CAJ | 학술논문

目的：分析基层医院非计划性拔管的原因，探讨减少非计划性拔管发生的措施。方法对44例非计划性拔管的患者进行回顾性分析，对他们的拔管原因进行探讨。结果44例非计划性拔管中尿管28例，占63.6%；胃管8例，占18.2%；气管插管2例，占4.5%；头部引流管2例，占4.5%；锁骨下静脉3例，占6.8%；其他1例，占2.3%。非计划性拔管的主要原因与对约束工具有效性评估不到位，对导管、非计划性拔管的了解和重视程度不够，护士人力不足、巡视不到位，年轻护士缺乏工作经验等有关。结论应采取合理使用约束工具、加强专业知识和技能培训、改变排班模式等措施，从而减少非计划性拔管的发生。
목적：분석기층의원비계화성발관적원인，탐토감소비계화성발관발생적조시。방법대44례비계화성발관적환자진행회고성분석，대타문적발관원인진행탐토。결과44례비계화성발관중뇨관28례，점63.6%；위관8례，점18.2%；기관삽관2례，점4.5%；두부인류관2례，점4.5%；쇄골하정맥3례，점6.8%；기타1례，점2.3%。비계화성발관적주요원인여대약속공구유효성평고불도위，대도관、비계화성발관적료해화중시정도불구，호사인력불족、순시불도위，년경호사결핍공작경험등유관。결론응채취합리사용약속공구、가강전업지식화기능배훈、개변배반모식등조시，종이감소비계화성발관적발생。
Objective To analyze the causes of unplanned extubation, discuss how to reduce the occurrence of unplanned extubation. Methods A retrospective analysis was performed in 44 patients with unplanned extubation. Results 44 cases of unplanned extubation of catheter in 28 cases, accounting for 63.6%; gastric tube in 8 cases, accounting for 18.2%; tracheal intubation in 2 cases, account-ing for 4.5%; the head tube drainage in 2 cases, accounting for 4.5%; subclavian vein in 3 cases, accounting for 6.8%; the other 1 cases, accounting for 2.3%. The main causes of unplanned extubation and does not reach the designated position, constraints on the tools of effectiveness evaluation of catheter, not understanding and attention to planning extubation is insufficient, nurse manpower shortage, inspection is not in place, the lack of work experience for young nurses. Conclusion Should adopt reasonable restraint use tools, to enhance professional knowledge and skills training, to change the scheduling model and other measures, so as to reduce the occurrence of unplanned extubation.