The Effect of Nursing Protocol for Prevention of Unplanned Extubation in Medical Patients, Phattalung Hospital
Keywords:
Unplanned extubation, Nursing protocolAbstract
This quasi-experimental study aimed to compare the effect of nursing protocol for prevention of unplanned extubation (UE) in medical patients between control group and experimental group. Fifty one patients from each group were selected by purposive sampling from who were intubated and admitted in the medical ward and medical intensive care unit, Phattalung Hospital. The control group was selected from the medical records of the patients who were admitted during October to December 2019. The experimental group was the patients who were admitted during February to April 2020.The control group was received a regular nursing care while the experimental group was received nursing protocol which was developed from the evidence-base nursing. That nursing protocol comprised of 6 components (1) Teaching and education to the patients and their families, (2) Evaluation of neurological symptom and drug used administration and an appropriated restraint,(3) Stabilize of tabulation,(4) Pain assessment and pain management,5) Intubation and respirator care, and 6) Weaning of respirator. Data were collected by using the basic data and illness information records and unplanned extubation (UE) records. The data were analyzed by Descriptive statistics, Fisher s Exact test, Chi-Square, and Mann Whithey U test. The finding reported that the incidence rate of UE in the control group was 0.196 (19.60%) whereas the incidence rate of UE in the experimental group was 0.039 (3.90%). The incidence rate UE in the experimental group was significantly lower than of the control group (p<.05). Therefore this nursing protocol should will be applied to prevent incidence rates of unplanned extubation in others units.
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