预见性护理在防范颅脑损伤术后患者头部引流管非计划性拔管的应用  

Application of Predictive Nursing in Prevention of Unplanned Extubation of Head Drainage Tube in Patients with Craniocerebral Injury after Operation

作　　者：黄秀铨 刘萍萍 汤淑晶 周晓艳[1] 王娟 汝新 HUANG Xiuquan;LIU Pingping;TANG Shujing;ZHOU Xiaoyan;WANG Juan;RU Xin(Department of Neurosurgery,Songgang people's Hospital,Bao'an District,Shenzhen,Guangdong,518105)

机构地区：[1]深圳市宝安区松岗人民医院神经外科,广东深圳518105

出　　处：《智慧健康》2022年第35期257-260,265,共5页Smart Healthcare

基　　金：深圳市宝安区科技计划项目“预见性护理在防范颅脑损伤术后患者头部引流管非计划性拔管的应用”(项目编号:2020JD189)。

摘　　要：目的探究预见性护理在防范颅脑损伤术后患者头部引流管非计划性拔管(UEX)的应用。方法选取2020年9月-2022年5月收治的60例颅脑损伤术后患者,随机数字表法分组,对照组30例行常规护理,观察组30例行预见性护理,比较两组干预结果。结果观察组住院时间、头部引流管保留时间均较对照组短,住院费用较对照组少(P<0.05);观察组UEX发生率为0,较对照组6.67%低(P<0.05);观察组护理满意度均较对照组高(P<0.05);观察组颅内感染、高烧、术后躁动、肺部感染等并发症率为3.33%,较对照组16.67%低(P<0.05)。结论颅脑损伤术后患者应用预见性护理效果满意,可有效预防UEX发生,缩短住院时间,减轻患者经济负担,减少并发症,提高患者护理满意度,护士个人综合能力得以提升,体现了职业价值,也值得应用。Objective To explore the application of predictive nursing in preventing unplanned catheter extubation(UEX)of head drainage tube in patients with craniocerebral injury after operation.Methods 60 patients with craniocerebral injury treated from September 2020 to may 2022 were randomly divided into two groups.30 patients in the control group received routine nursing and 30 patients in the observation group received predictive nursing.The intervention results of the two groups were compared.Results The hospitalization time and the retention time of the head drainage tube in the observation group were shorter than those in the control group,and the hospitalization expenses were less than those in the control group(P<0.05);The incidence of UEX in the observation group was 0,6.67%lower than that in the control group(P<0.05);The nursing satisfaction of the observation group was higher than that of the control group(P<0.05);The complication rate of intracranial infection,high fever,postoperative agitation and pulmonary infection in the observation group was 3.33%,which was lower than 16.67%in the control group(P<0.05).Conclusion The application of predictive nursing in patients with craniocerebral injury after operation has a satisfactory effect,which can effectively prevent the occurrence of UEX,Shorten the hospitalization time,reduce the economic burden of patients,reduce complications,improve the patient’s nursing satisfaction,and improve the nurses’personal comprehensive ability,which reflects the professional value and is worthy of application.

关 键 词：预见性护理 颅脑损伤 术后 头部引流管 非计划性拔管 

分 类 号：R473.6[医药卫生—护理学]