The Effectiveness of Nursing Practice Guidelines on Endotracheal Tube Slippage and Complications. In Critically ill Department Of Internal Medicine Krabi Hospital

Abstract

This single group post-hoc quasi-experimental research was conducted to study the effectiveness of the nursing practice guidelines on endotracheal tube dislocation and complications in critically ill patients in the Female Internal Medicine Unit, Krabi Hospital. The concept was based on the implementation of the National Health and Medical Research Council of Australia (NHIMRC, 1999) guidelines, consisting of 1) development of nursing practice guidelines, 2) implementation of nursing practice guidelines, and 3) evaluation of the nursing practice guidelines. The outcomes were the incidence of endotracheal tube dislocation and complications. The sample consisted of 27 patients and was studied from July 2024 to September 2024. The research instruments included the nursing practice guidelines, the dislocation record form, and the complication record form. The content validity was 1.00. Data were analyzed using frequency and percentage. The results showed that female patients were between the ages of 51–60 years and 60 years and older were the most common. Totaling 74.07 percent, the diagnosis from doctors was infectious disease in 33.33 percent, followed by kidney disease in 25.9 percent, and the number of days with endotracheal tube insertion was 6-10 days in 44.4 percent, and the average number of days with endotracheal tube insertion was 8.72 days. After using the guidelines for preventing endotracheal tube slippage, critical patients in the female internal medicine unit had 1 endotracheal tube slippage, accounting for 3.70 percent. There was only 1 complication of food aspiration, accounting for 3.70 percent, and no patients had endotracheal tube slippage due to complications of pneumonia, compression from ventilators, collapsed lungs, and opinions on the use of nursing guidelines for endotracheal tube slippage and complications in critical patients in the female internal medicine unit, Krabi Hospital, found that the guidelines were easy to evaluate because they provided comprehensive, concise, and convenient information for use in the unit.

          So Krabi Hospital and health service facilities in the network Practices to prevent endotracheal tube slippage may be introduced. to clinical application or applied in the care of intubated patients Resulting in reducing the rate of tracheal tube slippage and further reducing complications from tracheal intubation.