Effectiveness of an Endotracheal Tube Adjustable Stabilizing Set to Prevent Unplanned Extubation in Preterm Infants: A Quasi-experimental Study.
Preterm infants born before 34 weeks of gestation often face respiratory challenges and may require resuscitation with an endotracheal tube and ventilator support. Unplanned extubation is a common problem for such infants, affecting their care and outcomes. This quasi-experimental study compared the...
| Publicado en: | Pacific Rim International Journal of Nursing Research Vol. 28; no. 4; pp. 762 - 778 |
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| Autores principales: | , , |
| Formato: | pictorial research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Thailand Nursing & Midwifery Council
Oct-Dec2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=180377027&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 180377027 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 19068107 B7IM jtl: Pacific Rim International Journal of Nursing Research issn: 19068107 maglogo: N pubinfo: dt: Oct-Dec2024 vid: 28 iid: 4 pid: 26313 pub: Thailand Nursing & Midwifery Council artinfo: ui: 180377027 180377027 180377027 10.60099/prijnr.2024.268079 180377027 ppf: 762 ppct: 16 formats: fmt: @attributes: type: P tig: atl: Effectiveness of an Endotracheal Tube Adjustable Stabilizing Set to Prevent Unplanned Extubation in Preterm Infants: A Quasi-experimental Study. aug: au: Aungsumalin Sangngam Jutamas Chotibang Patcharee Woragidpoonpol affil: Graduate student of Nursing Science Program in Pediatric Nursing, Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand sug: subj: Endotracheal Tubes In Infancy and Childhood Extubation, Traumatic Prevention and Control Equipment Design Stability Vital Signs Oxygen Saturation Intensive Care, Neonatal Treatment Outcomes Thailand Funding Source Human Male Female Infant, Premature Infant Child, Preschool Intensive Care Units, Neonatal Thailand Quasi-Experimental Studies Randomized Controlled Trials Random Assignment Purposive Sample Comparative Studies T-Tests Chi Square Test Fisher's Exact Test P-Value Data Analysis Software Descriptive Statistics Infant: 1-23 months Child, Preschool: 2-5 years Male Female ab: Preterm infants born before 34 weeks of gestation often face respiratory challenges and may require resuscitation with an endotracheal tube and ventilator support. Unplanned extubation is a common problem for such infants, affecting their care and outcomes. This quasi-experimental study compared the incidence of unplanned extubation, stability of vital signs and oxygen saturation between a control group (n = 24) receiving routine care in a neonatal intensive care unit and an experimental group (n = 24) receiving routine care along with the use of the Endotracheal Tube Adjustable Stabilizing Set, developed by the researchers. The latter set comprises an endotracheal tube-holding cap, head-locked pillows, and an oxygen meter. Data were analyzed using descriptive statistics, t-tests, chi-square tests, and Fisher's exact tests. Results show that the control group had an average tracheal tube insertion time of 78.94 hours, while the experimental group had an average of 39.35 hours. The incidence of unplanned extubation was 33.33% (8 cases) in the control group and 4.17% (1 case) in the experimental group. The unplanned extubation rate per 100 ventilator days was 4.41 times in the experimental group, significantly less than in the control group (23.84 times). The experimental group also exhibited significantly more time spent on vital signs and oxygen saturation within normal limits than the control group. In conclusion, using the Endotracheal Tube Adjustable Stabilizing Set in neonatal care can improve patient outcomes by reducing the incidence of unplanned extubation and stabilizing vital signs. This set has passed patentability evaluation for product design and enhances neonatal care by stabilizing endotracheal tubes, reducing slippage, and helping nurses provide more effective care. However, further testing in different settings with larger sample sizes and an equal average tracheal tube insertion time between the two groups is recommended to validate these findings. pubtype: Academic Journal doctype: pictorial research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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