This research has been conducted to measure and compare the effect of four endotracheal suction methods(open & closed suction, deep & shallow suction) for mechanically ventilated ICU patients designed to enhance the safety and effectiveness of endotracheal suction.
The research used a quas...
This research has been conducted to measure and compare the effect of four endotracheal suction methods(open & closed suction, deep & shallow suction) for mechanically ventilated ICU patients designed to enhance the safety and effectiveness of endotracheal suction.
The research used a quasi-experimental, non-equivalent groups pre-post test design and it was carried out to from August 5th to September 17th, 2017 with 60 subjects conveniently sampled from K university hospital located in Seoul, South Korea. The 60 research subjects were assigned to 4 Groups sequentially according to the date of intubation and ventilation date: Open and deep suction was performed in 15 patients in Group 1, open and shallow suction was performed in 15 patients in Group 2, closed and deep suction was performed in 15 patients in Group 3, closed and shallow suction was performed in 15 patients in Group 4.
Heart rate, respiration rate, pain score(estimated by Behavioral Pain Scale), oxygen saturation, tidal volume were collected before, immediately after, and 1 minute, 3 minute, 5minute, 10minute, 20minute, 30minute after endotracheal suction.
SPSS 22.0 program was used for data analysis. One-way ANOVA was used to test the pre-homogeneity of each group. To analyze the effects of endotracheal suction method, Two-way ANOVA for repeated measures with two repetition factors(treatment, time), ANOVA were used and Bonferromi correction was used for post-analysis.
Results of this study are as follows:
1. There was a significant difference in the change of heart rate according to time by the suction method(F=2.334, p=0.002), Group 3, which had deep suction compared to Group 2 and Group 4, had a significant increase in heart rate after endotracheal suction.
2. There was a significant difference in the change of respiratory rate according to time by the suction method(F=2.003, p=0.009). Compared with Group 2 and Group 4 with shallow suction, respiration rate after endotracheal suction was significantly increased in Group 1 and Group 3 with deep suction.
3. It has been proved that there is a significant difference in the oxygen saturation according to the time by the endotracheal suction method(F=2.805, p=0.000). In Group 3 and Group 4 with closed suction, the oxygen saturation was significantly increased 30 minutes after endotracheal suction compared to Group 2 with open and shallow suction.
4. It has been proved that there is a significant difference in the tidal volume according to the time by the endotracheal suction method(F=4.359, p=0.000). However, there was no significant difference in tidal volume before suction and 30 minute after suction according to the endotracheal suction method.
5. There was a significant difference in the change of pain socre(BPS) according to time by the suction method(F=2.805, p=0.000). Group 1, which had an open and deep suction and Group 3, which had a closed and deep suction, showed a statistically significant increase in post-suction pain scores compared to Group 4 with closed and shallow suction.
According to the results, suggestion is as follows;
In the case of deep suction, the changes in heart rate and respiratory rate were greater during endotracheal suction compared to shallow suction, and it was found that the effect on the patient 's pain level was significant. In addition, the change of oxygen saturation during open suction was greater than that of closed suction, and the oxygen saturation after 30 minutes of suction in closed suction was significantly higher than that before endotracheal suction.
Therefore, it is suggested to perform “closed and shallow suction” in order to minimize the adverse effects of endotracheal suction and to improve the airway cleanliness effect.
This research has been conducted to measure and compare the effect of four endotracheal suction methods(open & closed suction, deep & shallow suction) for mechanically ventilated ICU patients designed to enhance the safety and effectiveness of endotracheal suction.
The research used a quasi-experimental, non-equivalent groups pre-post test design and it was carried out to from August 5th to September 17th, 2017 with 60 subjects conveniently sampled from K university hospital located in Seoul, South Korea. The 60 research subjects were assigned to 4 Groups sequentially according to the date of intubation and ventilation date: Open and deep suction was performed in 15 patients in Group 1, open and shallow suction was performed in 15 patients in Group 2, closed and deep suction was performed in 15 patients in Group 3, closed and shallow suction was performed in 15 patients in Group 4.
Heart rate, respiration rate, pain score(estimated by Behavioral Pain Scale), oxygen saturation, tidal volume were collected before, immediately after, and 1 minute, 3 minute, 5minute, 10minute, 20minute, 30minute after endotracheal suction.
SPSS 22.0 program was used for data analysis. One-way ANOVA was used to test the pre-homogeneity of each group. To analyze the effects of endotracheal suction method, Two-way ANOVA for repeated measures with two repetition factors(treatment, time), ANOVA were used and Bonferromi correction was used for post-analysis.
Results of this study are as follows:
1. There was a significant difference in the change of heart rate according to time by the suction method(F=2.334, p=0.002), Group 3, which had deep suction compared to Group 2 and Group 4, had a significant increase in heart rate after endotracheal suction.
2. There was a significant difference in the change of respiratory rate according to time by the suction method(F=2.003, p=0.009). Compared with Group 2 and Group 4 with shallow suction, respiration rate after endotracheal suction was significantly increased in Group 1 and Group 3 with deep suction.
3. It has been proved that there is a significant difference in the oxygen saturation according to the time by the endotracheal suction method(F=2.805, p=0.000). In Group 3 and Group 4 with closed suction, the oxygen saturation was significantly increased 30 minutes after endotracheal suction compared to Group 2 with open and shallow suction.
4. It has been proved that there is a significant difference in the tidal volume according to the time by the endotracheal suction method(F=4.359, p=0.000). However, there was no significant difference in tidal volume before suction and 30 minute after suction according to the endotracheal suction method.
5. There was a significant difference in the change of pain socre(BPS) according to time by the suction method(F=2.805, p=0.000). Group 1, which had an open and deep suction and Group 3, which had a closed and deep suction, showed a statistically significant increase in post-suction pain scores compared to Group 4 with closed and shallow suction.
According to the results, suggestion is as follows;
In the case of deep suction, the changes in heart rate and respiratory rate were greater during endotracheal suction compared to shallow suction, and it was found that the effect on the patient 's pain level was significant. In addition, the change of oxygen saturation during open suction was greater than that of closed suction, and the oxygen saturation after 30 minutes of suction in closed suction was significantly higher than that before endotracheal suction.
Therefore, it is suggested to perform “closed and shallow suction” in order to minimize the adverse effects of endotracheal suction and to improve the airway cleanliness effect.
※ AI-Helper는 부적절한 답변을 할 수 있습니다.