Journal List > J Korean Acad Nurs > v.42(1) > 1002787

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Choi and Chae: Effects of Rotated Endotracheal Tube Fixation Method on Unplanned Extubation, Oral Mucosa and Facial Skin Integrity in ICU Patients
Original Article
Journal of Korean Academy of Nursing

Journal of Korean Academy of Nursing 2012; 42(1): 116-124.

Published online: 29 February 2012

DOI: https://doi.org/10.4040/jkan.2012.42.1.116

Effects of Rotated Endotracheal Tube Fixation Method on Unplanned Extubation, Oral Mucosa and Facial Skin Integrity in ICU Patients

Young Soon Choi1, Young Ran Chae2

1Director of Nursing, Gangneung Asan Hospital, Doctoral Student, Department of Nursing, Kangwon National University, Chuncheon, Korea.

2Associate professor, Department of Nursing, Kangwon National University, Chuncheon, Korea.

Address reprint requests to: Chae, Young Ran. Department of Nursing, Kangwon National University, 192-1 Hyoja-dong, Chuncheon 200-701, Korea. Tel: +82-33-250-8886, Fax: +82-33-242-8840, yrchae@kangwon.ac.kr

Received 22 June 2011       Accepted 5 February 2012

© 2012 Korean Society of Nursing Science

Abstract

Purpose

The study was done to compare effects of two endotracheal tube (ET tube) fixation methods (rotated fixation versus conventional) on unplanned extubation and skin integrity for orally intubated patients in intensive care units.

Methods

The research design was a non-equivalent control group with repeated measures design. Participants were 80 patients; 40 participants assigned to each group. ET tube for the experimental participants fixed with rotated method every morning. Unplanned extubation was assessed by bedside nurses using the unplanned extubation report form. Oral mucosa and facial skin integrity were assessed using oral assessment guide and facial skin integrity assessment guide at day 3, 7, 10 and 14.

Results

There was no difference in the unplanned extubation rate between the two groups. Oral mucosa impairment scores for the rotated fixation method were significantly lower at day 7 (p=.044), 10 (p=.048) and day 14 (p=.037). Also facial skin integrity impairment scores for the same group were significantly lower at day 7 (p=.010), 10 (p=.003), and 14 (p=.002).

Conclusion

Results of the study suggest that the rotated fixation method is effective for these patients, to prevent impairment of oral mucosa and facial skin integrity. Further research is needed to prevent unplanned extubation.

Keywords: Endotracheal extubation, Skin integrity

Figures and Tables

Figure 1
Rotated fixation method.
jkan-42-116-g001
Table 1
Homogeneity for General and Disease Characteristics between Two Groups (N=80)
jkan-42-116-i001

Exp.=Experimental group; Cont.=Control group.

Table 2
Comparison of Unplanned Extubation (N=80)
jkan-42-116-i002

Exp.=Experimental group; Cont.=Control group.

Table 3
Comparisons of Oral Mucosa Status and Facial Skin Integrity (N=80)
jkan-42-116-i003

Exp.=Experimental group; Cont.=Control group.

Table 4
Interaction Effects of Time by Group on Oral Mucosa Status and Facial Skin Integrity (N=41)
jkan-42-116-i004

Exp.=Experimental group; Cont.=Control group.

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