医护合作策略在气管插管非计划拔管中的实践和成效  

Practice and effect of medical cooperation strategy in unplanned extubation

作　　者：贾平[1] 黄晓波[1] 杨琴[1] 马青华[1] 陆蓉[1] 谢彩霞[1] 

机构地区：[1]四川省人民医院外科监护室,成都610072

出　　处：《重庆医学》2016年第4期484-485,489,共3页Chongqing medicine

基　　金：四川省科技厅基金(2014SZ0011)

摘　　要：目的探讨医护合作策略对气管插管非计划拔管（UEX）的影响。方法选取2013年8月至2014年4月在该院外科ICU带气管插管的患者1 072例,其中2013年8-12月收治的507例为对照组,护理人员采用常规措施预防管理UEX;2014年1-4月收治的565例为观察组,观察组在常规预防管理措施基础上,采用医护合作策略共同管理气管插管UEX相关事宜。比较两组患者UEX及患者满意度情况,并对医护人员进行访谈。结果两组患者因患者因素导致UEX率比较,差异有统计学意义（P〈0.05）;两组患者家属满意度比较,差异有统计学意义（χ~2=4.684,P〈0.05）;被访谈的医护人员均对医护合作管理UEX给予肯定。结论医护合作管理策略能降低ICU患者因素导致的UEX发生,在临床工作中值得推广借鉴。Objective To investigate the effect of the medical cooperation strategy in unplanned extubation（UEX）.Methods Totally 1 072 patients with endotracheal intubation in the surgical ICU of our hospital from August 2013 to April 2014 were selected as the research subjects.Among them,507 cases from August to December 2013 were selected as the control group and the nursing staff adopted the conventional measures for preventing and managing UEX,565 cases from January to April 2014 were selected as the observation group and the medical cooperation strategy was adopted to co-manage UEX in addition to the conventional prevention and management measures.The UEX situation,patients satisfaction were compared between the two groups.The medical staffs were performed the interview.Results The UEX rates due to the patient factors had statistically significant difference between the two groups（P〈0.05）;the satisfaction of patient′s family members had statistical difference between the two group（χ2=4.684,P〈0.05）;the interviewed staffs were affirmative to the effects of medical cooperation management of UEX.Conclusion The medical cooperation strategy of UEX can reduce the occurrence of UEX due to the patient′s factors and is worthy to be promoted as reference in clinical work.

关 键 词：医护合作 管理策略 非计划拔管 

分 类 号：R47[医药卫生—护理学]