The Effectiveness of Tracheostomy Wound Care

Monday, 31 October 2011

Chia Chun Sung, RN, BS
Juo-Mei Yang, RN, BS
Ming-Chu Wu, RN, MSN
Department of Nursing, Chang Gung Medical Foundation.Linkou Branch, TaoYuan, Taiwan

Learning Objective 1: The learner will be able to learn different about wound dressings and wound care method.

Learning Objective 2: The learner will be able to utilize of biological foam dressing at tracheostomy wound care.

       
      Because of illness and wound related pain, critical patients get high risk of wound infection and poor healing.If nursing staffs could do skin care and integrity assessment well,  we may reduce a rate of tracheaotomy wound care.Besides, Dressings are mainly used to control wound exudates and avoid infection. The suitable wound dressings may not only promote the skin integrity and wound healing, but also reduce pain and uncomfortableness. The purpose of this project is to evaluate the effectiveness of utilization of biological foam dressing at tracheostomy wound care. An observed survey that different tracheostomy wound care executive sequence, excessive exudates, poor dressing absorption , are significant factors causing wound care pain and uncomfortableness, and decrease wound integrity. By using "Evaluation form for the tracheastomy wound care", we established "the standard procedure of utilization of biological foam dressing at tracheostomy wound care" and "educational programs of utilization of biological foam dressing at tracheostomy wound care".As a result that the comfortable degree increased to 8.56 points, the promotion rate was 109.80%; the pain rating index reduced to 2.71 points, the promotion rate reached 61.77%; the skin integrity promotion rate is 15.59%; and the promotion rate of reduction of tracheostomy wound care nursing hours reached 89.40%. This article provided a standard procedure of utilization of biological foam dressing at tracheostomy wound care, and to serve as a reference in clinical practice and provide patients with quality nursing.