摘要
目的分析基层医院非计划性拔管的原因,探讨减少非计划性拔管发生的措施。方法对44例非计划性拔管的患者进行回顾性分析,对他们的拔管原因进行探讨。结果 44例非计划性拔管中尿管28例,占63.6%;胃管8例,占18.2%;气管插管2例,占4.5%;头部引流管2例,占4.5%;锁骨下静脉3例,占6.8%;其他1例,占2.3%。非计划性拔管的主要原因与对约束工具有效性评估不到位,对导管、非计划性拔管的了解和重视程度不够,护士人力不足、巡视不到位,年轻护士缺乏工作经验等有关。结论应采取合理使用约束工具、加强专业知识和技能培训、改变排班模式等措施,从而减少非计划性拔管的发生。
Objective To analyze the causes of unplanned extubation, discuss how to reduce the occurrence of unplanned extubation. Methods A retrospective analysis was performed in 44 patients with unplanned extubation. Results 44 cases of unplanned extubation of catheter in 28 cases, accounting for 63.6%; gastric tube in 8 cases, accounting for 18.2%; tracheal intubation in 2 cases, account-ing for 4.5%; the head tube drainage in 2 cases, accounting for 4.5%; subclavian vein in 3 cases, accounting for 6.8%; the other 1 cases, accounting for 2.3%. The main causes of unplanned extubation and does not reach the designated position, constraints on the tools of effectiveness evaluation of catheter, not understanding and attention to planning extubation is insufficient, nurse manpower shortage, inspection is not in place, the lack of work experience for young nurses. Conclusion Should adopt reasonable restraint use tools, to enhance professional knowledge and skills training, to change the scheduling model and other measures, so as to reduce the occurrence of unplanned extubation.
关键词
非计划性拔管
对策
现状调查
Unplanned Extubation
Countermeasure
Status Survey
