急诊留观患者非计划性拔管预防的护理专案管理  

Nursing project management to reduce unplanned extubation in emergency department observation unit patients

作　　者：张梦杰 张建霞[1] 李宁[1] 于淼[1] 杨振楠 Zhang Mengjie;Zhang Jianxia;Li Ning;Yu Miao;Yang Zhennan(Emergency Department,Peking University First Hospital,Beijing 100034,China)

机构地区：[1]北京大学第一医院急诊科,北京100034

出　　处：《护理学杂志》2023年第9期56-59,共4页Journal of Nursing Science

基　　金：北京大学第一医院科研种子基金课题(2021SF54)。

摘　　要：目的 探讨急诊留观患者非计划性拔管预防的护理专案管理效果。方法 在对前期(2020年4月至2021年4月)收治的急诊留观患者非计划性拔管现状及要因分析的基础上,对2021年5月至2022年5月急诊留观病房收治的患者521例实施非计划性拔管预防的护理专案管理,即细化预防非计划性拔管相关制度及管理策略、强化护士相关培训和考核、优化患者健康教育和反馈、增加护士人力配备、落实持续质量改进等专案管理措施。结果 实施专案管理后,护士预防非计划性拔管知识、实践得分及患者预防非计划性拔管知识得分显著高于专案管理前,急诊留观患者非计划性拔管发生率显著降低(均P<0.05)。结论 对急诊留观患者进行非计划性拔管预防的护理专案管理,可提高护士预防非计划性拔管的知识和实践水平,降低非计划性拔管发生,促进患者安全。Objective To explore the effect of nursing project management to prevent unplanned extubation(UEX)in emergency department observation unit(EDOU)patients.Methods UEXs in EDOU occurred between April 2020 and April 2021 were analyzed using root-cause analysis procedures,then 521 patients admitted to the EDOU from May 2021 to May 2022 were given nursing project management to prevent UEX.Nursing project management included refining the UEX prevention regulations and strategies,strengthening training and appraisal for nurses,optimizing patient education and feedback,increasing nursing workforce,and implementing continuous quality improvement measures.Results After the implementation of nursing project management,nurses′knowledge and practice of UEX prevention,as well as patients′knowledge of UEX prevention were significantly enhanced,whe-reas the incidence of UEX was significantly reduced(all P<0.05).Conclusion The nursing project management for UEX prevention in EDOU improves nurses′knowledge and practice,resulting in reducing UEX and ensuring patient safety.

关 键 词：急诊科 非计划性拔管 护理专案 护理管理 管路滑脱 导管护理 

分 类 号：R472[医药卫生—护理学]