مقایسه‌ی تأثیر ساکشن لوله‌ی تراشه به روش باز و بسته بر نتایج اسمیر و کشت باکتریال ترشحات تراشه‌ی بیماران تحت تهویه‌ی مکانیکی بستری در بخش مراقبت‌های ویژه

نوع مقاله : مقاله های پژوهشی

نویسندگان

1 مربی، گروه پرستاری سلامت سالمندان و روان‌پرستاری، دانشکده‌ی پرستاری، دانشگاه علوم پزشکی گناباد، گناباد، ایران

2 دانشجوی کارشناسی ارشد، گروه پرستاری، دانشکده‌ی پرستاری، دانشگاه علوم پزشکی گناباد، گناباد، ایران

3 استاد، گروه پرستاری داخلی- جراحی، دانشکده‌ی پرستاری و، مرکز تحقیقات توسعه‌ی اجتماعی و ارتقای سلامت، دانشگاه علوم پزشکی گناباد، گناباد، ایران

4 دانشیار، گروه پرستاری داخلی- جراحی، دانشکده‌ی پرستاری و مرکز تحقیقات توسعه‌ی اجتماعی و ارتقای سلامت، دانشگاه علوم پزشکی گناباد، گناباد، ایران

چکیده

مقدمه: انتخاب روش مناسب ساکشن، می‎تواند در کاهش عوارض ناشی از آن مؤثر باشد. مطالعه‌ی حاضر با هدف مقایسه‌ی تأثیر ساکشن لوله‌ی تراشه به روش باز و بسته بر نتایج اسمیر و کشت باکتریال ترشحات تراشه‌ی بیماران تحت تهویه‌ی مکانیکی بستری در بخش مراقبت‌های ویژه انجام شد.روش‌ها: پژوهش حاضر، بر روی 52 بیمار بستری در بخش مراقبت‌های ویژه انجام شد. بیماران به روش در دسترس، انتخاب و به‎ صورت تصادفی در دو گروه ساکشن باز و بسته تقسیم شدند. نمونه‎های کشت ترشحات تراشه‌ی بیماران، قبل از شروع مداخله و 72 ساعت بعد به ‌روش مینی‌بال و تحت شرایط استریل کامل، نمونه‏های ارسال شده به آزمایشگاه در محیط کشت مخصوص در دمای 37 درجه‌ی سانتی‌گراد انکوباتور به ‌مدت 24 ساعت قرار گرفتند و سپس، پلیت‏ها بررسی شدند و در دو گروه نتایج مقایسه گردید.یافته‌ها: بر اساس نتایج این مطالعه، بین دو گروه ساکشن باز و بسته، از نظر نتایج کشت میکروبی ترشحات تراشه تفاوت آماری معنی‎داری وجود نداشت. در گروه ساکشن باز، 3/96 درصد و در گروه ساکشن بسته، 92 درصد نتایج کشت مثبت داشتند. به‌ علاوه، سویه‌ی میکروبی آسینتوباکتر در هر دو گروه ساکشن باز و بسته، با 7/40 درصد و 0/40 درصد بیشترین شیوع را داشت. دو گروه از نظر جرم‌های گرم مثبت و گرم منفی موجود در ترشحات تنفسی نیز تفاوت آماری معنی‎داری نداشتند.نتیجه‌گیری: بر اساس نتایج این مطالعه، بین ساکشن لوله‌ی تراشه به روش باز و بسته از نظر نتایج کشت میکروبی، جرم‌های گرم مثبت و منفی و نوع باکتری تفاوت آماری وجود نداشت و نمی‌توان یکی از این روش‌ها را ارجح دانست.

کلیدواژه‌ها

عنوان مقاله [English]

Comparison of the Effect of Open and Closed Endotracheal Suction Systems on the Results of the Smear and Bacterial Culture in Patients under Mechanical Ventilation in Intensive Care Unit

نویسندگان [English]

  • Maryam Moradi 1
  • Fatemeh Rezaee 2
  • Ali Mohammadpour 3
  • Moosa Sajjadi 4
1 Instructor, Department of Nursing, School of Nursing, Gonabad University of Medical Sciences, Gonabad, Iran
2 MSc Student, Department of Nursing, School of Nursing, Gonabad University of Medical Sciences, Gonabad, Iran
3 Professor, Department of Medical-Surgical Nursing, School of Nursing AND Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran
4 Associate Professor, Department of Medical-Surgical Nursing, School of Nursing AND Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran
چکیده [English]

Background: Choosing the right method of suction can be effective in reducing its complications. Therefore, this study was performed to compare the effect of open and closed endotracheal suction systems on the results of the smear and bacterial culture in patients under mechanical ventilation in intensive care unit.Methods: The present study was performed on 52 patients admitted to the intensive care unit. Patients were selected by convenience sampling method, and randomly divided into open and closed suction groups. Samples of patients' tracheal secretions were collected before the intervention and 72 hours later by minibal method under completely sterile conditions. Samples sent to the laboratory were incubated in a special culture medium at 37 °C for 24 hours; then the plates were examined in two groups and the results were compared.Findings: There was no statistically significant difference between the two groups of open and closed suction in terms of the results of microbial culture of tracheal secretions. In the open suction group, 96.3% and in the closed suction group, 92% had positive culture results. In addition, the microbial strain of Acinetobacter had the highest prevalence in both open and closed suction groups, with 40.7% and 40.0%, respectively. There was no statistically significant difference between the two groups in terms of Gram-positive and Gram-negative masses in respiratory secretions.Conclusion: There is no significant difference between open and closed endotracheal suctioning for endotracheal culture results, Gram positive and negative masses and bacterial types, and one system could not be preferred over the other.

کلیدواژه‌ها [English]

  • Suction
  • Intensive care units
  • Intubation

مراجع

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سابقه مقاله

  • تاریخ دریافت: 05 خرداد 1400
  • تاریخ بازنگری: 12 آبان 1403
  • تاریخ پذیرش: 17 فروردین 1401

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