开发和试点测试一种新的共享决策工具,用于气管切除术决策
medRxiv : the preprint server for health sciences
|March 10, 2025
概括
一个新的基于网络的工具,TRACH-Support,有助于做出关于气管切除术和机械通风的决定. 试点测试显示了患者和提供者之间的高可用性和可接受性,改善了艰难的决策过程.
科学领域:
- 关键护理医学 关键护理医学
- 医疗信息学 医疗信息学
- 患者决策支持 患者决策支持
背景情况:
- 对气管切除术和长期机械通风的共享决策对代孕产妇来说带来了重大的情感挑战.
- 现有的研究还没有完全解决优化这一关键决策过程的差距.
研究的目的:
- 开发和试点测试一款针对气管管切除和长期机械通风决定的新型共享决策工具.
主要方法:
- 基于网络的工具 TRACH-Support 是使用以人为中心的设计方法开发的,并采用代的利益相关者参与.
- 试点测试采用混合方法方法,定量评估可用性 (SUS) 和可接受性 (AIM),并通过采访收集定性反.
主要成果:
- 该工具显示高可用性 (平均SUS 68.2) 和可接受性 (平均AIM 4.2),代用工具报告特别高的可用性 (平均SUS 74.2).
- 质量反强调了该工具的可定制性和引人入胜的功能,同时建议改进,例如减少文本和添加证词.
结论:
- TRACH-Support是一个可用的和可接受的基于网络的决策支持工具,用于气管切除术和长期机械通风,根据严格的标准开发.
- 建议进行进一步的大规模测试,以评估其现实世界的有效性和实施潜力.
相关概念视频
Tracheostomy Care I: Pre-procedural Steps
112
A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Required Equipment
The equipment necessary for tracheostomy care includes:
112
Tracheostomy Decannulation
79
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
79
Oxygen Delivering System III: Tracheostomy and T-piece
324
Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
324
Tracheostomy Suctioning I: Pre-Procedural Steps
378
Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
378
Tracheostomy Care II: Procedure
98
Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
98
Tracheostomy: Procedure and Tubes
347
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
347


