北方药学
北方藥學
북방약학
JOURNAL OF NORTH PHARMACY
2013年
11期
174-175
,共2页
非计划性拔管%不良事件%对策
非計劃性拔管%不良事件%對策
비계화성발관%불량사건%대책
Unplanned extubation%Adverse events%Countermeasures
目的：探讨住院患者非计划拔管的相关因素，减少此类护理不良事件的发生，确保护理安全。方法：对2013年1月～2013年9月我院发生20例非计划性拔管的不良事件进行回顾分析，查找发生原因和特点，制定确实可行的防范措施。结果：20例非计划性拔管患者初中或以下学历17例，占85%；男性17例，占85%；意识不清、烦躁患者11例，占55%；尿管、胃管、气管插管3种管道非计划性拔管18例，占90%；ICU、肿瘤中心、神经内科发生14例，占70%；烦躁患者约束不当或未约束9例，占45%；固定方法单一15例，占75%；无并发症18例，占90%；家属知情并理解17例，占85%。结论：防范非计划性拔管的发生需加强医护与患者及家属的沟通，护理人员在日常工作中对患者及家属的宣教至关重要。
目的：探討住院患者非計劃拔管的相關因素，減少此類護理不良事件的髮生，確保護理安全。方法：對2013年1月～2013年9月我院髮生20例非計劃性拔管的不良事件進行迴顧分析，查找髮生原因和特點，製定確實可行的防範措施。結果：20例非計劃性拔管患者初中或以下學歷17例，佔85%；男性17例，佔85%；意識不清、煩躁患者11例，佔55%；尿管、胃管、氣管插管3種管道非計劃性拔管18例，佔90%；ICU、腫瘤中心、神經內科髮生14例，佔70%；煩躁患者約束不噹或未約束9例，佔45%；固定方法單一15例，佔75%；無併髮癥18例，佔90%；傢屬知情併理解17例，佔85%。結論：防範非計劃性拔管的髮生需加彊醫護與患者及傢屬的溝通，護理人員在日常工作中對患者及傢屬的宣教至關重要。
목적：탐토주원환자비계화발관적상관인소，감소차류호리불량사건적발생，학보호리안전。방법：대2013년1월～2013년9월아원발생20례비계화성발관적불량사건진행회고분석，사조발생원인화특점，제정학실가행적방범조시。결과：20례비계화성발관환자초중혹이하학력17례，점85%；남성17례，점85%；의식불청、번조환자11례，점55%；뇨관、위관、기관삽관3충관도비계화성발관18례，점90%；ICU、종류중심、신경내과발생14례，점70%；번조환자약속불당혹미약속9례，점45%；고정방법단일15례，점75%；무병발증18례，점90%；가속지정병리해17례，점85%。결론：방범비계화성발관적발생수가강의호여환자급가속적구통，호리인원재일상공작중대환자급가속적선교지관중요。
Objective:Through the investigation about the causes of in-patients with unplanned extubation, to reduce the adverse events of nursing and to confirm the nursing safety.Methods By the review analysis of 20 cases of the adverse events with unplanned extubation from In January 2013 to September 2013, to find the causes and characteristics and formulate really feasible preventive measures.Results From 20 cases with unplanned extubation, the patients of the Junior high school or below,the males,the unconsciousness and be agitated were respective 17 cases(85%), 17 cases(85%) and 11 cases(55%);the proportion of urine tube, stomach tube and endotracheal intubation with unplanned extubation accouted for 90%(18cases);Intensive Care Unit(ICU),Cancer Center and Neurology Department added up to 14 cases(70%);Agitated patients who constrained improper way or no constraint were 9 cases (45%); Patients of Single fixed method and no complications were respective 15 cases (75%),18 cases (90%);Patients whose relatives knew and understood were 17 cases, accounting for 85%.Conclusions To prevent the unplanned extubation,we should strengthen communication between petients and their relatives and it is very important to strengthen education of petients and their relatives by nursing staff in daily work.
