对新生儿重症监护室护士进行ET管吸引知识结构化教学的有效性

Kamlesh Singh, Neelam Awasthi, Akhilesh Kumar Chevla
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引用次数: 0

摘要

气管内插管往往会减少有效的咳嗽和纤毛清除,因为需要一个封闭的声门来维持真正有效的咳嗽。这一切都使得定期气管内吸痰非常必要。2009年4月在印度对98名新生儿进行的一项研究表明,每1000个机械通气日的VAP率为37.2%。在有革兰氏阴性菌的插管新生儿中,近三分之一出现了VAP。结果与新生儿重症监护病房护理人员对ET管抽吸的测试前和测试后知识得分有关。前测中,知识分差者6人(10%),知识分一般者11人(18.3%),知识分优者43人(71.7%)。前测差知识得分均值为8.5,平均得分百分比为14.1%,SD(0.9);中测平均知识得分均值为17.3,平均得分百分比为28.8,SD(3.5);中测良好知识得分均值为16.1,平均得分百分比为26.8,SD(6.6)。后测有60名(100%)护理人员知识良好,后测知识良好得分均值为24.7分,平均得分百分比为41.4%,SD(2.1)。
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Effectiveness of a structured teaching programme on knowledge regarding ET tube suctioning among nicu staff nurses
Endotracheal tubes tend to reduce effective cough and ciliary clearance due to the need for a closed glottis for truly effective cough to be maintained. This all makes periodical endotracheal suctioning very much necessary. A Study conducted in India in April 2009 among 98neonates, shows that VAP rates are 37.2% per 1000 mechanical ventilation days. VAP developed in nearly one third of intubated neonates having gram negative organisms. The findings related to pre test and post test knowledge score of NICU staff nurse regarding ET tube suctioning. In pre-test, 6(10%) are had poor knowledge score, 11(18.3%) are had average knowledge score, 43(71.7%) are had good knowledge score. In pre test poor knowledge score mean is 8.5, mean score percentage is 14.1%, SD(0.9), in average knowledge score mean is 17.3, mean score percentage is 28.8, SD(3.5), in good knowledge score mean is 16.1, mean score percentage is 26.8, SD(6.6). Whereas in post test 60(100%) nursing staffs are having good knowledge score in post test good knowledge score mean is 24.7, mean score percentage is 41.4%, SD (2.1).
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