CAJ | 학술논문

目的：探讨危重症专科护理小组在预防非计划性脱管中的作用。方法采用前后对照方法，比较危重症专科护理小组干预前后的胃管、尿管、深静脉导管、气管插管、引流管的非计划性脱管发生率，以及护士对管道维护的掌握程度。结果危重症专科护理小组干预后深静脉导管、气管插管、引流管的非计划性脱管发生率有所下降(P<0.05)，差异有统计学意义，胃管、尿管的非计划性脱管率无明显差异(P>0.05)；护士对管道的固定方法、风险评估、预防措施及健康宣教的掌握程度提高(P<0.05)，差异有统计学意义。结论危重症护理小组在预防非计划性脱管中起积极作用。
목적：탐토위중증전과호리소조재예방비계화성탈관중적작용。방법채용전후대조방법，비교위중증전과호리소조간예전후적위관、뇨관、심정맥도관、기관삽관、인류관적비계화성탈관발생솔，이급호사대관도유호적장악정도。결과위중증전과호리소조간예후심정맥도관、기관삽관、인류관적비계화성탈관발생솔유소하강(P<0.05)，차이유통계학의의，위관、뇨관적비계화성탈관솔무명현차이(P>0.05)；호사대관도적고정방법、풍험평고、예방조시급건강선교적장악정도제고(P<0.05)，차이유통계학의의。결론위중증호리소조재예방비계화성탈관중기적겁작용。
Objective To explore the clinical effect of specialized nursing group for critical patients on preventing the incidence of unplanned extubations (UEs). Methods The incidence of UEs (stomachic tube, bladder catheter, central venous catheter, endotracheal tube, drainage tube) and nurse's ability of managing tube before and after intervention of specialized nursing group for critical patients were compared. Results The UEs incidences of central venous catheter, endotracheal tube and drainage tube significantly decreased after nursing intervention than those before the intervention (P<0.05). The UEs incidences of stomachic tube and bladder catheter before and after intervention showed no statistical difference (P >0.05). The nurse's abilities of fixing tubes, risk assessment, precaution and health education significantly improved (P<0.05). Conclusions Specialized nursing group for critical patients has positive effects on preventing the incidence of UEs.