A description of patients' report of endotracheal tube discomfort.
A description of patients' report of endotracheal tube discomfort.
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DOI：
10.1016/s0964339702000654
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发表时间：
2002-08-01
影响因子：
5.3
通讯作者：
Munro, Cindy
中科院分区：
文献类型：
--
作者：
Grap, Mary Jo;Blecha, Tracy;Munro, Cindy
本描述性研究的目的是描述气管内管（ETT）不适的类型、位置和数量。22名受试者（平均年龄49.2岁）在心脏手术后进行ETT插管至少6小时（平均25.9小时），在拔管后24小时内完成与气管内插管经历相关的100毫米视觉模拟量表。还进行了半结构化访谈。插管时间与所描述的不适程度之间没有关系（r = -0.24; P = 0.29），插管时间与药物是否缓解不适之间没有关系（r = 0.34; P = 17）。所有受试者都描述了不同程度的不适。大多数人表示不适发生在喉咙部位。然而，27% （n = 6）的患者认为不适发生在胸部。不同不适部位的不适程度无差异（f = -0.14; P = 0.71）。不适部位支持了ETT刺激发生在多个层面（即咽、喉和气管粘膜区域）的概念。此外，专注于气管插管稳定性的干预措施将不足以减少不适，但必须重新将护理注意力集中在减少气管插管运动以及所有呼吸机管道的运动上。
The purpose of this descriptive study was to describe the type, location, and amount of endotracheal tube (ETT) discomfort. Twenty-two subjects (mean age 49.2 years) who had experienced ETT intubation for at least 6 hours (mean: 25.9 hours) after cardiac surgery, completed a 100-mm Visual Analogue Scale related to their experience with the endotracheal tube within 24 hours after extubation. A semi-structured interview was also conducted. There was no relationship between the duration of intubation and the level of discomfort described (r = -0.24; P = 0.29) or between the duration of intubation and whether medications relieved the discomfort (r = 0.34; P = 17). All subjects described some level of discomfort. The majority stated the discomfort was in the throat area. However, 27% (n = 6) described the discomfort as located in the chest. There was no difference in the level of discomfort based on discomfort location (f = -0.14; P = 0.71). The discomfort locations support the notion that ETT irritation occurs at multiple levels (i.e. pharyngeal, laryngeal, and tracheal mucosal areas). In addition, interventions that focus on ETT stability will not be sufficient to reduce discomfort but must re-focus nursing attention on reducing ETT movement as well as the movement of all ventilator tubing.