住院患者气管插管非计划拔管回顾性分析与对策研究  

Retrospective Analysis and Countermeasures of Unplanned Endotracheal Extubation for Inpatients

作　　者：卢层层 石晶[1] LU Ceng-ceng;SHI Jing(The First Affiliated Hospital of Shihezi University School of Medicine,XinJiang ShiHezi,832008)

机构地区：[1]石河子大学医学院第一附属医院,新疆石河子832008

出　　处：《农垦医学》2021年第4期356-360,共5页Journal of Nongken Medicine

基　　金：石河子大学医学院第一附属医院院级护理研究基金项目(HL201706)。

摘　　要：目的:调查住院患者气管插管非计划拔管发生特征,分析发生的相关因素,制定相应对策。方法:回顾性调查某三甲综合医院2016-2020年气管插管非计划拔管的发生例数、特征及原因。结果:共收集UEE32例,发生率为1.16%;UEE主要发生在晚夜间,以自行拔管为主,发生UEE时50%以上患者意识清醒、未使用约束具、未使用镇静药物、无陪护;责任护士大多为工作5~10年的护师;系统因素是导致UEE发生的主要因素。结论:UEE的危险因素及处理对策的分析研究对指导临床护理工作、降低UEE的发生率有重要意义。Objective:To investigate the occurrence characteristics of unplanned endotracheal extubation in hospitalized patients,analyze the related factors,and formulate corresponding countermeasures.Methods:A retrospective survey was conducted on the number of cases,data characteristics and causes of unplanned endotracheal extubation from 2016 to 2020 in a Class-A general hospital.Results:A total of 32 cases of UEE were collected,with an incidence rate of 1.16%.UEE mainly occurs in the evening and night,with self-extubation mainly.When UEE occurs,more than 50%of patients are conscious,have not used restraints,have not used sedatives,and are unaccompanied.Most of the responsible nurses are nurses who have worked for 5 to 10 years.System factors are the main factors leading to the occurrence of UEE.Conclusion:The analysis and research on the risk factors and treatment strategies of UEE is of great significance for guiding clinical nursing work and reducing the incidence of UEE.

关 键 词：气管插管非计划拔管 回顾性分析 对策研究 

分 类 号：R473.6[医药卫生—护理学]