PDCA循证护理对EICU内气管插管非计划性拔管发生情况的影响

Effect of PDCA Evidence-Based Nursing on Unplanned Extubation of Endotracheal Intubation in EICU

目的:探究急诊重症监护(EICU)内气管插管患者实施PDCA循证护理对非计划性拔管发生率的影响。方法:选择2016年5月-2017年5月期间在我院EICU治疗的50例气管插管患者作为对照组,选择2017年6月-2018年6月期间在我院EICU治疗的50例气管插管患者作为观察组,对照组采取常规护理,观察组采取PDCA循证护理,比较两组非计划性拔管率、重插率、死亡率及护理满意度。结果:与对照组相比,观察组非计划性拔管率、重插率、死亡率较低,护理满意度较高,差异有统计学意义(P<0.05)。结论:PDCA循证护理干预EICU内气管插管患者,可降低非计划拔管发生率,提高护理满意度。

Objective:To explore the effect of PDCA evidence-based nursing on unplanned extubation rate in patients with endotracheal intubation in emergency intensive care unit(EICU).Methods:50 patients with endotracheal intubation treated in EICU from May 2016 to May 2017 were selected as control group,50 patients with endotracheal intubation treated in EICU from June 2017 to June 2018 were selected as observation group,the control group was given routine nursing,the observation group was given PDCA evidence-based nursing,and the unplanned extubation was compared between the two groups.Rate,re insertion rate,mortality rate and nursing satisfaction.Results:Compared with the control group,the unplanned extubation rate,re-insertion rate and mortality rate of the observation group were lower,and the satisfaction of nursing was higher(P<0.05).Conclusion:PDCA evidence-based nursing intervention for EICU patients with tracheal intubation can reduce the incidence of unplanned extubation and improve nursing satisfaction.