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題名 | 成人加護病房內護理人員對氣管內抽吸術認知程度之探討=Study of Nurses' Knowledge toward to Evidence-Based Endo-tracheal Tube Suctioning in the Adult Intensive Care Units |
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作者 | 李薇莉; 梁天麗; 陳夏蓮; | 書刊名 | 弘光學報 |
卷期 | 58 2010.03[民99.03] |
頁次 | 頁13-29 |
分類號 | 419.73 |
關鍵詞 | 實證氣管內抽吸術; 過度氧合; 過度充氣; 密閉式抽吸系統; 加護護理人員; Evidence-based practice of endotracheal suctioning; Hyperoxygenation; Hyperinflation; Critical care nurses; Closed suction system; |
語文 | 中文(Chinese) |
中文摘要 | 本研究為敘述-調查性研究,主要的目乃在探討成人加護病房內護理人員對於實證氣管內抽吸 術認知程度及重要的解釋因子。以比例分層抽樣方式取得中部地區242位成人加護病房護理人員樣 本,結果顯示加護護理人員對實證氣管內抽吸術認知程度屬中等程度以上,護理人員對於一般抽痰 認知較其預防缺氧措施及其他抽吸相關知識等項目程度佳。認知不足部分包括抽痰管插入深度、抽 痰需要、過度充氣方式與效應、生理鹽水灌洗與呼吸器達到更改設定後氧濃度的時間等項目。加護 病房年資、加護人員在單位內使用密閉式抽吸系統頻率、執行過度氧合方式及過度充氣頻率是加護 人員氣管內抽吸術認知得分重要的解釋變項,解釋變異量31.7%,本結果顯示未來臨床在職教育應 加強在密閉式抽吸系統、預防氣管內抽吸術相關缺氧操作之認知與技能品質上的努力。 |
英文摘要 | This descriptive survey was to examine nurses’ knowledge toward evidence-based practice of endotracheal tube suctioning(ETS)and its related factors. A proportional stratified random sample of 242 nurses from various ICUs was collected by using an endotracheal suctioning inventory. The results indicated that nurses’ knowledge level toward ETS was above the middle level. Critical care nurses had knowledge deficits in assessing insertion of suction tube, needs of ETS, methods and negative effects of hyperinflation, effects of normal saline irrigation, and time for ventilator to achieve modified percentage of oxygenation. ICU years of experience, frequency of applying closed suction system, hyperoxygenation, and hyperinflation, and respiratory personnel participated in ETS were important predicting factors which accounted 31.7% of total variences of evidence-based ETS knowledge level of critical care nurses. Implication of this study was to update continuous education in evidence-based ETS practice both knowledge and skills. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。