دوره 36، شماره 501: هفته اول دی ماه 1397:1267-1275

تأثیر مکیدن آب‌نبات اکالیپتوس بر شدت سرفه و خشونت صدا به دنبال لوله‌گذاری تراشه در بیهوشی اعمال جراحی ارتوپدی

سولماز نظم آرا , جواد نوریان , یاسر تبرایی , جواد گنجلو

DOI: 10.22122/jims.v36i501.10277

چکیده


مقدمه: سرفه و خشونت صدا، از عوارض شایعی است که به دنبال لوله‌گذاری داخل تراشه و التهاب حلق، حنجره و تراشه رخ می‌دهد. آب‌نبات اکالیپتوس برای درمان بسیاری از علایم سرماخوردگی استفاده می‌شود. از این رو، هدف از انجام این مطالعه، تعیین تأثیر آب‌نبات اکالیپتوس بر سرفه و خشونت صدا بعد از خارج‌سازی لوله‌ی تراشه در بیماران تحت اعمال جراحی ارتوپدی بود.

روش‌ها: در این مطالعه‌ی کارآزمایی بالینی، تعداد 134 بیمار کاندیدای عمل جراحی ارتوپدی با روش نمونه‌گیری در دسترس به دو گروه شاهد و مورد (67 نفر در هر گروه) به روش تخصیص تصادفی تقسیم شدند. 30 دقیقه قبل از شروع عمل جراحی و به فاصله‌ی هر 6 ساعت پس از عمل جراحی، به بیماران گروه مورد پس از اخذ رضایت‌نامه، آب‌نبات سرد اکالیپتوس داده شد. ارزیابی سرفه و خشونت صدا پس از عمل جراحی با استفاده از چک لیست‌های سرفه و خشونت صدا در زمان‌های 2، 6، 12 و 24 ساعت بعد از لوله‌گذاری از بیمار سؤال شد. داده‌ها با استفاده از روش‌های آماری توصیفی و آزمون‌های Fisher's exact، 2χ، t و Generalized estimating equation (GEE) با استفاده از نرم‌افزار آماری SPSS تجزیه و تحلیل گردید. 050/0 > P به عنوان سطح معنی‌داری در نظر گرفته شد.

یافته‌ها: بروز سرفه (004/0 = P) و خشونت صدا (001/0 > P) در طول زمان به طور معنی‌داری در گروه مورد نسبت به گروه شاهد کاهش یافت.

نتیجه‌گیری: استفاده از آب‌نبات اکالیپتوس در کاهش سرفه و خشونت صدای ناشی از لوله‌گذاری تراشه در بیماران تحت اعمال جراحی ارتوپدی مؤثر است.


واژگان کلیدی


اکالیپتوس؛ سرفه؛ خشونت صدا؛ لوله‌گذاری تراشه؛ جراحی ارتوپدی

تمام متن:

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مراجع


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