集束化护理预防吸入性损伤气管切开患者套管脱出的效果  

Effects of bundle care on preventing cannula dislocation for tracheotomy in patients with inhalation injury

作　　者：鲁虹言 王淑君[1] 国聪聪 李媛媛[1] 祝红娟[1] 程文凤[1] 刘丽芸 李炳利 

机构地区：[1]解放军总医院第一附属医院烧伤整形科,北京100048

出　　处：《中华现代护理杂志》2017年第34期4322-4325,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨集束化护理方案在预防吸入性损伤气管切开套管脱出中的应用效果。方法选择2010年1月—2014年12月解放军总医院第一附属医院吸入性损伤行气管切开的51例患者为对照组，选择2015年1月—2017年5月收治的吸入性损伤行气管切开的36例患者为观察组。对照组采取气管切开后常规护理，观察组在常规护理的基础上实施吸入性损伤气管切开套管安全管理的集束化方案。观察两组患者在行气管切开后至拔管前的非预期气管套管脱出的发生率。结果观察组的非预期气管套管脱出的发生率为2.8%（1/36），对照组为19.6%（10/51），差异有统计学意义（χ2=5.412，P〈0.05）。结论在吸入性损伤气管切开套管的管理中应用集束化方案，可降低非预期气管切开套管脱出的发生率。ObjectiveTo explore the effects of bundle care on preventing cannula dislocation for tracheotomy in patients with inhalation injury.MethodsTotally 51 patients who received tracheotomy in the First Affiliated Hospital of PLA General Hospital between January 2010 and December 2014 were selected as a control group, while another 36 patients with inhalation injury who were admitted and received tracheotomy from January 2015 to May 2017 were selected as an observation group. Patients in the control group received conventional nursing after tracheotomy, while patients in the observation group received safely managed bundle care on the basis of conventional nursing. The incidence of unanticipated cannula dislocation after tracheotomy and before extubation were then observed between the patients in the two groups.ResultsThe incidence of unanticipated cannula dislocation of the patients in the observation group and the control group was 2.8% （1/36） and 19.6% （10/51） , respectively （χ2=5.412, P〈0.05） .ConclusionsBundle care, when applied in the management of cannula for tracheotomy in patients with inhalation injury, can reduce the incidence of unanticipated cannula dislocation.

关 键 词：烧伤 吸入性 气管切开术 集束化护理 套管脱出 非预期 

分 类 号：R473.6[医药卫生—护理学]