Tracheostomy care and communication during COVID-19: Global interprofessional perspectives.
Tracheostomy care and communication during COVID-19: Global interprofessional perspectives.
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DOI：
10.1016/j.amjoto.2021.103354
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发表时间：
2022-03
影响因子：
2.5
通讯作者：
Pandian V
中科院分区：
文献类型：
--
作者：
Moser CH;Freeman-Sanderson A;Keeven E;Higley KA;Ward E;Brenner MJ;Pandian V
调查COVID-19期间医疗保健提供者、护理人员和患者对气管切开术护理障碍的看法。横断面匿名调查全球气管切开协作学习社区一份17项问卷以电子方式分发，评估人口统计和职业数据;气管切开护理十个领域的挑战;以及对应对COVID-19大流行的知识和准备的看法。受访者（n = 115）来自20个国家，包括患者/护理人员（10.4%）和医疗保健专业人员（87.0%），主要包括耳鼻喉科医生（20.9%）、护士（24.3%）、语言病理学家（18.3%）、呼吸治疗师（11.3%）和其他医生（12.2%）。最常见的气管切开护理问题是无法沟通（33.9%），其次是粘液堵塞和伤口护理。大多数受访者对如何管理袖口和启动语音试验的信息沿着其他技术和知识领域的需求评价很高。获得护理和一次性用品也是突出的问题，反映了社区对常规气管切开术用品的需求与重症监护室的短缺之间的竞争。根据地理位置的不同，40%至67%的受访者报告了综合团队合作。40%的受访者表示对个人防护设备（PPE）感到担忧，70%的受访者强调正确使用PPE。虽然以个人防护设备和大流行资源为中心的安全问题是COVID-19气管切开术护理中的突出问题，但也必须优先考虑以患者为中心的问题。沟通和言语，充足的供应和护理标准是气管切开术的关键考虑因素。气管切开术护理的利益相关者可以合作确定创造性的解决方案，以解决住院和社区环境中恢复通信的延迟，供应中断和气管切开术护理的减少。
Investigate healthcare providers, caregivers, and patient perspectives on tracheostomy care barriers during COVID-19. Cross-sectional anonymous survey Global Tracheostomy Collaborative Learning Community A 17-item questionnaire was electronically distributed, assessing demographic and occupational data; challenges in ten domains of tracheostomy care; and perceptions regarding knowledge and preparedness for navigating the COVID-19 pandemic. Respondents (n = 115) were from 20 countries, consisting of patients/caregivers (10.4%) and healthcare professionals (87.0%), including primarily otolaryngologists (20.9%), nurses (24.3%), speech-language pathologists (18.3%), respiratory therapists (11.3%), and other physicians (12.2%). The most common tracheostomy care problem was inability to communicate (33.9%), followed by mucus plugging and wound care. Need for information on how to manage cuffs and initiate speech trials was rated highly by most respondents, along with other technical and knowledge areas. Access to care and disposable supplies were also prominent concerns, reflecting competition between community needs for routine tracheostomy supplies and shortages in intensive care units. Integrated teamwork was reported in 40 to 67% of respondents, depending on geography. Forty percent of respondents reported concern regarding personal protective equipment (PPE), and 70% emphasized proper PPE use. While safety concerns, centering on personal protective equipment and pandemic resources are prominent concerns in COVID-19 tracheostomy care, patient-centered concerns must also be prioritized. Communication and speech, adequate supplies, and care standards are critical considerations in tracheostomy. Stakeholders in tracheostomy care can partner to identify creative solutions for delays in restoring communication, supply disruptions, and reduced access to tracheostomy care in both inpatient and community settings.
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影响因子：
8.8
作者：
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