儿科胃管非计划拔管的现况调查与分析  

Investigation and analysis of status of unplanned extubation of gastric tube in pediatrics

作　　者：许翠花[1] 张玉侠[2] 顾莺[2] 张艳红[1] 

机构地区：[1]复旦大学护理学院,上海200032 [2]复旦大学附属儿科医院,上海201102

出　　处：《上海护理》2013年第2期21-24,共4页Shanghai Nursing

基　　金：复旦大学附属儿科医院青年基金重点支持项目(编号:2010-03)

摘　　要：目的描述儿科发生胃管非计划拔管的现状,分析其原因并探索其对策。方法选择2011年4—9月上海市某3级甲等儿科医院留置胃管的患儿,采用自制的非计划拨管登记表进行登记。结果共收集249例有效记录,其中发生非计划性拔管19例,占7.6%;按置管日计算的拔管率为1.03次/100个置管日;重新置管率为63.2%。Logistic回归分析发现,插管类型和患儿有无肢体约束是非计划拨管的影响因素。结论加强对患儿的巡视,增加对高危管道的预见管理和恰当的肢体约束可以减少非计划拔管的发生。Objective To describe the current status of unplanned extubation （UEX） of gastric tube in pediatrics, and to analyze the related reasons. Methods A prospective study was used to investigate the status of UEX in patients with gastric tube at one grade A tertiary children＇s hospital in Shanghai from April to September 2011. The record form was self-designed. Results A total of 249 cases were recorded, among whom 19 underwent UEX. The UEX rate was 7.6%. The UEX rate determined by intubation days was 1.03 per 100 intubation days. The reintubation rate was 63.2%. UEX was associated with the type of intubation and body restraint by logistic regression analysis. Conclusion The improvement in patient inspection and nurse prediction and management of high - risk tubes as well as proper use of restraints is helpful to reduce the occurrence of UEX.

关 键 词：儿科 胃管 非计划拔管 调查 

分 类 号：R47[医药卫生—护理学]