CAJ | 학술논문

目的：探讨改良护理告知方法对非计划性拔管的影响。方法对本院2014年1—6月留置管道患者，采用常规告知方法，对7—12月留置管道患者，采用改良告知方法。结果两种不同的告知方法所得结果比较，非计划性拔管总发生率由原来0．78％降至0．28％，P＜0．05，差异有统计学意义。结论对留置管道患者重点进行脱管风险告知，选择合适的告知时机和方式，告知对象包括患者和家属或陪护，对特殊患者进行强化告知，可有效减少非计划性拔管的发生。
목적：탐토개량호리고지방법대비계화성발관적영향。방법대본원2014년1—6월류치관도환자，채용상규고지방법，대7—12월류치관도환자，채용개량고지방법。결과량충불동적고지방법소득결과비교，비계화성발관총발생솔유원래0．78％강지0．28％，P＜0．05，차이유통계학의의。결론대류치관도환자중점진행탈관풍험고지，선택합괄적고지시궤화방식，고지대상포괄환자화가속혹배호，대특수환자진행강화고지，가유효감소비계화성발관적발생。
Objective To discuss the improvement of the method for the notification the patients the nursing care impact the unplanned extubation.Methods For the patients with indwelling catheter of our hospital from January to June in 2014 using the conventional method to be informed; for the patients with indwelling catheter of our hospital from July to December in 2014, using the improved method to be informed.Results To compare the results of the two different ways to inform, the rate of the unplanned extubation fail from0.78% to 0.28%, P <0.05, the difference was statistically significant.Conclusions To inform the patients with indwelling catheter the risk to take off the catheter with emphasis, we have to select the appropriate opportunity and manner, the object to inform including the Including patients and their families or escort, an intensive notification for the special patient can effectively reduce the rate of unplanned extubation.