Effectiveness of Tracheostomy Tube Suctioning Using Mu-Trach Sucker on Clinical Outcomes and Nurse’s Satisfaction
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Abstract
Tracheostomy tube suctioning in children, although it is necessary but wrong suction technique can also affect the patient. Quasi-experimental and a crossover research design was used to compare the effectiveness of tracheostomy tube suctioning using MU-Trach sucker and conventional suction catheter on tissue damage, amount of secretion, clinical outcomes and nurse’s satisfaction. The sample included 28 pediatric patients aged 1 month to 12 years old with tracheostomy tube, who having stable vital signs and conditions, not using mechanical ventilators and normal cough response. Simple random sampling was used to identify which method would be use first and later. When drawing lottery, method that was chosen first would be used to suction 3 times and would be spaced for at least 3 hours before using another. Data were collected on the amount of secretion, tissue damage and clinical outcomes based on the criteria. Data were analyzed using independent t-test and Wilcoxon Sigh-Rank test. The results revealed that even though using MU-Trach sucker yielded no difference in the amount of sputum but caused less tissue damage than conventional suction at statistical significance (p<.05). In addition, nurse’s satisfaction with equipment was at the highest level. Moreover, an average of changes in heart rate, period of time taken for the heart rate and oxygen saturation to return to average level when using MU-Trach sucker were less than those of conventional catheter were significantly less than those of conventional catheter (p<.05). In addition, nurse’s satisfaction with such equipment was at the highest level. The result showed that using MU-Trach sucker was safe and could be used for tracheostomy tube suction in children.
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