普通病房非计划性拔管事件现状分析  

Status of unplanned extubation events in General Wards

作　　者：胡东辉[1] 徐海红[2] 刘沛源 Hu Donghui;Xu Haihong;Liu Peiyuan(Department of General Medicine,Fuxing Hospital,Capital Medical University,Beijing 100038,China;Nursing Department,Fuxing Hospital,Capital Medical University,Beijing 100038,China;School of Nursing,Peking University,Beijing 100191,China)

机构地区：[1]首都医科大学附属复兴医院全科医学科,北京100038 [2]首都医科大学附属复兴医院护理部,北京100038 [3]北京大学护理学院,北京100191

出　　处：《中华现代护理杂志》2022年第15期2043-2047,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨住院患者非计划性拔管(UE)现状。方法采用回顾性研究方法,选取2014—2019年首都医科大学附属复兴医院的189例UE患者为研究对象。分析UE患者一般资料、拔管及约束情况。结果189例UE患者年龄为(79.69±10.62)岁,内科UE患者占比62.43%(118/189),意识状态主要为清醒(46.03%,87/189)和意识模糊(39.15%,74/189),管路类型多为营养类(56.99%,110/189)和血液类管路(22.80%,44/189),发现人多为医护人员(60.32%,114/189),且多为首次发生(85.71%,162/189)。不同护理级别、意识状态、自理能力、科室,是否有营养类管路、血液类管路、引流类管路、重新置管的UE患者约束情况比较,差异均有统计学意义(P<0.05)。结论应重点监测患者意识状态、置入管路类型等因素,谨慎使用身体约束措施,同时建立UE风险预警系统,应用智能设备对高风险人群进行实时监测,以预防UE发生。Objective To explore the status of unplanned extubation(UE)in hospitalized patients.Methods A retrospective research method was used to select 189 UE patients from Fuxing Hospital affiliated to Capital Medical University from 2014 to 2019 as the research object.The general data,extubation and restraint of UE patients were analyzed.Results The age of 189 UE patients was(79.69±10.62)years old,and the proportion of medical UE patients accounted for 62.43%(118/189).The state of consciousness was mainly awake(46.03%,87/189)and confusion(39.15%,74/189).The types of pipelines were mostly nutrition(56.99%,110/189)and blood(22.80%,44/189).Most of the people found were medical and nursing staff(60.32%,114/189),and most of UE occurred for the first time(85.71%,162/189).There were statistically significant differences in the restraint of UE patients with different nursing levels,state of consciousness,self-care ability,department,nutrition pipeline,blood pipeline,drainage pipeline and re-intubation(P<0.05).Conclusions Factors such as the patient's state of consciousness and the type of pipelines should be monitored,and physical restraint should be used cautiously.At the same time,a UE risk warning system should be established,and intelligent equipment should be used to monitor high-risk groups in real time to prevent the occurrence of UE.

关 键 词：住院 患者 非计划性拔管 现状 

分 类 号：R47[医药卫生—护理学]