儿科留置针非计划性拔管调查与分析

Pediatric Needle Unplanned Extubation Investigation and Analysis

目的:分析儿科留置针非计划性拔管的原因及对策。方法:回顾性分析80例儿科非计划性患儿临床资料,加以探讨非计划性拔管的原因及对策。结果:管道种类:留置针29例(36.25%)、尿管25例(31.25%)、胃管10例(12.50%)、picc管9例(11.25%)、锁穿管7例(8.75%)。患儿意识状态、行为、拔管原因、拔管后情况、护士是否在床边、重新置管、发生拔管时段等均为非计划性拔管的危险因素(P<0.05),其中行为、拔管后情况、护士是否在床边与重新置管为非计划性拔管的独立危险因素(P<0.05)。结论:针对儿科留置针非计划性拔管的原因,加以使用合适的约束工具,加强患儿巡视工作,合理安排技能培训工作,以降低非计划性拔管发生率。

Objective To analyze the cause of pediatric needle unplanned extubation and countermeasures. Methods The clinical data of 80 cases of pediatric unplanned extubation in our hospital were retrospectively studied, the causes and countermeasures of unplanned extubation were discussed. Results Indwelling needle 29 cases（36.25 %）, urinary tube 25 cases（31.25 %）, stomach tube, 10 cases（12.50 %）, picc pipe 9 cases（11.25 %）, the lock in 7 cases（8.75 %）. Children with consciousness, behavior, drawing tube reason, after extubation, nurses are in bed, to buy tube, decannulation time and so on are unplanned extubation risk factors（P 0.05）,which behavior, after extubation, nurses are in bed, to buy tube are not planned extubation independent risk factors（P 0.05）. Conclusion For the cause of pediatric needle unplanned extubation,the constraints of the right tools, strengthen children patrol work, and reasonable arrangement work skills training, can be used to reduce the incidence of unplanned extubation.