集束化护理在预防气管插管非计划拔管中的应用
|
摘要
目的探究集束化护理在预防气管插管非计划拔管中的应用效果。方法收集78例在本院2017年7月～2018年6月间行气管插管的患者,所有入选患者插管时间超过24h,且无严重精神及意识障碍,采用随机数字表法分为两组对比研究,其中实验组40例,对照组38例。两组均给予常规护理干预,实验组在此基础上行集束化护理,观察两组干预后UEX发生率及原因,并对发生率进行对比。结果行集束化护理干预的实验组住院时间(110.25±12.30)d、机械通气时间(40.5±12.5)h均短于对照组(162.35±20.5)d、(53.6±13.20)h,在干预后,比较差异有统计学意义(P <0.05);实验组40例患者,仅1例出现UEX,发生率为2.5%;对照组38例患者,6例出现UEX,发生率为15.8%,实验组UEX发生率显著低于对照组,比较差异有统计学意义(P <0.05)。结论应用集束化护理干预,缓解了患者不良情绪,降低了气管插管非计划性拔管发生率,缩短了机械通气及ICU住院时间,从而促进了疾病恢复,值得进一步采用。
Objective To explore the application effect of clustering nursing in preventing unplanned extubation of endotracheal intubation. Methods Seventy-eight patients who received endotracheal intubation between July2017 and June 2018 in our hospital were collected,and all patients who received endotracheal intubation for more than 24 hours without serious mental and consciousness disorders.This 78 patients were divided into two groups for comparative study by using the random number from random table,including 40 patients in the experimental group and 38 patients in the control group.Routine nursing intervention was given to both groups,and the experimental group received cluster nursing.The incident rate and causes of UEX after the intervention were observed and compared.Results The hospitalization time(110.25±12.30)d and mechanical ventilation time(40.5±12.5)h of the experimental group were lower than that of the control group(162.35±20.5)d,(53.6±13.20)h,and the difference was statistically significant(P < 0.05).The incident rate of UEX was 2.5% in only 1 patient was observed from 40 patients in the experimental group and the 15.8% in 6 patients were observed from 38 patients in the control group.The incident rate of experimental group from UEX were lower the control group,and the different was statistically significant(P < 0.05).Conclusion The application of clustering nursing intervention relieves patients' bad mood,reduces the incident rate of unplanned extubation of tracheal intubation,shortens the time of mechanical ventilation and ICU hospitalization,and promotes disease recovery,which is worthy of further application.
Objective To explore the application effect of clustering nursing in preventing unplanned extubation of endotracheal intubation. Methods Seventy-eight patients who received endotracheal intubation between July2017 and June 2018 in our hospital were collected,and all patients who received endotracheal intubation for more than 24 hours without serious mental and consciousness disorders.This 78 patients were divided into two groups for comparative study by using the random number from random table,including 40 patients in the experimental group and 38 patients in the control group.Routine nursing intervention was given to both groups,and the experimental group received cluster nursing.The incident rate and causes of UEX after the intervention were observed and compared.Results The hospitalization time(110.25±12.30)d and mechanical ventilation time(40.5±12.5)h of the experimental group were lower than that of the control group(162.35±20.5)d,(53.6±13.20)h,and the difference was statistically significant(P < 0.05).The incident rate of UEX was 2.5% in only 1 patient was observed from 40 patients in the experimental group and the 15.8% in 6 patients were observed from 38 patients in the control group.The incident rate of experimental group from UEX were lower the control group,and the different was statistically significant(P < 0.05).Conclusion The application of clustering nursing intervention relieves patients' bad mood,reduces the incident rate of unplanned extubation of tracheal intubation,shortens the time of mechanical ventilation and ICU hospitalization,and promotes disease recovery,which is worthy of further application.
引文
[1]季芬芬,叶东花,饶巧莹.风险评估量表在ICU气管插管非计划拔管护理中的应用价值[J].中国现代医生,2018,56(11):144-146,154.
[2]史发兰,贾爱群,朱刘红,等.集束化护理在预防胃癌术后患者高危时段非计划性拔管中的应用[J].护理实践与研究,2018,15(5):121-122.
[3]张育红,童朝阳,王萍,等.运用PDCA管理降低急诊气管插管非计划拔管率的效果[J].上海护理,2017,17(2):79-81.
[4]韩琴丽,陈碧涛.集束化护理在预防消化内科患者胃管非计划拔管中的应用效果分析[J].实用临床护理学电子杂志,2017,2(50):22.
