Young Soon Choi; Young Ran Chae

doi:10.4040/jkan.2012.42.1.116

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Original Article
Effects of Rotated Endotracheal Tube Fixation Method on Unplanned Extubation, Oral Mucosa and Facial Skin Integrity in ICU Patients: Young Soon Choi, Young Ran Chae; Journal of Korean Academy of Nursing 2012;42(1):116-124.
DOI: https://doi.org/10.4040/jkan.2012.42.1.116
Published online: February 29, 2012

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: June 22, 2011 • Accepted: February 5, 2012

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Abstract
REFERENCES

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

REFERENCES

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Figure 1

Rotated fixation method.

Table 1

Homogeneity for General and Disease Characteristics between Two Groups (N=80)

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

Table 2

Comparison of Unplanned Extubation (N=80)

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

Table 3

Comparisons of Oral Mucosa Status and Facial Skin Integrity (N=80)

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

Table 4

Interaction Effects of Time by Group on Oral Mucosa Status and Facial Skin Integrity (N=41)

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

Figure & Data

REFERENCES

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

J Korean Acad Nurs. 2012;42(1):116-124. Published online February 29, 2012

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

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

Figure 1 Rotated fixation method.

Figure 1

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

Table 1

Homogeneity for General and Disease Characteristics between Two Groups (N=80)

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

Table 2

Comparison of Unplanned Extubation (N=80)

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

Table 3

Comparisons of Oral Mucosa Status and Facial Skin Integrity (N=80)

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

Table 4

Interaction Effects of Time by Group on Oral Mucosa Status and Facial Skin Integrity (N=41)

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

Table 1 Homogeneity for General and Disease Characteristics between Two Groups (N=80)

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

Table 2 Comparison of Unplanned Extubation (N=80)

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

Table 3 Comparisons of Oral Mucosa Status and Facial Skin Integrity (N=80)

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

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