摘要
目的探讨血液透析患者中心静脉插管非计划性拔管的原因及相应的护理对策。方法采用回顾性调查的方法，对2002年2月～2004年1月在我科住院治疗的慢性肾功能不全尿毒症中心静脉插管非计划性拔管的8例患者调查研究，总结导致非计划性拔管的原因。结果发现非计划性拔管的发生与患者的因素、中心静脉插管管理的因素、医护的因素等原因有关。根据上述原因制定相应护理对策，未再发生非计划性拔管的事件。结论根据非计划性拔管的原因制定的护理对策，可使非计划性拔管的发生率明显下降。
Objective To explore the reasons of unexpected removing of central venous catheter in patients with hemodialysis and establish caring strategy for them. Methods 8 inpatients with hemodialysis and unexpected removing of central venous catheter from February, 2002 to January, 2004 were in vestigated on the reasons of unexpected removing by retrospect their data. Then caring strategy was established for them. Results The unexpected removing of central venous catheter were mainly caused by over moving, mental disorders, desperation of patients, improper intubation tube and improper care. We then established caring strategy which included educated the patients, proper intubation, fixation method, and proper care. Conclusions Occurring rate of unexpected removing of central venous catheter is significantly decreased after performing the caring strategy.
出处
《现代护理》
2006年第22期2085-2087,共3页
Modern Nursing
关键词
血液透析
中心静脉插管
非计划性拔管
原因
对策
Hemodialysis
Central venous catheter
Unexpected removing of tube
Reason
Nursing
