YA CHING SUNG

China Medical University Hsinchu Hospital, Taiwan

Abstract Title:Using cross-team collaboration to introduce innovative teaching aids to improve the success rate of endotracheal tube detachment in critically ill patients

Biography:

I am a nursing administrator. I previously worked in the critical care unit of a medical center for 25 years. I graduated from the Long-term Care Institute of Sun Yat-sen Medical University in Taiwan. I am currently a part-time university lecturer teaching acute and critical care, nursing information, and geriatric nursing.

Research Interest:

In order to maintain life, patients in critical care units must be equipped with many tubes, especially endotracheal tubes, which will cause great anxiety and fear to the patients. Literature shows that for patients with endotracheal tube placement, if the patients can receive exercise training as early as possible, the success rate of ventilator weaning can be greatly improved, and the length of stay in the intensive care unit and mortality can be reduced. The author works in the surgical intensive care unit and often sees patients who are older and have weaker muscles. During the respirator training process, they are still unable to successfully wean off or cough up sputum, resulting in lung collapse and excessive hospitalization days. It is long, so it inspired the author to write. It is hoped that through the cross-team design of "Let's not talk too much, let's exercise together", the main purpose is to allow critically ill patients to go through individual rehabilitation plans and increase the rate of ventilator weaning. In terms of implementation results, after the innovative teaching aid "Stop talking, let's exercise together" was designed on March 4, 2024, on March 5-7, 2024, with SICU as the execution unit, three shifts of colleagues were gathered to conduct On-site teaching aids were used for teaching. A total of 204 critically ill patients were admitted to the SICU and endotracheal tubes were placed from April to September 2024. Results were analyzed and the average age was 68.22 (SD=15.11). The minimum age at admission was 23 years old and the maximum age was 98. age. Comparing January to March 2024 and April to September 2024, when patients started to perform pulmonary rehabilitation, the number of successful ventilator detachments increased from 76.43% (January to March) to 78.43% (April to September). Further analysis From January to December 2023 and April to September 2024, the number of ventilator disconnections increased from 66.95% to 78.43%. From this, we know that once critically ill patients leave the acute stage, pulmonary rehabilitation intervention is important.