CAJ | 학술논문

目的探讨不同护理模式在干预意识清醒的留置气囊导尿管患者非计划性拔管不良事件中效果观察，选择正确的干预模式来预防该类不良事件的发生。方法通过把留置气囊导尿管的住院患者分为对照组与实验组，分别采取不同的宣教模式，对照组使用“一看二告知”的方法作为导尿过程宣教的模式，实验组使用“一看二触三告知”的方法在导尿过程时宣教，导尿后第二天及其他时机以相同模式重复宣教的模式，对比两组非计划性拔管不良事件的发生率。结果发现对照组与实验组患者非计划拔管发生率分别为3.33%和0.43%，有显著差异性，P<0.05。并且在评价指标中观察到影响意识清醒的留置气囊导尿管患者非计划性拔管的与拔管发生的时间、发生的性别、尿管留置的天数相关，有差异性，P<0.05。结论说明使用“一看二触三告知”的方法在不同时机宣教的模式针对意识清醒的留置气囊导尿管患者中可以有效预防非计划性拔管不良事件的发生，值得临床护理推广使用。
목적탐토불동호리모식재간예의식청성적류치기낭도뇨관환자비계화성발관불량사건중효과관찰，선택정학적간예모식래예방해류불량사건적발생。방법통과파류치기낭도뇨관적주원환자분위대조조여실험조，분별채취불동적선교모식，대조조사용“일간이고지”적방법작위도뇨과정선교적모식，실험조사용“일간이촉삼고지”적방법재도뇨과정시선교，도뇨후제이천급기타시궤이상동모식중복선교적모식，대비량조비계화성발관불량사건적발생솔。결과발현대조조여실험조환자비계화발관발생솔분별위3.33%화0.43%，유현저차이성，P<0.05。병차재평개지표중관찰도영향의식청성적류치기낭도뇨관환자비계화성발관적여발관발생적시간、발생적성별、뇨관류치적천수상관，유차이성，P<0.05。결논설명사용“일간이촉삼고지”적방법재불동시궤선교적모식침대의식청성적류치기낭도뇨관환자중가이유효예방비계화성발관불량사건적발생，치득림상호리추엄사용。
Objective To investigate the different education intervention mode in clear consciousness of indwelling catheter patients to observe the effect of unplanned extubation adverse events occurred, choose the correct mode to prevent the adverse events.Methods Indwelling catheter in hospitalized patients were divided into control group and experimental group, take different education mode respectively, while the control group used the “see method two tell” education in the experimental group during catheter model, using the “see method two touch three tell” in the initial mission when catheterization, urethral catheterization after second days and other time in the same pattern repeated education mode, compared two groups of unplanned extubation adverse event rate.Results Compared to the non plan cupping occurred in 3.33% and 0.43% group and the patients in the experimental group, there is significant difference,P< 0.05. To observed the effect in the evaluation indexes and the clear consciousness of indwelling catheter in patients with unplanned extubation and extubation time of occurrence, gender, indwelling catheter days, difference,P<0.05.Conclusion The use of “see method two touch three tell” education mode in different time in lucid indwelling catheter patients can effectively prevent unplanned extubation adverse events, worthy of clinical nursing care to promote the use of.