呼吸科老年患者非计划性拔管的调查研究与护理对策

Elderly Patients for Unplanned Extubation Research and Nursing Countermeasures

目的:探讨呼吸科老年患者非计划性拔管(UEX)的原因及相应的护理对策。方法:采用回顾性调查的方法 ,对2013年5月至2015年5月本院呼吸科发生的40例老年UEX患者调查研究,对原因进行分析,并提出防范对策。结果:发生UEX的管道类型包括胃管、尿管、深静脉穿刺管3类。胃管30例,占75%,尿管与深静脉穿刺管均为5例。40例UEX患者有32例发生在夜间(80%);8例发生在白天,且均为中午时段(20%)。结论:通过对发生非计划性拔管的原因进行分析,对患者加强沟通、合理镇静或镇痛、有效约束、妥当导管固定、规范护理操作程序、加强巡视等措施可有效降低呼吸科老年患者非计划性拔管的发生率。

Objective To investigate the respiratory occurred in elderly patients unplanned extubation（UEX） the cause and the corresponding nursing countermeasures. Methods Retrospective survey of 40 patients with senile unplanned extubation from May 2013 to May 2015 in our hospital were studied. Results UEX pipe types including stomach tube, urine pipe, deep venipuncture three categories. Stomach tube, 30 cases（75 %）, urinary pipe with deep vein puncture were 5 cases. 40 patients with UEX 32 cases（80 %） in the night; 8 cases happened during the day, and all at noon（20 %）. Conclusion The causes of UEX, such as strengthen communication, reasonable sedation and analgesia and the patients with effective constraints, appropriate catheter fixed, standardize nursing operation procedures, strengthen patrol and other measures can effectively reduce the incidence of respiratory elderly patients not planned extubation.