Jamaldeen Jishana, Nalamate Rajarajeswari, Kurien Mary, Basheer Aneesh
Wayanad, 673577 Kerala India Department of ENT, Dr Moopen's Medical College.
Puducherry, India Department of ENT, Pondicherry Institute of Medical Sciences.
Indian J Otolaryngol Head Neck Surg. 2023 May 6;75(3):1-7. doi: 10.1007/s12070-023-03682-9.
Tracheostomy-related adverse events are a global problem, requiring coordinated approach for care of tracheostomised patients. The concept of 'collaborative tracheostomy care' was introduced by Global Tracheostomy Collaborative in 2012. For successful post tracheostomy outcome, nursing care is vital. Data on their knowledge, attitude and skills regarding tracheostomy care including outcome of a structured interventional workshop is not available from India. A validated questionnaire with items pertaining to knowledge, attitude and skills regarding tracheostomy care was administered to nurses working in intensive care units and wards. Following this, a workshop was conducted for hands-on training in tracheostomy care using didactic lectures, videos and simulation-based training. The participants took a post-test immediately and after three months. Skills were assessed before and three months after the workshop using a checklist. Among 386 participants who attended the pre-test and workshop, 285 (74.2%) underwent post-test immediately and three months later. Overall mean knowledge score (± SD) of the participants in pre-workshop was 6.8 ± 3.5, immediate post-test score was 15.9 ± 2.7 and three months later was 11.6 ± 3.5 (p < 0.001) out of total score 20. The baseline score was significantly higher among ICU nurses. Three months post workshop skill assessment revealed no statistically significant increase in the proportion of participants who performed skills related to suctioning procedure. Knowledge, attitude and practice regarding tracheostomy care is inadequate among nurses. Otolaryngologists-driven structured intervention with didactic lectures, videos and hands-on training can improve all three domains to positively impact outcomes in post tracheostomy patient care.
The online version contains supplementary material available at 10.1007/s12070-023-03682-9.
气管造口术相关不良事件是一个全球性问题，需要对气管造口患者进行协调护理。“协作气管造口护理”的概念由全球气管造口协作组织于2012年提出。为了获得气管造口术后的成功结果，护理至关重要。印度尚无关于护士对气管造口护理的知识、态度和技能的数据，包括结构化干预研讨会的结果。对在重症监护病房和病房工作的护士进行了一份经过验证的问卷，其中包含与气管造口护理的知识、态度和技能相关的项目。在此之后，举办了一个研讨会，通过理论讲座、视频和基于模拟的培训进行气管造口护理的实践培训。参与者在培训后立即和三个月后进行了后测。使用检查表在研讨会前和三个月后对技能进行评估。在参加预测试和研讨会的386名参与者中，285名（74.2%）在培训后立即和三个月后进行了后测。在总分20分中，参与者在研讨会前的总体平均知识得分（±标准差）为6.8±3.5，培训后立即得分15.9±2.7，三个月后为11.6±3.5（p<0.001）。重症监护病房护士的基线得分显著更高。研讨会三个月后的技能评估显示，进行吸痰程序相关技能操作的参与者比例没有统计学上的显著增加。护士对气管造口护理的知识、态度和实践不足。由耳鼻喉科医生主导的结构化干预，包括理论讲座、视频和实践培训，可以改善所有三个方面，对气管造口术后患者护理的结果产生积极影响。
在线版本包含可在10.1007/s12070-023-03682-9获取的补充材料。
