摘要
通过观察330例次ICU老年置管患者,发现计划外拔管发生于夜间36例次,占10.90％,白天8例次,占2.42％。分析拔管的原因有:导管固定欠稳妥,未及时、适当给患者使用镇静荆,未及时有效地约束患者双上肢,夜间植物神经功能不稳定等。护理对策:妥善固定管道,根据病情需要及时使用镇静剂,及时约束患者双上肢,提供必要的心理支持,护士夜间护理操作稳妥,增加巡视次数。结果气管插管和胃管脱管率由22.5％和25％,降至9.8％和11.5％,有效减轻了患者的不适和潜在危险性。
330 cases of intubation in ICU old patients were observed at day and at night respectively. It was found that tube withdrawals at night were significantly more than those at day by X2 test (P<0. 0001). Through analysis , the authors concluded that the causes consisted of poor fixation of the catheters, untimely use of anesthesia and untimely fixation of both upper extremities, disturbance of vegetative nerves. The countermeasures included: properly fixing the catheters, timely administrating anesthesia, timely fixing both upper extremities of patients, providing them with necessary psychological nursing, nurse's properly and accurately carrying out nursing operation and adding more times of rounding check. After that, the tube withdrawal rates of stomach tube and tracheal tube dropped from 22. 5% and 25% and to 9. 8 and 11. 5% respectively so as to relieve effectively upset and possible dangers.
出处
《南方护理学报》
2002年第6期34-36,共3页
Nanfang Journal of Nursing
关键词
ICU
老年患者
拔管
护理
ICU
elderly patients
tube withdrawal
nursing
