Prototype Development for Fixation and Protection of Endotracheal Tube
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Abstract
This research aimed to develop and evaluate the quality of a prototype for endotracheal tube fixation and protection. The samples of 36 registered nurses were selected for the study. Research instruments consisted of a semi-structured interview form, a time recording form, a quality evaluation questionnaire, the fixation and protection endotracheal tube devices, and a manikin. These instruments were tested by using the item objective congruence, which was .50 - 1.00. The reliability was tested by using Cronbach's alpha coefficient, which was .82. Data were analyzed using descriptive statistics and a one-way repeated-measures ANOVA.
The study’s findings revealed that applying a twill or plaster to fix the endotracheal tube was inconvenient and increased the risk of irritation or pressure ulcers. Also, applying an oropharyngeal airway raised the risk of aspiration. Consequently, the researchers developed a prototype device made from plastic materials that is convenient and safe. This prototype was tested and evaluated for quality. The overall quality was good. The items with the highest average scores were convenience of mouth care (Mean = 3.20, SD = .62, suitability for the oral cavity (Mean = 3.10, SD = .55), and simplicity of use (Mean = 3.10, SD = .62). Furthermore, time for device replacement process was significantly faster than using twill and plaster. (F = 217.386, p-value = .000) This study concluded that the prototype can be used for fixing and protecting the endotracheal tube.
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