KMID : 1004620090150030049
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Clinical Nursing Research 2009 Volume.15 No. 3 p.49 ~ p.59
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Effects on Unplanned Extubation, Oral Mucosa, and Facial Skin Integrity of New Method to Secure Endotracheal Tube
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Kim Jeong-Sook
Lee Eun-Sook Park Jin-Hyang
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Abstract
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Purpose: Examination was done of the effects on unplanned extubation, oral mucosa, and facial skin integrity in patients with oral intubation secured with a new method using Multifix Endo II.
Methods: A prospective quasai-experimental design was used. Data were collected during a 3-week EICU admission period between Jun. 1 and Nov. 30. Two hundreds seventeen (conventional taping group: 105, Multifix Endo II group: 112) orally intubated adults were enrolled in the study at the EICU of the C University Hospital.
Results: The incidence of unplanned extubation (¥ö2=11.580, p=.003) and scores for the facial skin integrity impairment of the Mutifix Endo II group (t=5.28, p=.000) were significantly lower than those of the conventional taping group even though the scores for oral mucosa impairment were not different. The nurse¡¯s evaluation of the clinical effectiveness of the two methods including convenience, comfort, safety, and satisfaction were also higher for the new securement method compared to the conventional taping group.
Conclusion: The securement method using Mutifix Endo II was more effective than the conventional method in the prevention of unplanned extubation and maintenance facial skin integrity.
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KEYWORD
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Endotracheal tube, Extubation, Skin integrity
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