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 July 2017 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.
作者
唐丽娟
向天哲
罗玉环
TANG Lijuan;XIANG Tianzhe;LUO Yuhuan(Huizhou city center People's Hospital,Huizhou 516001,China)
出处
《中国医药科学》
2019年第2期169-171,共3页
China Medicine And Pharmacy
关键词
束化护理
气管插管
非计划拔管
机械通气
Cluster care
Endotracheal intubation
Unplanned extubation
Mechanical ventilation
