頁籤選單縮合
題名 | 病人下床活動訓練與脫離呼吸器之相關性研究=A Study of Mobility Training Program and the Weaning Off of Ventilators |
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作者 | 白玉珠; 董金蓮; 洪曉佩; 鄒怡真; 楊惠菁; 黃朱貝; | 書刊名 | 源遠護理 |
卷期 | 1:2 2007.05[民96.05] |
頁次 | 頁42-51 |
分類號 | 419.73 |
關鍵詞 | 脫離; 呼吸器; 活動訓練; Weaning; Ventilator; Mobility training; |
語文 | 中文(Chinese) |
中文摘要 | 本研究目的為探討以介入性下床活動訓練於使用呼吸器病人,瞭解其對脫離呼吸器之影響及相關因素。研究採類實驗研究設計,分實驗組及對照組,以某醫學中心使用呼吸器超過七天之意識清楚病人,各收集50位病人資料。研究工具包括基本資料、下床活動訓練及脫離呼吸器評估量表。量表採專家效度檢定,信度以Cronbach,s α分別為0.894及0.849。研究結果發現實驗組脫離呼吸器成功率為84%,而對照組之成功率為44﹪(t值:4.537, p<.000);實驗組與對照組平均脫離天數分別為17.9±9.1天及24.6±12.2天,具統計意義(t:-5.099, p<.003)。下床活動訓練計劃提高脫離呼吸器之成功率及降低脫離呼吸器及住院天數。而血液感染、呼吸困難、尿路感染及腹脹等四個變項為預測因子,可解釋量為49.2%,提供照護呼吸器病人脫離下床訓練活動之參考,並建議推廣此項訓練活動,以嘉惠病人。 |
英文摘要 | The purpose of this study was to evaluate the factors influencing patients, mobility training in a program to prepare patients to wean off ventilators. This was a quasi-experimental study with random sampling of subjects from a medical center. Subjects were recruited from consciously intubated patients who had been on ventilator therapy longer than seven days. Patients were divided into two groups with 50 subjects in each group: a mobility training group and a control group. Data source included subjects,demographic data, mobility training scale and ventilator weaning scale. Both mobility training scale and ventilator weaning scale were validated by experts for their content validity; the test-retest reliability was Cronbach﹐s α(0.894 and 0.849 respectively). The rate for patients who were successfully weaned off the ventilators was 84% for the mobility training group and 44% for the control group(t: 4.537, p<.000). The length of time that patients were on the ventilator was 17.9 days for the mobility training group and 24.6 days for the control group(t: -5.099, p<.003)Conclusion: The mobility training significantly improved the rate of weaning intubated patients off ventilators significantly 49.2% of patients, outcome correlated to four predicting factors: bacteremia,dyspnea, urinary tract infection and abdominal distention. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。