icu危重患者意外拔管原因及护理干预效果分析

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1、ICU危重患者意外拔管原因及护理干预效果分析王静川省自贡市第四人民医院摘要：目的分析重症加强护理病房(ICU)危重患者意外拔管发生原因，并探讨护理干预应用效果。方法选取2014年1月2017年3月I⑶接收的262例危重患者为研宄对象，以循证护理为分界点，将其分为两组。常规护理组(n=128)给予基础护理配合，循证护理组(n=134)根据意外拔管发生原因进行循证护理干预。比较两组患者意外拔管发生率、夜间高危吋段意外拔管发生率以及护理满意度。结果循证护理组患者意外拔管发生率为1.49%(2/134),夜间高危时段发生率为0.7

2、5%(1/134)，常规护理组意外拔管发生率为11.72%(15/128)，夜间高危时段发生率为6.25%(8/128),差异有统计学意义(P<0.05)。循证护理组满意度为93.28%(125/134)，常规护理组为79.69%(102/128),差异有统计学意义(P〈0.05)。结论以循证护理理念服务模式成用于T⑶危重患者护理有助于控制意外拔管风险事件，提高患者生存质量及护理满意度，值得推广。关键词：重症加强护理病房;危重患者;意外拔管;循证护理;收稿日期：2017-08-07Analysisonthecausesof

3、accidentalextubationandtheeffectofnursinginterventioninICUcriticallyillpatientsWANGTingTheFoyxXhJLeople’^JlosniXaJ^oX^igongCityinSichuanProvince;Abstract：ObjectiveToanalyzethecausesofaccidentalextubationincriticallyillpatientsintheintensivecareunit(ICU)，andtoexplo

4、retheapplicationeffectofnursingintervention.MethodsAtotalof262criticallyi11patientswhowereadmittedtoICUfromJanuary2014toMarch2017wereselectedasstudysubjects.Theevidence-basednursingwasselectedasthedividingpoint,andthepatientsweredividedintotwogroups.Routinenursing

5、caregroup(n=128)wasgivenbasicnursingcare,andtheevidence-basednursinggroup(n=134)wasgivenevidence-basednursinginterventionaccordingtothecausesofaccidentalextubation.Theincidencerateofaccidentalextubation,theincidencerateofaccidentalextubationathighriskperiodsatnigh

6、tandthesatisfactionofnursingwerecomparedbetweenthetwogroups.ResultsTheincidencerateofaccidentalextubationwas1.49%(2/134)inevidence-basednursinggroup,andtheincidencerateofhigh-riskperiodsatnightwas0.75%(1/134).Theincidencerateofaccidentalextubationintheroutinenursi

7、nggroupwas11.72%(15/128)，andtheincidencerateofhigh-riskperiodsatnightwas6.25%(8/128).Thedifferenceswerestatisticallysignificant(P<0.05).Thesatisfactionrateintheevidence-basednursinggroupwas93.28%(125/134)，andtherateintheroutinenursinggroupwas79.69%(102/128).Thedif

8、ferencewasstatisticallysignificant(P<0.05).ConclusionEvidence-basednursingconceptservicemodelappliedtoICUcriticallyillpatientcarehelpstocontrolaccidenta