基于需求的介入性气管造口护理协议对护士气管造口护理知识和实践的影响。

IF 1.5 Q3 CRITICAL CARE MEDICINE
Alice R Bilung, Janet P Dsouza, Sagar S Maddani
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引用次数: 0

摘要

目的与背景:气管切开术是重症监护环境中常用的手术干预,气管切开术导致许多并发症。采用循证方法进行气管切开术护理可以有效减少并发症的发生。本研究旨在评估患者的气管造口并发症,确定护士对气管造口护理的知识和实践情况,并评估气管造口护理方案(TCP)在提高气管造口护理知识和实践以及减少患者并发症方面的有效性。材料与方法:本研究采用准实验研究设计。98名重症监护护士分为两组,每组49名护士。实验组接受干预,两组均使用与气管切开术护理知识和实践清单相关的工具进行了前后测试。使用气管切开术并发症检查表观察患者的并发症。数据分析包括描述性统计和推断性统计。结果:本研究发现了气管造口术患者的并发症,包括出血、管道阻塞、缺氧和局部伤口感染。实验组和对照组分别有49%和34.7%的护士知识贫乏。两组干预前后的知识和实践得分差异有统计学意义(p < 0.001)。结论:本研究揭示了参与者在气管切开术护理方面的知识和实践存在差距。实施TCP后,重症监护护士的知识和实践得到了提高。干预后,患者的并发症数量和住院时间均有所减少。引用本文:毕隆安,杜淑娟,马达尼。基于需求的介入气管切开术护理方案对护士气管切开术护理知识和实践的影响。中华检验医学杂志;2009;28(11):1050-1055。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effectiveness of a Need-based Interventional Tracheostomy Care Protocol on Knowledge and Practice of Tracheostomy Care among Nurses.

Aim and background: Tracheostomy is a commonly conducted surgical intervention in intensive care settings, and many complications result from tracheostomy. The use of an evidence-based methodology for tracheostomy care can effectively mitigate the occurrence of complications. This study aimed to assess tracheostomy complications among patients, determine nurses' knowledge and practice of tracheostomy care, and evaluate the effectiveness of a tracheostomy care protocol (TCP) in terms of improving knowledge and practice of tracheostomy care and reducing complications among patients.

Materials and methods: To conduct this study, a quasi-experimental research design was selected. Ninety-eight intensive care nurses were divided into two groups, with 49 nurses in each group. The experimental group received an intervention, and both groups underwent pre- and posttests using tools related to tracheostomy care knowledge and practice checklists. Complications among patients were observed using a tracheostomy complication checklist. Data analysis involved both descriptive and inferential statistics.

Results: This study identified complications, including bleeding, tube obstruction, hypoxia, and local wound site infection, among tracheostomy patients. About 49% of the nurses in the experimental group and 34.7% in the control group had poor knowledge. There was a statistically significant difference in pre- and postintervention knowledge and practice scores between the groups (p < 0.001).

Conclusion: This study revealed a gap in participants' knowledge and practices regarding tracheostomy care. After the TCP was implemented, intensive care nurses improved their knowledge and practices. Postintervention, the number of complications and the length of hospital stay among patients were reduced.

How to cite this article: Bilung AR, Dsouza JP, Maddani SS. Effectiveness of a Need-based Interventional Tracheostomy Care Protocol on Knowledge and Practice of Tracheostomy Care among Nurses. Indian J Crit Care Med 2024;28(11):1050-1055.

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来源期刊
CiteScore
3.50
自引率
10.00%
发文量
299
期刊介绍: Indian Journal of Critical Care Medicine (ISSN 0972-5229) is specialty periodical published under the auspices of Indian Society of Critical Care Medicine. Journal encourages research, education and dissemination of knowledge in the fields of critical and emergency medicine.
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