ความสำเร็จในการถอดท่อ ระยะเวลาในการคาท่อและจำนวนวันนอนในไอซียู ในผู้ป่วยภาวะหัวใจล้มเหลวที่ได้รับการดูแลโดยใช้แนวปฏิบัติในการถอดท่อช่วยหายใจ Extubation Success, Duration of Intubation,and Length of Stay of CHF Patients after Extubation Practice Guideline

Abstract

This comparative study aimed to investigate the outcomes of the utilization of extubation practice guideline on extubation success, duration of intubation and length of stay in ICU. A purposive sample of 205 medical patients in ICU was recruited for this study, 92 in the retrospective group received a usual guideline and 113 in the prospective groups received the evidence-based guideline. The findings showed that the extubation success between the 2 groups was not significantly different in the patients aged less than 60 years old. Furthermore, duration of intubation and length of stay in ICU between the 2 groups were significantly different (p=.000, p=.014 respectively). For patients aged over 60 years old, extubation success and length of stay in ICU between the 2 groups were not significantly different. Nevertheless, duration of intubation between the 2 groups was significantly different (p=.000).