Elmansy Fatma Mohamed, Elbqry Mohamed Goda, Aly Azza Anwar, Negm Ahmed Nader, Hafez Ahmed Ibrahem, Elgazzar Samia Eaid
Medical-Surgical Nursing Department, Faculty of Nursing, Suez Canal University, Ismailia, Egypt.
Department of Medical and Surgical, College of Nursing, Qassim University, Buraidah, Saudi Arabia.
Iran J Nurs Midwifery Res. 2024 Sep 4;29(5):590-595. doi: 10.4103/ijnmr.ijnmr_351_22. eCollection 2024 Sep-Oct.
Endotracheal Tube Suctioning (ETS), which involves either an open or closed suctioning system, is a crucial practice for mechanically ventilated patients. The nursing practice of airway suctioning is inevitable. This study was designed to compare the intensive care nurses' performance of open versus closed endotracheal suction on critically ill patients in Ismailia City.
A non-participant structured observational study design was conducted on a convenient sample (N = 63) at intensive care units at a teaching hospital through March and August 2022 to evaluate how nurses practice different procedures in open suctioning compared with the closed suctioning system of Endotracheal Suction (ES) through a 32-item structured checklist. Additionally, authors compared their levels of knowledge in both suctioning systems.
Approximately 75% and 65% of the study participants had a satisfactory level of knowledge about the open system compared with the closed system, respectively. The total percentage of patients who achieved a satisfactory level of practice was 72% for the open-system group, compared with 56% for the closed-system group. Overall, there were significant differences between total nurses' performances in the open-system and closed-system systems. Independent sample t-tests revealed a statistically significant correlation between overall nurses' performance in both systems (t = 6.04, < 0.001).
The findings revealed significant differences in nurses' performance between open and closed-system suctioning. The researchers recommend in-service-led training programs to improve nurses' performance, and other studies with larger sample sizes should be supported.
气管内吸痰（ETS），包括开放式或封闭式吸痰系统，是机械通气患者的一项关键操作。气道吸痰的护理实践不可避免。本研究旨在比较伊斯梅利亚市重症监护护士对危重症患者进行开放式与封闭式气管内吸痰的操作情况。
2022年3月至8月，在一家教学医院的重症监护病房对一个方便样本（N = 63）进行了非参与性结构化观察研究设计，通过一份包含32个条目的结构化检查表来评估护士在开放式吸痰与封闭式气管内吸痰（ES）系统中实施不同操作的情况。此外，作者还比较了他们对两种吸痰系统的知识水平。
与封闭式系统相比，分别约有75%和65%的研究参与者对开放式系统有令人满意的知识水平。开放式系统组达到满意操作水平的患者总百分比为72%，而封闭式系统组为56%。总体而言，护士在开放式系统和封闭式系统中的总体表现存在显著差异。独立样本t检验显示，两种系统中护士的总体表现之间存在统计学上的显著相关性（t = 6.04，< 0.001）。
研究结果显示，开放式和封闭式系统吸痰在护士操作方面存在显著差异。研究人员建议开展在职培训项目以提高护士的操作水平，并且应支持其他更大样本量的研究。
