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

نوع مقاله : مقاله های پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد، گروه پرستاری داخلی جراحی، دانشکده‌ی پرستاری و مامایی، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران

2 استادیار، گروه بیهوشی و مراقبت‌های ویژه، دانشکده‌ی پزشکی و بیمارستان امام حسین (ع)، دانشگاه علوم پزشکی شاهرود، شاهرود، ایران

3 مربی، گروه اپیدمیولوژی و آمار زیستی، دانشکده‌ی بهداشت، دانشگاه علوم پزشکی تهران، ایران

4 مربی، گروه پرستاری، دانشکده‌ی پرستاری و مامایی، دانشگاه علوم پزشکی سبزوار، سبزوار و دانشجوی دکتری تخصصی آینده پژوهی، دانشکده‌ی علوم اجتماعی، دانشگاه بین‌المللی امام خمینی، قزوین، ایران

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.

کلیدواژه‌ها

عنوان مقاله [English]

The Effect of Sucking Eucalyptus Lozenges on the Severity of Postoperative Coughing and Hoarseness Following Endotracheal Intubation under General Anesthesia in Orthopedic Surgeries

نویسندگان [English]

  • Solmaz Nazmara 1
  • Javad Nourian 2
  • Yaser Tabarraie 3
  • Javad Ganjloo 4
1 MSc Student, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Sabzevar University of Medical Sciences, Iran
2 Assistant Professor, Department of Anesthesiology and Critical Care, School of Medicine AND Imam Hossein Hospital, Shahroud University of Medical Sciences, Shahroud, Iran
3 Instructor, Department of Biostatistics and Epidemiology, School of Public Health, Sabzevar University of Medical Sciences, Sabzevar, Iran
4 Instructor, Department of Nursing, School of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar AND PhD Student of Futures Studies, School of Social Sciences, Imam Khomeini International University, Qazvin, Iran
چکیده [English]

Background: Postoperative coughing and hoarseness are two of the most common complications occur following endotracheal intubation and pharyngitis, laryngitis, and tracheitis. Eucalyptus lozenges are used in the treatment of many sign of common colds, such as cough, sore throat, etc. Therefore, the aim of this research was to study the effect of sucking Eucalyptus lozenges on coughing and hoarseness following endotracheal intubation in patients undergoing orthopedic surgery under general anesthesia.Methods: In this clinical trial study, 134 patients undergoing orthopedic surgery under general anesthesia were selected using convenience sampling method, and were allocated into two equal groups of control and intervention via random assignment method. Following obtaining informed consent, half an hour before surgery and in intervals of six hours after the surgery, eucalyptus lozenges were administered to intervention group. Postoperative coughing and hoarseness were measured 2, 6, 12, and 24 hours following endotracheal intubation using coughing and hoarseness checklists. Data were analyzed using descriptive statistics, Fisher's exact, chi-square, and t test, and generalized estimating equation (GEE) measures in SPSS software. P values of less than 0.05 were considered significant.Findings: The severity of coughing (P = 0.004) and hoarseness (P < 0.001) during the time were significantly less in the intervention group compared to the control group.Conclusion: Eucalyptus lozenges are effective in reducing coughing and hoarseness caused by endotracheal intubation in patients undergoing orthopedic surgery under general anesthesia.

کلیدواژه‌ها [English]

  • Eucalyptus
  • Cough
  • Hoarseness
  • Intubation
  • Endotracheal
  • Orthopedic surgery

مراجع

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مجله دانشکده پزشکی اصفهان
دوره 36، شماره 501 - شماره پیاپی 501
آذر و دی 1397
صفحه 1267-1275

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سابقه مقاله

  • تاریخ دریافت: 22 خرداد 1397
  • تاریخ بازنگری: 12 آبان 1403
  • تاریخ پذیرش: 17 فروردین 1401

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