导管滑脱风险评分在降低老年患者胃管非计划性拔管率中的应用  

Application of Catheter Slippage Risk Score in Reducing Unplanned Extubation Rate in Elderly Patients

作　　者：肖淑珺[1] 刘月玲[1] 姚玉婷[1] 王宜顺[1] 

机构地区：[1]泰州市人民医院老年科,江苏泰州225300

出　　处：《泰州职业技术学院学报》2017年第1期65-68,共4页Journal of Taizhou Polytechnic College

摘　　要：目的讨导管风险评分能否降低老年患者胃管非计划性拔管率。方法选取2015年1月至2016年6月在我院老年疾病科住院的98例留置胃管患者,随机分为观察组和对照组,每组49例。观察组采取留置胃管时使用导管滑脱风险因素评估表进行评估,并根据评估情况采取相应应对措施;对照组按常规留置胃管进行护理。比较两组非计划拔管率。结果观察组患者的非计划性拔管率明显低于对照组(p<0.05),差值有统计学意义。结论对老年住院留置胃管患者采取导管风险评分,可以提高护士导管风险意识,规范导管护理,有效降低胃管的非计划性拔管率,保证护理质量和安全,并且提高患者的护理满意度。Objective To investigate the risk score can be decreased in elderly patients with catheter tube un- planned extubation rate. Methods From January 2015 to June 2016 in the hospital department of geriatric diseas- es in our hospital 98 cases of patients with indwelling gastric tube, were randomly divided into observation group and control group, 49 cases in each group. The observation group took use of catheter slippage risk factors assess- ment questionnaire of indwelling gastric tube, and take corresponding measures according to the assessment of the situation; the control group received routine nursing of indwelling gastric tube. The unplanned extubation rate was compared between the two groups. Results The unplanned extubation rate of the observation group was significantly lower than that of the control group （P 〈 0.05）, the difference was statistically significant. Con- clusion To take the catheter risk score in hospitalized elderly patients with indwelling stomach tube, catheter can improve nurses＂ risk awareness, standardize catheter care, reduce gastric tube unplanned extubation rate, ensure nursing quality and safety, and improve nursing satisfaction of patients.

关 键 词：导管风险评分 非计划拔管率 老年患者 胃管 

分 类 号：R472[医药卫生—护理学]