胃肠减压患者非计划性拔管原因分析及护理对策研究  

Analysis of reasons for unplanned extubation in patients undergoing gastrointestinal decompression in general surgery and research on nursing strategies

作　　者：邵永伟 张冰 Shao Yongwei;Zhang Bing(Yanzhou District People’s Hospital,Jining,Shandong 272100,China)

机构地区：[1]山东省济宁市兖州区人民医院,山东济宁272100

出　　处：《首都食品与医药》2024年第14期152-154,共3页Capital Food Medicine

摘　　要：目的分析胃肠减压患者非计划性拔管情况及相关影响因素,探讨针对性护理干预措施,进而为胃肠减压患者后期护理标准制定提供参考。方法回顾性分析济宁市兖州区人民医院2018年1月-2023年9月收治的行胃肠减压患者1000例,分析非计划性拔管发生情况及其影响因素。结果①非计划性拔管事件中胃肠减压管拔管最为常见,拔管发生率为10.81%;胶布固定方式发生非计划性拔管最高,拔管发生率为50.67%;0:00-8:00发生非计划性拔管事件概率最大,占非计划性拔管事件的54.67%。②非计划性拔管事件中患者原因导致拔管34例,占非计划性拔管事件的45.33%;护理原因导致拔管28例,占非计划性拔管事件的37.33%;材料原因导致拔管13例,占非计划性拔管事件的17.33%。结论胃肠减压患者非计划性拔管事件中胃肠减压管拔管最为常见,且胶布固定方式和下半夜发生拔管事件概率最大。造成计划性拔管事件因素中,患者原因最为常见。临床护理工作中应根据患者个体情况,进行针对性干预,有效降低非计划性拔管事件发生概率,提高临床治疗效果。Objective Analyze the unplanned extubation situation and related influencing factors in patients with gastrointestinal decompression,explore targeted nursing interventions,provide reference for the formulation of nursing standards for patients undergoing gastrointestinal decompression in the later stage.Method Analyze 1000 cases who underwent gastrointestinal decompression in the general surgery department in our hospital from January 2018 to September 2023,analyze the occurrence of unplanned extubation and the influencing factors of unplanned extubation.Result①Among unplanned extubation events,gastrointestinal decompression tube extubation is the most common,with an incidence rate of 10.81%;the adhesive tape fixation method has the highest incidence of unplanned extubation,with a extubation rate of 50.67%;the probability of unplanned unplugging events occurring from 0:00 to 8:00 is the highest,accounting for 54.67%of unplanned unplugging events.②34 cases(45.33%)of unplanned extubation events were caused by patient reasons;28 cases(37.33%)were extubated due to nursing reasons;due to material reasons,13 cases(17.33%)were extubated.Conclusion Urinary catheterization is the most common unplanned extubation event in patients with gastrointestinal decompression,and the highest incidence of extubation is in the adhesive tape fixation method and early morning hours.Among the factors that cause planned extubation events,patient factors are the most common.In clinical nursing work,targeted interventions should be carried out based on individual patient conditions to effectively reduce the probability of unplanned extubation events and improve clinical treatment effectiveness.

关 键 词：胃肠减压 非计划性拔管 影响因素 对策 护理干预 

分 类 号：R473.5[医药卫生—护理学]