Effect of Implementing Clinical Practice Guidelines for Unplanned Endotracheal Extubation Prevention in Medical Intensive Care Unit 2, Chiangrai Prachanukroh Hospital.
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Abstract
ABSTRACT
BACKGROUND
Endotracheal intubation is generally used in critically ill patient with respiratory failure to maintain oxygenation and ventilation. However, unplanned endotracheal self-extubation is one of serious complications. This event could increase morbidity and mortality rate.
OBJECTIVE
This study aim to determine effect of clinical practice guidelines for unplanned endotracheal extubation prevention in medical intensive care unit 2, Chiangrai Prachanukroh hospital.
METHODS
This study is a historical controlled efficacy research, performed in mechanically-ventilated patients in medical intensive care unit 2, Chiangrai Prachanukroh hospital between April 2017 to April 2018. Three hundred and sixty two patients were enrolled, divided into pre-implementation and post implementation group, which contain 181 patients per group. Implementation of the CPGs model of Registered Nurse Association of Ontario was applied in this study. Then, data analysis was performed using exact probability
and student t-test.
RESULTS
Incidence of unplanned extubation were significantly difference between two groups 12.15% in pre-implementing group compared with 4.42% in post-implementing group (P=0.005). In addition, registration nurses were co-operated according CPGs, therefore the incidence was significantly decreased.
CONCLUSTION AND DISCUSSION
Incidence of unplanned self - extubation was significantly decresed after implementing of clinical practice guideline for unplanned endotracheal extubation prevention. And the registration nurses were conformed the guideline comfortably. As a
result, this guideline should be applied to every critically ill patients.
Article Details
References
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