CAJ | 학술논문

　　目的观察集束化护理在预防气管插管患者非计划性拔管的应用及对生活质量的影响。方法70例气管插管患者随机分为两组，对照组35例，采用常规护理，观察组35例，采用集束化护理。对两组患者的非计划性拔管发生情况，生活质量进行比较。结果对照组有11例患者发生非计划性拔管，观察组有4例患者发生，两组比较有明显差异（P ＜0.05）。两组护理后患者 SCL-90评分均有明显降低（P ＜0.05），与对照组比较，观察组降低更明显（P ＜0.05）。结论对气管插管患者采用集束化护理可以明显降低非计划性拔管的发生，提高患者的生活质量和预后。
　　목적관찰집속화호리재예방기관삽관환자비계화성발관적응용급대생활질량적영향。방법70례기관삽관환자수궤분위량조，대조조35례，채용상규호리，관찰조35례，채용집속화호리。대량조환자적비계화성발관발생정황，생활질량진행비교。결과대조조유11례환자발생비계화성발관，관찰조유4례환자발생，량조비교유명현차이（P ＜0.05）。량조호리후환자 SCL-90평분균유명현강저（P ＜0.05），여대조조비교，관찰조강저경명현（P ＜0.05）。결론대기관삽관환자채용집속화호리가이명현강저비계화성발관적발생，제고환자적생활질량화예후。
Objective To study the prevention of cluster nursing on unplanned extubation(UEX) for intubated patients and the effectiveness on quality of life and. Methods 70 intubated patients were randomly divided into two groups, the control group(n=35 cases) and the observation group(n=35 cases). The patients in the control group were cured through the conventional nursing, while the patients in the observation group were cured through cluster nursing. The quality of life were compared. Results There were 11 patients for UEX in the control group and 4 in the observation group. There was a significant difference between two groups(P<0.05). Their SCL-90 were decreased after nursing and it in the observation group was lower than that in the control group(P<0.05). Conclusions Cluster nursing on unplanned extubation for intubated patients can reduce the occurrence of UEX and improve quality of life and prognosis.