麻醉苏醒室气管插管患者意外拔管的原因分析和护理对策

Cause analysis and nursing countermeasures of accidental extubation in patients undergoing endotracheal intubation in anesthesia recovery room

目的:探讨麻醉苏醒室气管插管患者意外拔管的原因和护理对策。方法:收治小儿手足口病合并脑炎患者500例,分为两组。对照组给予常规方法进行气管插管固定,观察组给予麻醉苏醒室监护。比较两组护理对策满意度。结果:观察组护理职责、护理流程、护理沟通、心理护理、专业素质优于对照组,差异有统计学意义(P<0.05)。结论:麻醉苏醒室患者无自主拔管居多,良好的护理干预可降低麻醉苏醒室气管插管患者的意外拔管。

Objective:To explore the causes and nursing countermeasures of accidental extubation in patients undergoing endotracheal intubation in anesthesia recovery room.Methods:500 cases of children with hand-foot-mouth disease combined with encephalitis were divided into two groups.The control group was given routine endotracheal intubation,while the observation group was given monitoring in anesthesia recovery room,the satisfaction degree of nursing measures between the two groups was compared.Results:The nursing responsibility,nursing process,nursing communication,psychological nursing and professional quality of the observation group were better than those of the control group,the difference was statistically significant(P<0.05).Conclusion:Most of patients in anesthesia recovery room had no independent extubation.Good nursing intervention could reduce the accidental extubation of patients with endotracheal intubation in anesthesia recovery room.