MSN, RN, Deputy Director, Department of Nursing at Chung Kang Branch, Cheng Ching Hospital.
PhD, Associate Professor, General Education Center, Overseas Chinese University.
J Nurs Res. 2019 Aug;27(4):e31. doi: 10.1097/jnr.0000000000000302.
Evidence-based studies propose that the aspirate pH test may be easily and reliably conducted to verify the proper placement of nasogastric tubes (NGTs). Nurses rarely implement this procedure because of the lack of related knowledge.
The purpose of this study was to explore the feasibility of implementing a revised standard care procedure to enhance nurses' ability to verify placement of the NGT.
his study used a quasi-experimental, longitudinal research design. Nurses from two intensive care units were randomly assigned to the experimental group (n = 35) and the control group (n = 31). A revised standard-of-care procedure to confirm the proper placement of an NGT was incorporated into a slideshow presentation, a printed leaflet, and an audit checklist. The experimental group received continuous education and individual teaching on the revised standard-of-care procedure, whereas the control group did not receive additional education and continued to provide conventional care. The study gathered data using scales designed to address knowledge of and attitudes toward verification of NGT placement and the checklist for auditing the NGT care procedure. Scales were implemented before and after the practice program was conducted, in Months 1, 2, and 3, to evaluate the feasibility of the developed improvement measures.
This study found significant improvements in the experimental group in terms of knowledge regarding NGT placement verification and the NGT care auditing procedure. The positive improvement of the intervention on the NGT care auditing procedure remained for at least 3 months after the end of the intervention.
The findings suggest that using an aspirate pH test is a feasible approach to verify NGT placement in critical care units, a crucial aspect of care necessary to promote patient safety and quality of care.
基于证据的研究表明，抽吸 pH 值测试可用于验证鼻胃管（NGT）的正确位置，且易于操作、可靠。然而，由于缺乏相关知识，护士很少实施该程序。
本研究旨在探讨实施修订标准护理程序以提高护士验证 NGT 放置能力的可行性。
本研究采用准实验性、纵向研究设计。将来自两个重症监护病房的护士随机分配到实验组（n = 35）和对照组（n = 31）。修订的标准护理程序纳入幻灯片演示、印刷传单和审核检查表，以确认 NGT 的正确放置。实验组接受关于修订标准护理程序的持续教育和个别教学，而对照组则没有接受额外的教育，继续提供常规护理。该研究使用旨在解决验证 NGT 放置知识和态度以及 NGT 护理程序审核检查表的量表收集数据。在实践方案实施前后（第 1、2 和 3 个月）使用量表进行数据收集，以评估所开发的改进措施的可行性。
本研究发现实验组在验证 NGT 放置和 NGT 护理审核程序方面的知识有显著提高。干预对 NGT 护理审核程序的积极改善至少在干预结束后 3 个月内持续存在。
研究结果表明，在重症监护病房中使用抽吸 pH 值测试来验证 NGT 放置是一种可行的方法，这是促进患者安全和护理质量的关键方面。
