; |
語文 | 中文(Chinese) |
中文摘要 | 臨床上,護理人員為放置氣管抽管患者抽痰前常會先滴入生理食鹽水,以幫助稀釋痰液及刺激咳嗽,但並無理論證明此作法有其必要性。本研究的主要目的是比較抽痰前滴注0.45%生理食鹽水與否,兩組病患之血液動力等、動脈血氧合度值、血氧飽和度值以及非液的細菌總菌落數之成果。研究的設計為類實驗性設計法,隨機抽取北市某一級教學醫院接受氣管抽管及使用呼吸器患者為對象,收案時間為91年3月至12月,共收案對照組28人及實驗組31人,使用之測量工具包括病患收案記錄表、生理監測儀器、氣體分析儀及痰液細菌培養儀器;統計方法採用獨立及相依樣本t檢、卡方檢定及GEE來進行資料分。 研究結果顯示;抽痰時滴注生理食鹽水除會增加病患的不適感,使其血壓與心跳增高外,病患的動脈血氧合度值呈現較的數值,而血氧飽和度值雖在抽痰後三分鐘內較抽痰前增高,但在五分鐘後便無顯著效益,且抽痰後所收集痰液中含有菌落數亦較高。期能藉由本研究結果,幫助護理人員對臨床現行的氣管抽吸法重新予以評估及思索,以提供接受氣管患者最有益之臨床護理照護。 |
英文摘要 | Nurses caring for endotracheally intubated patients commonly instill a bolus of normal saline into the endortracheal tube prior to sucitioning. The rationale, when identified, is most often to lossen secretions or stimulates a cough. But there is lack of evidence that this practice is beneficial. The purpose of this study is to explore the effect of instill 0.45% normal saline or not into the endortacheal tube. Indicators used in the study included: 1) hemodynamic data. 2) PaO2/FiO2, 3) SaO2, 4) bacterial colonies. A quasi-experimental research design was employed for this study. During March 2002 to December 2002, total fifty-nine samples were selected from a 1200-beds teching hospital; twenty-eight patients were in the control group and thirtyone patients were in the experimental group. Four instruments was used in this study: recording file, bedside monitor, gas analytic machine and bacterial colonies machine. Statistical methods including t-test, paired t-test, chi-square and GEE was used for data analysis. There was a significantly higher incidence of MBP, heart rate and bacterial colonies numbers in the experimental group. The PaO2/FiO2 results of the control group were better than the experimental group. The SaO2 results just keep the significant increased within 3 minutes after suction, but the data recovery to the same degree as the data of pre-suction after 5 minures and there’s no difference between two groups. These findings suggest nurses to consider what the most properly nursing care is for the endotracheal patients. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。