摘要
目的探讨集束化护理策略对预防患者胃管非计划拔管中的效果。方法将2012年1月-2013年11月消化内科初次留置胃管患者217例分为对照组105例和干预组112例。对照组采用胃管常规护理方法,干预组制定并实施集束化护理策略,内容包括妥善固定胃管、适当有效约束肢体、有效镇静和镇痛、规范高风险护理操作、加强舒适护理、强化患者防脱管意识等。结果实施集束化护理策略后,胃管非计划拔管率下降,患者的满意度提高。结论集束化护理策略应用于留置胃管的住院患者,可有效降低胃管非计划性拔管的发生率,提高护理质量。
Objective To explore the effects of cluster nursing strategies to prevent unplanned extubation of patients with gastric tube. Methods 217 patients with indwelling gastric tubecases for the first time from January 2012 to November 2013 were divided into control group （n= 105）and intervention group （n= 112）. The control group was given routine nursing. The intervention group was given nursing according to cluster nursing strategies, including proper fixed stomach tube, appropriate and effective constraint limb, effective sedation analgesia, standardization nursing procedures for high-risk patients, strengthening the consciousness of patients to prevent dropping tube. Results The stomach tube unplanned extubation rate in the control group was higher than that in intervention group, and satisfaction was lower than that in intervention group. Conclusion Cluster nursing strategies can effectively reduce the incidence of unplanned extubation and improve the quality of nursing for the hospitalized patients with gastric tube.
出处
《中国临床护理》
2014年第2期111-113,共3页
Chinese Clinical Nursing
关键词
插管法
胃肠
集束化护理
非计划拔管
Gastrointestinal intubatiom Cluster nursing strategies
Unplanned extubation
