CAJ | 학술논문

目的探讨安全、有效、牢固的气管插管固定方法,避免非计划性拔管,有效实现护理安全.方法采用单纯随机抽样的方法,将120例重型颅脑损伤术后气管插管患者分为观察组和对照组各60例.观察组应用丝绸胶布Y型固定气管插管,对照组应用普通胶布加2片3M透明贴膜固定气管插管.观察2组患者气管插管的移动例数及非计划性拔管例数.结果观察组重新固定气管插管例数、非计划拔管例数均显著低于对照组.结论应用丝绸胶布Y型固定气管插管能有效地预防非计划性拔管,提高临床护理工作的效率,保障患者安全.
목적 탐토안전、유효、뢰고적기관삽관고정방법,피면비계화성발관,유효실현호리안전.방법 채용단순수궤추양적방법,장120례중형로뇌손상술후기관삽관환자분위관찰조화대조조각60례.관찰조응용사주효포Y형고정기관삽관,대조조응용보통효포가2편3M투명첩막고정기관삽관.관찰2조환자기관삽관적이동례수급비계화성발관례수.결과 관찰조중신고정기관삽관례수、비계화발관례수균현저저우대조조.결론 응용사주효포Y형고정기관삽관능유효지예방비계화성발관,제고림상호리공작적효솔,보장환자안전.
Objective To search for one method which is security firm and effective for trachea intubation in order to avoid unplanned extubation and realize nursing security. Methods 120 cases with severe brain injury and trachea intubation were divided into the observation group and the control group with 60 cases in each group randomly.The trachea intubations was fixed with Y-type plaster in the observation group,the control group used traditional fixation method with two pieces of 3M transparence film.The cases with trachea cannula displacement and unplanned extubation were compared between two groups. Results The cases needed re-fixation of the trachea cannula and with unplanned extubation in the observation group was less than the control group. Conclusions To use Y-type plaster to fix the trachea intubation can effectively prevent unplanned extubation,increase efficiency of clinical nursing work and ensure the security of patients.