Current status of care for patients with tracheostomy among nurses at Thai Binh Provincial general Hospital and some associated factors in 2023

Thi Thuy Pham, Tuan Anh Truong, Thi Van Tran, Thi Hanh Lam, Thi Lan Bui
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Abstract

Objective: To describe the current status of care for patients with tracheostomy at Thai Binh Provincial General Hospital and some related factors. Research subjects and methods: A cross-sectional study of over 110 visits for each procedure of chest percussion and sputum suction in nursing care of patients with tracheostomy. The assessment scale is based on the procedure issued by the Ministry of Health. The chi-square test was used to identify factors related to the current status of care for patients with tracheostomy. Results: The practice rate achieving the technique of chest percussion and sputum suction was 35.5% and 81.8%, respectively. The rate of nurses with bachelor’s degrees, and care < 5 nurses/day satisfactorily practice in the technique of chest percussion is higher than the group of nurses with college degree and cared for ≥ 5 patients/day with ORs of 3.25 and 3.06, respectively. The nursing group is ≥ 30 years old, working experience > 10 years, experience in caring for tracheostomy patients > 10 years and number of training participations > 1 time passed the practice of sputum suction technique higher than the remaining nursing group with OR of 7.91; 4.71; 4.71 and 4.44 respectively. This difference is statistically significant with p < 0.05. Conclusion: The prorpotion of nurses practice satisfactorily the sputum suction technique is relatively high (81.8%), but it is too low with the chest percussion technique (35.5%). There are a number of factors related to percussion technique, including qualifications and the number of patients cared for per day. Some factors related to practicing the sputum suction technique are age, working experience, caring time for tracheostomy patients, and number of training session. Nurses need to pay attention to compliance with technical procedures, especially nurses aged < 30 years old, low qualifications, short working time and rarely participates in training.
2023 年太平省综合医院护士对气管切开患者的护理现状及一些相关因素
摘要描述太平省总医院对气管切开患者的护理现状及一些相关因素:对气管造口患者护理中的胸部叩击和吸痰每个程序的 110 多人次进行横断面研究。评估量表以卫生部颁布的程序为基础。采用卡方检验确定与气管切开患者护理现状相关的因素:结果:胸部叩击和吸痰技术的实践率分别为 35.5%和 81.8%。本科学历且护理人数<5人/天的护士胸部叩击术满意率高于大专学历且护理人数≥5人/天的护士组,OR值分别为3.25和3.06。年龄≥30 岁、工作年限>10 年、气管切开患者护理年限>10 年、参加培训次数>1 次的护理组吸痰技术实践通过率高于其余护理组,OR 分别为 7.91、4.71、4.71 和 4.44。P<0.05,差异有统计学意义:护士对吸痰技术的满意度相对较高(81.8%),但对胸部叩击技术的满意度太低(35.5%)。与叩诊技术有关的因素有很多,包括资格和每天护理的病人数量。年龄、工作经验、护理气管切开患者的时间和培训次数也与吸痰技术的练习有关。护士需要注意遵守技术程序,尤其是年龄小于 30 岁、学历低、工作时间短且很少参加培训的护士。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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