呼吸治療師照護人力對呼吸器患者的影響

Influence of the manpower of respiratory therapist on the patients with mechanical ventilation

林碧華 ； 李俊德 ； 陳寶貝

《呼吸治療》 3卷1期 (2004/01) Pp. 70-77

摘要

The Division of Respiratory Therapy of Kaohsiung Veterans General Hospital (KSVGH) was established on 31 October, 1990, when there were six respiratory therapists (RTs) and twenty-two ventilators. In view of the fact that there has been a rapid increase of ventilators and patients but no corresponding expansion of RTs, we intend to understand the influence of the man power of RTs on their patients. The numbers of RTs and the patients using ventilators at KSVGH were traced retrospectively from 1991-1-1 to 2001-12-31. We found that patients increased from 1183 to 2857 and RTs from 6 to 11 respectively. Number of patients/RT vas 11 in 1991 and 25 in 2001.The burden of RT taking care of patients increased 1.5 times during the period. Mean days of patients using ventilators were 7 in 1991 and 12 in 2001 .The relationship between the patient numbers of one RT caring and ventilator days of the patients using is linear with significant statistics (r=0.92, p ＜ 0.01). Therefore, it is necessary to properly increase the number of RTs to improve the quality of respiratory care and decrease days of using ventilator.

關鍵字

脫離呼吸器成功:停止使用呼吸器且拔管成功超過24小時 ； 長期使用呼吸器:患者使用呼吸器天數超過21天且每天使用呼吸器時數超過6小時

並列摘要

The Division of Respiratory Therapy of Kaohsiung Veterans General Hospital (KSVGH) was established on 31 October, 1990, when there were six respiratory therapists (RTs) and twenty-two ventilators. In view of the fact that there has been a rapid increase of ventilators and patients but no corresponding expansion of RTs, we intend to understand the influence of the man power of RTs on their patients. The numbers of RTs and the patients using ventilators at KSVGH were traced retrospectively from 1991-1-1 to 2001-12-31. We found that patients increased from 1183 to 2857 and RTs from 6 to 11 respectively. Number of patients/RT vas 11 in 1991 and 25 in 2001.The burden of RT taking care of patients increased 1.5 times during the period. Mean days of patients using ventilators were 7 in 1991 and 12 in 2001 .The relationship between the patient numbers of one RT caring and ventilator days of the patients using is linear with significant statistics (r=0.92, p ＜ 0.01). Therefore, it is necessary to properly increase the number of RTs to improve the quality of respiratory care and decrease days of using ventilator.