河北医科大学学报

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预见性护理在预防神经内科ICU非计划性拔管中的效果评价

  

  1. 1.河北医科大学第二医院神经内科,河北 石家庄 050000;2.河北医科大学第二医院东院区神经内科一科,河北 石家庄 050035;3.河北医科大学第二医院东院区神经内科二科,河北 石家庄 050035
  • 出版日期:2016-05-25 发布日期:2016-05-20
  • 作者简介:毕娟( 1979- ),女,河北保定人,河北医科大学第二 医院主管护师,医学学士,从事临床护理学研究。
  • 基金资助:
    河北省医学科学研究重点课题( 20130481

Evaluation of predictive nursing care in the prevention of unplanned extubation in the ICU

  1. 1.Department of Neurology, the Second Hospital of Hebei Medical University, Shijiazhuang 050000, China; 〖JP〗
    2.Department of Neurology Ⅰ, the East Branch of Second Hospital of Hebei Medical University,
    Shijiazhuang 050035, China; 3.Department of Neurology Ⅱ, the East Branch of Second
    Hospital of Hebei Medical University, Shijiazhuang 050035, China
  • Online:2016-05-25 Published:2016-05-20

摘要: [摘要] 目的 评价预见性护理流程在预防神经内科非计划性拔管中的效果。方法 便利抽样选取神经内科
ICU 患者 200 例,用随机数字表法分为 2 组,对照组和干预组各 100 例,设计实施非计划性拔管预见性护理流程,对
照组实施常规护理,干预组实施预见性护理,评价 2 组非计划性拔管率及患者满意度。结果 观察组非计划性拔管
率为 3% ,对照组为 15% , 2 组差异有统计学意义( P <0.05 )。 2 组患者满意度差异有统计学意义( P <0.05 )。结
论 通过设计实施预见性护理流程,可以降低神经内科 ICU 非计划性拔管率,提高患者满意度。

关键词: 气管插管拔除, 护理, 治疗结果

Abstract: [
Abstract ] Objective Toexploretheclinicalpracticeeffectofpredictivenursingprocedure
onpreventionoftheneurologyunscheduledtubedrawing.Methods Basedonthemethodof
conveniencesampling , 200ICUpatientsfromnerveinternalmedicinewererandomlydividedinto
controlgroupandinterventiongroupwithrandomnunbertable , eachof100.Interventiongroup
patientswereappliedpredictiveunscheduledextubationnursingprocess.Controlgrouppatients
weregivenroutinehealthcare.Thenuscheduleddecannulationrateandsatisfactionofthe
patientswereassessed.Results Theunscheduleddecannulationrate was3% and15% in
observationgroupandinthecontrolgroup , respectively.Thedifferencebetweentwogroupswas
statisticallysignificant ( P <0.05 ) .Thedifferenceofsatisfactionofthepatientsbetweentwo
groups wasstatisticallysignificant ( P <0.05 ) .Conclusion Theimplementionofpredictive
nursingprocedurecanreducetheunscheduleddecannulationrateinneurologyICUandimprove
satisfactionofpatients.