Evaluation of Intratracheal Suctioning Effect on Blood Pressure of the Patients Admitted in Medical Training Center of Imam Khomeini I.C.U in Tabriz, 1376.

Abstract

Abstract: As the Intratracheal suctioning is a current method of nursing care, and this procedure is done by nurses and nursing student repeatedly, using suction with the aim of taking the secretion out of air Tubes and since in its use, there may be complications air tubes injury, bronchial and laryngeal spasm, Infection, Athelectasia, heart arrhythmia, Alteration of blood pressure, thus, this semi Experimental study was done with the purpose of evaluation of its effect on blood pressures of the patients admitted in medical training center of Imam Khomeini ICU in 1376. The purposes of this study included: 1. The determination of blood pressure mean in patients admitted in ICU before suction. 2. The determination of blood pressure mean in patients admitted in ICU Immediately and 5 minute after suction. 3. The comparison of blood pressure means taken before, immediately 5 minute after suction, with together. 4. The determination and comparison of sex, age, kind of disease, the way of respiration and the kind of artificial air tube with alteration of patients’ blood pressure admitted in ICU before, Immediately, and 5 minute after suction. In this study, 35 individuals with Intratrachel tube, with brain, nervous and respiratory complications admitted in ICU were chosen in simple sampling manner. The means of collecting data was an adjusted questionnaire included individual’s data, clinical data (The kind of disease the type’s air ways, the type of respiration, the level of conscience’s and results.) The individual and clinical data were obtain via their files and results of measurements was recorded in questionnaires. The deductive and descriptive statistics were used. The results were summarized and presented in twenty tables. The findings showed that blood pressure means of admitted patients in ICU increased 9.91 mmHg immediately after suction relative to production measurements. The arterial blood pressure mean 5 minute after suction increased 3.26 mmHg relative to pre-suction measurement and the arterial blood pressure mean 5 minute after suction decreased 6.65 mmHg relative to Immediately after suction measurement the comparison of blood pressure alterations between 3 steps before suction with Immediately after suction, before suction with 5 minute after suction, Immediately after suction with 5 minute after suction on the basis of sex and age ranged 32-45 years old, type of disease of brain and nervous system and the type of air ways were significant. It is suggested that managers and training instructors, nurses, nursing students in ICU use these results, with hope of improving the nursing cares for patients in ICU.