PDF(Pubmed)
Abstract：
UNASSIGNED: Endotracheal tube (ETT) intubation is a life-saving procedure in patients with respiratory failure. However, the presence of an ETT can cause significant discomfort. A tracheostomy tube is used to administer a mechanical ventilator, resulting in a more stable airway and fewer serious injuries. Noninvasive ventilators (NIPPVs) administer ventilation through masks and must be tightly fixed to the face. ETT, tracheostomy, and NIPPV are the most common methods of ventilator maintenance. However, these interventions often cause discomfort to patients. This study aimed to compare discomfort associated with ETT, tracheostomy, and NIPPV.
UNASSIGNED: Forty-nine conscious patients with postextubation NIPPV and eight conscious patients who underwent postextubation tracheotomy were evaluated for discomfort. A questionnaire survey on discomfort was performed before and after NIPPV or tracheostomy. These patients reported their level of discomfort on a visual analog scale.
UNASSIGNED: The levels of sore throat, nasal pain, body pain, activity limitation, respiratory discomfort, oral discomfort, difficulty coughing sputum, worry about respiratory tube disconnection, back pain, anxiety, worry about long-term admission, sleep disturbance, and general discomfort during ETT intubation were higher than during tracheostomy or NIPPV (all P < 0.05). The mean level of discomfort was approximately 5-6 points (moderate) in patients with ETT and 2-3 points (mild) in patients with NIPPV or tracheostomy.
UNASSIGNED: The level of discomfort was higher in patients who underwent ETT intubation than in those who underwent NIPPV or tracheostomy. However, the level of discomfort was similar between the patients with NIPPV and those who underwent tracheostomy.
UNASSIGNED: Forty-nine conscious patients with postextubation NIPPV and eight conscious patients who underwent postextubation tracheotomy were evaluated for discomfort. A questionnaire survey on discomfort was performed before and after NIPPV or tracheostomy. These patients reported their level of discomfort on a visual analog scale.
UNASSIGNED: The levels of sore throat, nasal pain, body pain, activity limitation, respiratory discomfort, oral discomfort, difficulty coughing sputum, worry about respiratory tube disconnection, back pain, anxiety, worry about long-term admission, sleep disturbance, and general discomfort during ETT intubation were higher than during tracheostomy or NIPPV (all P < 0.05). The mean level of discomfort was approximately 5-6 points (moderate) in patients with ETT and 2-3 points (mild) in patients with NIPPV or tracheostomy.
UNASSIGNED: The level of discomfort was higher in patients who underwent ETT intubation than in those who underwent NIPPV or tracheostomy. However, the level of discomfort was similar between the patients with NIPPV and those who underwent tracheostomy.
摘要：
■气管内插管（ETT）是呼吸衰竭患者的救命程序。然而,ETT的存在会导致严重的不适。气管造口管用于管理机械呼吸机，导致更稳定的气道和更少的严重伤害。无创呼吸机（NIPPV）通过口罩进行通气，必须紧紧固定在脸上。ETT,气管造口术,和NIPPV是最常见的呼吸机维护方法。然而,这些干预措施通常会给患者带来不适.这项研究旨在比较与ETT相关的不适，气管造口术,和NIPPV。
■对49名清醒的拔管后NIPPV患者和8名清醒的拔管后气管切开术患者进行了不适评估。在NIPPV或气管造口术之前和之后进行了不适的问卷调查。这些患者在视觉模拟量表上报告了他们的不适程度。
■喉咙痛的程度，鼻痛,身体疼痛，活动限制，呼吸不适,口腔不适,咳痰困难，担心呼吸管断开,背痛,焦虑,担心长期入学，睡眠障碍,ETT插管时的全身不适高于气管切开或NIPPV时（均P<0.05）。ETT患者的平均不适程度约为5-6分（中度），NIPPV或气管造口术患者的平均不适程度约为2-3分（轻度）。
■接受ETT插管的患者的不适程度高于接受NIPPV或气管造口术的患者。然而,NIPPV患者和气管造口术患者的不适程度相似.
■对49名清醒的拔管后NIPPV患者和8名清醒的拔管后气管切开术患者进行了不适评估。在NIPPV或气管造口术之前和之后进行了不适的问卷调查。这些患者在视觉模拟量表上报告了他们的不适程度。
■喉咙痛的程度，鼻痛,身体疼痛，活动限制，呼吸不适,口腔不适,咳痰困难，担心呼吸管断开,背痛,焦虑,担心长期入学，睡眠障碍,ETT插管时的全身不适高于气管切开或NIPPV时（均P<0.05）。ETT患者的平均不适程度约为5-6分（中度），NIPPV或气管造口术患者的平均不适程度约为2-3分（轻度）。
■接受ETT插管的患者的不适程度高于接受NIPPV或气管造口术的患者。然而,NIPPV患者和气管造口术患者的不适程度相似.