[5]蒋争艳,张玲.集束化护理在ICU留置PICCO动脉导管病人中的应用[J].循证护理,2017,3(6):622-624.
[6]周瑾,刘洁珍,曾洁仪,等.风险评估追踪管理在降低气管插管患者非计划拔管中的应用[J].现代临床护理,2017,16(3):64-67.
[7]刘艾娇,许业钦.集束化护理对降低ICU气管内插管患者非计划拔管发生率的影响研究[J].实用临床护理学电子杂志,2017,2(21):85,88.
[8]侯春怡,曾秋旋,张凌芸,等.循证护理在预防气管插管病人非计划拔管中的应用[J].全科护理,2015,13(20):1929-1931.
[9]韦丙茹.集束化护理在预防消化内科患者胃管非计划拔管中的效果[J].临床医学研究与实践,2016,1(12):151-152.
[10]王静.ICU气管插管非计划拔管原因分析及护理对策[J].内蒙古中医药,2018,33(32):170-171.
[11]郭凌翔,史甜,窦英茹.气管插管非计划拔管的原因分析及对策[J].实用临床医药杂志,2013,17(22):216-218,224.
[12]仲爱玲.集束化护理干预在预防ICU气管插管非计划性拔管中的应用[J].齐齐哈尔医学院学报,2015,36(17):2619-2620.
[13]肖勤,邹利荣,舒雅娟,等.集束化护理对预防ICU气管内插管患者非计划拔管的影响[J].齐鲁护理杂志,2015,21(3):82-84.
[14]姚丽琴,苏冰莲,谢月霞.集束化护理策略在预防消化内科患者胃管非计划拔管中的应用[J].中国临床护理,2015,6(2):111-113.
[15]胡瑶,王晓慧,张健,等.集束化护理策略在预防心脏外科术后气管插管患者非计划拔管中的应用[J].护理管理杂志,2016,12(9):614-615,652.
[2]史发兰,贾爱群,朱刘红,等.集束化护理在预防胃癌术后患者高危时段非计划性拔管中的应用[J].护理实践与研究,2018,15(5):121-122.
[3]张育红,童朝阳,王萍,等.运用PDCA管理降低急诊气管插管非计划拔管率的效果[J].上海护理,2017,17(2):79-81.
[4]韩琴丽,陈碧涛.集束化护理在预防消化内科患者胃管非计划拔管中的应用效果分析[J].实用临床护理学电子杂志,2017,2(50):22.
[5]蒋争艳,张玲.集束化护理在ICU留置PICCO动脉导管病人中的应用[J].循证护理,2017,3(6):622-624.
[6]周瑾,刘洁珍,曾洁仪,等.风险评估追踪管理在降低气管插管患者非计划拔管中的应用[J].现代临床护理,2017,16(3):64-67.
[7]刘艾娇,许业钦.集束化护理对降低ICU气管内插管患者非计划拔管发生率的影响研究[J].实用临床护理学电子杂志,2017,2(21):85,88.
[8]侯春怡,曾秋旋,张凌芸,等.循证护理在预防气管插管病人非计划拔管中的应用[J].全科护理,2015,13(20):1929-1931.
[9]韦丙茹.集束化护理在预防消化内科患者胃管非计划拔管中的效果[J].临床医学研究与实践,2016,1(12):151-152.
[10]王静.ICU气管插管非计划拔管原因分析及护理对策[J].内蒙古中医药,2018,33(32):170-171.
[11]郭凌翔,史甜,窦英茹.气管插管非计划拔管的原因分析及对策[J].实用临床医药杂志,2013,17(22):216-218,224.
[12]仲爱玲.集束化护理干预在预防ICU气管插管非计划性拔管中的应用[J].齐齐哈尔医学院学报,2015,36(17):2619-2620.
[13]肖勤,邹利荣,舒雅娟,等.集束化护理对预防ICU气管内插管患者非计划拔管的影响[J].齐鲁护理杂志,2015,21(3):82-84.
[14]姚丽琴,苏冰莲,谢月霞.集束化护理策略在预防消化内科患者胃管非计划拔管中的应用[J].中国临床护理,2015,6(2):111-113.
[15]胡瑶,王晓慧,张健,等.集束化护理策略在预防心脏外科术后气管插管患者非计划拔管中的应用[J].护理管理杂志,2016,12(9):614-615,652.
© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号 地址：北京市海淀区学院路29号 邮编：100083 电话：办公室：(+86 10)66554848；文献借阅、咨询服务、科技查新：66554700 |