Meng-Yi Liu, Pei-Shan Hsu, Chiu-Feng Wu, Yao-Kuang Wu, Mei-Chen Yang, Wen-Lin Su, I-Shiang Tzeng, Chou-Chin Lan
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This study aimed to compare discomfort associated with ETT, tracheostomy, and NIPPV.</p><p><strong>Materials and methods: </strong>Forty-nine conscious patients with postextubation NIPPV and eight conscious patients who underwent postextubation tracheotomy were evaluated for discomfort. A questionnaire survey on discomfort was performed before and after NIPPV or tracheostomy. These patients reported their level of discomfort on a visual analog scale.</p><p><strong>Results: </strong>The levels of sore throat, nasal pain, body pain, activity limitation, respiratory discomfort, oral discomfort, difficulty coughing sputum, worry about respiratory tube disconnection, back pain, anxiety, worry about long-term admission, sleep disturbance, and general discomfort during ETT intubation were higher than during tracheostomy or NIPPV (all <i>P</i> < 0.05). The mean level of discomfort was approximately 5-6 points (moderate) in patients with ETT and 2-3 points (mild) in patients with NIPPV or tracheostomy.</p><p><strong>Conclusion: </strong>The level of discomfort was higher in patients who underwent ETT intubation than in those who underwent NIPPV or tracheostomy. 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引用次数: 0
摘要
目的:气管内插管(ETT)是呼吸衰竭患者的一项救生程序。然而,气管内插管会给患者带来明显不适。气管插管用于使用机械呼吸机,可使气道更加稳定,减少严重损伤。无创呼吸机(NIPPV)通过面罩进行通气,必须紧紧固定在面部。ETT、气管切开术和 NIPPV 是最常见的呼吸机维护方法。然而,这些干预措施往往会给患者带来不适。本研究旨在比较与 ETT、气管切开术和 NIPPV 相关的不适感:对 49 名接受拔管后 NIPPV 的神志清醒患者和 8 名接受拔管后气管切开术的神志清醒患者进行了不适感评估。在 NIPPV 或气管切开术前后进行了不适感问卷调查。这些患者用视觉模拟量表报告了他们的不适程度:结果:在 ETT 插管期间,患者的咽喉疼痛、鼻腔疼痛、身体疼痛、活动受限、呼吸道不适、口腔不适、咳痰困难、担心呼吸管断开、背部疼痛、焦虑、担心长期入院、睡眠障碍和全身不适程度均高于气管切开术或 NIPPV 期间(所有 P <0.05)。ETT患者的平均不适程度约为5-6分(中度),NIPPV或气管切开患者的平均不适程度约为2-3分(轻度):结论:接受 ETT 插管的患者的不适程度高于接受 NIPPV 或气管切开术的患者。不过,NIPPV 患者和气管切开术患者的不适程度相似。
The level of discomfort during the use of different circuits of the mechanical ventilator.
Objectives: Endotracheal tube (ETT) intubation is a life-saving procedure in patients with respiratory failure. However, the presence of an ETT can cause significant discomfort. A tracheostomy tube is used to administer a mechanical ventilator, resulting in a more stable airway and fewer serious injuries. Noninvasive ventilators (NIPPVs) administer ventilation through masks and must be tightly fixed to the face. ETT, tracheostomy, and NIPPV are the most common methods of ventilator maintenance. However, these interventions often cause discomfort to patients. This study aimed to compare discomfort associated with ETT, tracheostomy, and NIPPV.
Materials and methods: Forty-nine conscious patients with postextubation NIPPV and eight conscious patients who underwent postextubation tracheotomy were evaluated for discomfort. A questionnaire survey on discomfort was performed before and after NIPPV or tracheostomy. These patients reported their level of discomfort on a visual analog scale.
Results: The levels of sore throat, nasal pain, body pain, activity limitation, respiratory discomfort, oral discomfort, difficulty coughing sputum, worry about respiratory tube disconnection, back pain, anxiety, worry about long-term admission, sleep disturbance, and general discomfort during ETT intubation were higher than during tracheostomy or NIPPV (all P < 0.05). The mean level of discomfort was approximately 5-6 points (moderate) in patients with ETT and 2-3 points (mild) in patients with NIPPV or tracheostomy.
Conclusion: The level of discomfort was higher in patients who underwent ETT intubation than in those who underwent NIPPV or tracheostomy. However, the level of discomfort was similar between the patients with NIPPV and those who underwent tracheostomy.
期刊介绍:
The Tzu Chi Medical Journal is the peer-reviewed publication of the Buddhist Compassion Relief Tzu Chi Foundation, and includes original research papers on clinical medicine and basic science, case reports, clinical pathological pages, and review articles.