Sputum suction nursing on large area burn patients with inhalation injury after tracheotomy
10.3760/cma.j.issn.1674-2907.2013.31.019
- VernacularTitle:大面积烧伤合并吸入性损伤患者气管切开术后吸痰的护理
- Author:
Shu-Jun WANG
1
;
Chuan-An SHEN
;
Ju-Qing LI
;
Da-Wei LI
;
Fang-Rong LI
;
Cong-Ying LIU
Author Information
1. 解放军总医院第一附属医院烧伤整形科
- Keywords:
Burn;
Tracheotomy;
Inhalation injury;
Suction;
Pulmonary infection
- From:
Chinese Journal of Modern Nursing
2013;19(31):3873-3875
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore a better sputum suction nursing model on the large area burn patients with inhalation injury patients after tracheotomy.Methods Patients with bums area ≥30％ aged 18-60 years,moderate or severe inhalation injury and tracheotomy were included.The patients in the traditional sputum suction group were chosen from January 2009 to October 2010,and received the sputum suction nursing according to the medical nursing technical operation,specific process was as follows:the disposable sputum suction tube was inserted into the airway in certain depth,was slowly lifted from the bottom,and was rotated around in order to completely suck up sputum; and the sputum suction time was on-demand timely.The patients in the improved sputum suction group were chosen from November 2010 to September 2012,and received the planned sputum suction,and the sputum in the tracheal cannula were sucked up for the first times,the length of suction tube insertion was calculated according to the specification of tracheal cannula; the sputum suction tube was changed at the second time,and was inserted into 1-2 cm above tracheal carina; the sputum suction time was after inhalation,call-back or vibration row phlegm,6-8 times/d.Results The pulmonary infection rate in the improved sputum suction group was 30.43％,and 82.35％ in the traditional sputum suction group,and the difference was statistically significant (x2 =15.604,P ＜ 0.01).Conclusions The improved sputum suction nursing method which was planned,inhalation,call-back,etc,is better than the traditional sputum suction,and it is helpful to reduce the pulmonary infection rate in large area burn patients with inhalation injury after tracheotomy.
