CAJ | 학술논문

目的：探讨集束化护理策略对预防患者胃管非计划拔管中的效果。方法将2012年1月-2013年11月消化内科初次留置胃管患者217例分为对照组105例和干预组112例。对照组采用胃管常规护理方法，干预组制定并实施集束化护理策略，内容包括妥善固定胃管、适当有效约束肢体、有效镇静和镇痛、规范高风险护理操作、加强舒适护理、强化患者防脱管意识等。结果实施集束化护理策略后，胃管非计划拔管率下降，患者的满意度提高。结论集束化护理策略应用于留置胃管的住院患者，可有效降低胃管非计划性拔管的发生率，提高护理质量。
목적：탐토집속화호리책략대예방환자위관비계화발관중적효과。방법장2012년1월-2013년11월소화내과초차류치위관환자217례분위대조조105례화간예조112례。대조조채용위관상규호리방법，간예조제정병실시집속화호리책략，내용포괄타선고정위관、괄당유효약속지체、유효진정화진통、규범고풍험호리조작、가강서괄호리、강화환자방탈관의식등。결과실시집속화호리책략후，위관비계화발관솔하강，환자적만의도제고。결론집속화호리책략응용우류치위관적주원환자，가유효강저위관비계화성발관적발생솔，제고호리질량。
Objective To explore the effects of cluster nursing strategies to prevent unplanned extubation of patients with gastric tube .Methods 217 patients with indwelling gastric tubecases for the first time from January 2012 to November 2013 were divided into control group (n=105)and intervention group (n=112) .The control group was given routine nursing .The intervention group was given nursing according to cluster nursing strategies , including proper fixed stomach tube , appropriate and effective constraint limb , effective sedation analgesia , standardization nursing procedures for high-risk patients ,strengthening the consciousness of patients to prevent dropping tube .Results The stomach tube unplanned extubation rate in the control group was higher than that in intervention group ,and satisfaction was lower than that in intervention group .Conclusion Cluster nursing strategies can effectively reduce the incidence of unplanned extubation and improve the quality of nursing for the hospitalized patients with gastric tube .