危重症专科护理小组在预防非计划性脱管中的作用  

Effects of Specialized Nursing Group for Critical Patients on Preventing the Incidence of Unplanned Extubations

作　　者：汪海芹[1] 黄静[1] 梁宝卿[1] 

机构地区：[1]广东省江门市中心医院,广东江门529070

出　　处：《临床医学工程》2014年第8期1031-1032,共2页Clinical Medicine & Engineering

摘　　要：目的探讨危重症专科护理小组在预防非计划性脱管中的作用。方法采用前后对照方法,比较危重症专科护理小组干预前后的胃管、尿管、深静脉导管、气管插管、引流管的非计划性脱管发生率,以及护士对管道维护的掌握程度。结果危重症专科护理小组干预后深静脉导管、气管插管、引流管的非计划性脱管发生率有所下降(P<0.05),差异有统计学意义,胃管、尿管的非计划性脱管率无明显差异(P>0.05);护士对管道的固定方法、风险评估、预防措施及健康宣教的掌握程度提高(P<0.05),差异有统计学意义。结论危重症护理小组在预防非计划性脱管中起积极作用。Objective To explore the clinical effect of specialized nursing group for critical patients on preventing the incidence of unplanned extubations （UEs）. Methods The incidence of UEs （stomachic tube, bladder catheter, central venous catheter, endotracheal tube, drainage tube） and nurse＇s ability of managing tube before and after intervention of specialized nursing group for critical patients were compared. Results The UEs incidences of central venous catheter, endotracheal tube and drainage tube significantly decreased after nursing intervention than those before the intervention （P〈0.05）. The UEs incidences of stomachic tube and bladder catheter before and after intervention showed no statistical difference （P 〉0.05）. The nurse＇s abilities of fixing tubes, risk assessment, precaution and health education significantly improved （P〈0.05）. Conclusions Specialized nursing group for critical patients has positive effects on preventing the incidence of UEs.

关 键 词：危重症专科护理小组 非计划性脱管 

分 类 号：R473.6[医药卫生—护理学]