ICU内气管插管患者非计划性拔管的原因分析和干预措施.pdf

Nursing Science 护理学, 2014, 3, 83-88 Published Online October 2014 in Hans. /journal/ns /10.12677/ns.2014.34018 Current Situation of Preventive Management for Unplanned Endotracheal Extubation in ICU Lin Peng, Yue Zhao, Wenjun Han* Department of Anesthesiology, Changhai Hospital, Second Military Medical University, Shanghai * Email: 502880833@, icuhwj@ th th th Received: Aug. 26 , 2014; revised: Sep. 11 , 2014; accepted: Sep. 29 , 2014 Copyright © 2014 by authors and Hans Publishers Inc. This work is licensed under the Creative Commons Attribution International License (CC BY). /licenses/by/4.0/ Abstract The causes of unplanned endotracheal extubation in ICU included factors of patients themselves, medical staffs as well as others. According to the reasons, it is necessary to reinforce training, es- tablish prevention strategies, strengthen communication between nurses and patients, standard- ize clinical operations, improve nursing daily quality, allocate manpower properly and extubate timely to provide clinical references, at the same time, increase the security and comfort in pa- tients with mechanical ventilation and ensure patient safety. Keywords ICU, Tracheal Intubation, UEE, Preventive Management ICU内气管插管患者非计划性拔管的原因分析 和干预措施 彭 琳，赵 越，韩文军* 第二军医大学附属长海医院麻醉科，上海 * Email: 502880833@, icuhwj@ *通讯作者。 83 ICU 内气管插管患者非计划性拔管的原因分析和干预措施 收稿日期：2014年8月26 日；修回日期：2014年9月11 日；录用日期：2014年9月29 日 摘 要 文章综述了ICU气管插管患者发生非计划性拔管的原因(包括患者因素、医护因素和其他因素)，并提出相 应防范策略(包括加强业务培训、建立防范制度、加强护患沟通、规范医护操作、强化日常护理、加强人 力配置和及时拔管) ，旨在为临床规范气管插管