Discussion of Factors Regarding the Patient Self-extubation of Endotracheal Tube in Surgical Intensive Care Unit û From a Teaching Hospital in Southern Taiwan

2.50
Hdl Handle:
http://hdl.handle.net/10755/152355
Type:
Presentation
Title:
Discussion of Factors Regarding the Patient Self-extubation of Endotracheal Tube in Surgical Intensive Care Unit û From a Teaching Hospital in Southern Taiwan
Abstract:
Discussion of Factors Regarding the Patient Self-extubation of Endotracheal Tube in Surgical Intensive Care Unit û From a Teaching Hospital in Southern Taiwan
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Huang, Yuan-Ting, RN, MSN
P.I. Institution Name:Kaohsiung Armed Forces General Hospital
Title:Head Nurse
Co-Authors:Yung Ming, RN, MSN and Wen-Chiung Yu, RN, MSN
[Research Presentation] The aim of this research was to discuss the factors regarding the patient self-removal of Endotracheal Tube (ETT), and explore the differences between the group of patients who have or have not self-removed ETT.áThe case study was performed between January and December of 2005.á139 subjects were recruited, from a teaching hospital in southern Taiwan, based on purpose sampling. The subjects were selected from 44 patients who have self-removed the ETT and 654 patients whose ETT had been removed by medical staffs after examination and evaluation.áThe result demonstrates the rate of patient self-removal of ETT is 6.4%; the illness of the subject (APACH II) was relative low (10.86; SD=7.24).á Among the subjects, 29% came from the department of Neuro-surgery. 63.9% of the patients had used restrains, 66.7% of the post-surgical patients was not given sedation. The analysis of the two groups demonstrated that significant variables include three categories: departments which the patients were recruited from (P<0.001), whether the patients were at the stage of being extubated (p<0.001) and age (p<0.05).áFurther analysis with Multiple Logistic Regression demonstrates that "whether the patients are at the stage of being extubated" is a main variable that determines the self-removal of ETT.á It was then discovered in the 44 patients who have self-removed ETT, 28 of them were in the stage of extubation, among these, 70% of the patients were not sedated and 81.8% of the self-removed ETT patients are conscientious of the act.á 30.43% of the patients self-removed ETT within a day, 80% of patients were successful, and 93.2% of the patients did not incur any adverse effects.áThe result shows that the medical staff should firmly evaluate the patients' condition of oxygenation, decrease the training session for patients of extubation and advance the time of extubation to prevent self-extubation.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDiscussion of Factors Regarding the Patient Self-extubation of Endotracheal Tube in Surgical Intensive Care Unit û From a Teaching Hospital in Southern Taiwanen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152355-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Discussion of Factors Regarding the Patient Self-extubation of Endotracheal Tube in Surgical Intensive Care Unit &ucirc; From a Teaching Hospital in Southern Taiwan</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Huang, Yuan-Ting, RN, MSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Kaohsiung Armed Forces General Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Head Nurse</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">thmy2817@ms16.hinet.net</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Yung Ming, RN, MSN and Wen-Chiung Yu, RN, MSN</td></tr><tr><td colspan="2" class="item-abstract">[Research Presentation] The aim of this research was to discuss the factors regarding the patient self-removal of Endotracheal Tube (ETT), and explore the differences between the group of patients who have or have not self-removed ETT.&aacute;The case study was performed between January and December of 2005.&aacute;139 subjects were recruited, from a teaching hospital in southern Taiwan, based on purpose sampling. The subjects were selected from 44 patients who have self-removed the ETT and 654 patients whose ETT had been removed by medical staffs after examination and evaluation.&aacute;The result demonstrates the rate of patient self-removal of ETT is 6.4%; the illness of the subject (APACH II) was relative low (10.86; SD=7.24).&aacute; Among the subjects, 29% came from the department of Neuro-surgery. 63.9% of the patients had used restrains, 66.7% of the post-surgical patients was not given sedation. The analysis of the two groups demonstrated that significant variables include three categories: departments which the patients were recruited from (P&lt;0.001), whether the patients were at the stage of being extubated (p&lt;0.001) and age (p&lt;0.05).&aacute;Further analysis with Multiple Logistic Regression demonstrates that &quot;whether the patients are at the stage of being extubated&quot; is a main variable that determines the self-removal of ETT.&aacute; It was then discovered in the 44 patients who have self-removed ETT, 28 of them were in the stage of extubation, among these, 70% of the patients were not sedated and 81.8% of the self-removed ETT patients are conscientious of the act.&aacute; 30.43% of the patients self-removed ETT within a day, 80% of patients were successful, and 93.2% of the patients did not incur any adverse effects.&aacute;The result shows that the medical staff should firmly evaluate the patients' condition of oxygenation, decrease the training session for patients of extubation and advance the time of extubation to prevent self-extubation.</td></tr></table>en_GB
dc.date.available2011-10-26T11:33:12Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:33:12Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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