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기관내관 순환고정방법이 중환자실 환자의 비계획적 발관 및 구강·안면 피부 통합성에 미치는 효과

 Effects of Rotated Endotracheal Tube Fixation Method on Unplanned Extubation, Oral Mucosa and Facial Skin Integrity in ICU Patients

Journal of Korean Academy of Nursing 2012년 42권 1호 p.116 ~ 124
KMID : 0806120120420010116
최영순 ( Choi Young-Soon ) - 강릉아산병원

채영란 ( Chae Young-Ran ) - 강원대학교 간호학과

Abstract

Purpose: The study was done to compare effects of two endotracheal tube (ET tube) fixation methods (rotated fixation versus conventional) on unplanned extubation and skin integrity for orally intubated patients in intensive care units.

Methods: The research design was a non-equivalent control group with repeated measures design. Participants were 80 patients; 40 participants assigned to each group. ET tube for the experimental participants fixed with rotated method every morning. Unplanned extubation was assessed by bedside nurses using the unplanned extubation report form. Oral mucosa and facial skin integrity were assessed using oral assessment guide and facial skin integrity assessment guide at day 3, 7, 10 and 14.

Results: There was no difference in the unplanned extubation rate between the two groups. Oral mucosa impairment scores for the rotated fixation method were significantly lower at day 7 (p=.044), 10 (p=.048) and day 14 (p=.037). Also facial skin integrity impairment scores for the same group were significantly lower at day 7 (p=.010), 10 (p=.003), and 14 (p=.002).

Conclusion: Results of the study suggest that the rotated fixation method is effective for these patients, to prevent impairment of oral mucosa and facial skin integrity. Further research is needed to prevent unplanned extubation.
KeyWords

Endotracheal extubation, Skin integrity
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SCI(E) MEDLINE 학술진흥재단(KCI) KoreaMed