预见性护理干预对肝胆外科术后非计划性拔管的预防效果分析

Analysis of preventive effect of predictive nursing intervention on unplanned extubation after hepatobiliary surgery

目的探讨预见性护理干预对肝胆外科术后非计划性拔管的预防效果。方法选取2015年10月至2016年9月收治的46例行常规护理的肝胆外科术后患者作为对照组,选取2016年10月至2017年9月收治的46例行预见性护理干预的肝胆外科术后患者作为观察组,对比两组非计划性拔管发生情况及管道护理知识掌握情况。结果观察组导尿管、胃管、中心静脉置管及腹腔引流管等非计划性拔管发生率均较对照组低,比较差异有统计学意义(P<0.05或0.01);观察组管道护理知识掌握程度较对照组高,比较差异有统计学意义(P<0.05)。结论预见性护理干预可有效预防肝胆外科术后非计划性拔管的发生,提升患者管道护理知识水平。

Objective To explore the preventive effect of predictive nursing intervention on unplanned extubation after hepatobiliary surgery.Methods 46 patients with routine nursing after hepatobiliary surgery admitted to hospital from October 2015 to September 2016 were selected as control group,and 46 patients with predictive nursing intervention after hepatobiliary surgery from October 2016 to September 2017 were selected as observation group.The incidence of unplanned extubation and the knowledge mastery of tube nursing were compared between the two groups.Results The incidence of unplanned extubation included urinary catheter,gastric tube,central venous catheter and abdominal drainage tube in the observation group was lower than that in the control group,difference was statistically significant(P<0.05 or 0.01).And knowledge mastery level of tube nursing in the observation group was higher than that in the control group,difference was statistically significant(P<0.05).Conclusion Predictive nursing intervention can effectively prevent the occurrence of unplanned extubation after hepatobiliary surgery,and improve knowledge mastery level of tube nursing among patients.