意外拔(脱)管中患者方面存在的隐患及应对措施  

The hazards analysis and countermeasures in patients unplanned extubation

作　　者：钟丽丽[1] 谢春雷[1] 李春霞[1] 李爱文[1] 

机构地区：[1]广东医学院附属医院颅脑外科,湛江524001

出　　处：《齐齐哈尔医学院学报》2012年第3期381-382,共2页Journal of Qiqihar Medical University

摘　　要：目的探讨意外拔(脱)管中患者方面存在的隐患并进行分析,为采取有效的应对措施提供依据。方法将神经外科2010年8月～2011年8月意外拔(脱)管的患者45例进行了原因分析及组织护理人员进行讨论,从患者自身易存在的安全问题来探讨,找出薄弱环节。结果患者意外拔(脱)管中发生在夜班占75.56%;意识模糊患者占66.67%;年龄>70岁的患者占44.44%,自拔占55.56%。结论加强重点时段、重点患者管理,合理镇静、提高患者的舒适度、加强宣教、做好心理护理,可有效预防患者意外拔(脱)管的发生。Objective To explore the hazards of patients unplanned extubation and precede the analysis,to provide a basis for taking effective measures.Methods 45 cases of patients unplanned extubation in neurosurgery from August 2010 to August 2011 were the cause analysis and organized nursing staff to discuss,from patients their own security problem to explore and found out the weakness.Results Patients unplanned extubation were 75.56% in night;vague sense patients were 66.67%;the patients over 70 years old were 44.44%;to extricate by themselves was 55.56%.Conclusions Strengthening key sessions,focusing on patient management,rational calm,improving patient comfort,strengthening the mission,good psychological care can effectively prevent the occurrence of patients unplanned extubation.

关 键 词：意外拔管 患者因素 安全管理 隐患分析 应对措施 

分 类 号：R459.5[医药卫生—治疗学]