Cause analysis and nursing strategies for unplanned extubations of hemodialysis patients with central vascular catheter
10.3760/j.issn.1674-2907.2014.20.026
- VernacularTitle:血液透析患者中心静脉导管非计划性拔管原因分析和护理对策
- Author:
Yun LI
1
;
Haiyan ZHANG
;
Ningjun DAI
;
Xuexian WEN
Author Information
1. 518020 暨南大学第二临床医学院 深圳市人民医院血液净化中心
- Keywords:
Hemodialysis;
Central vascular catheter;
Unplanned extubation;
Cause analysis;
Nursing strategies
- From:
Chinese Journal of Modern Nursing
2014;20(20):2527-2529
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the causes and nursing strategies for unplanned extubations of hemodialysis patients with central vascular catheter .Methods Using the retrospective method , we analyzed and reviewed 11 unplanned extubations hemodialysis patients with central vascular catheter in our hospital between January 2010 and December 2012, in order to proposed the effective preventive nursing strategies . Results Eleven unplanned extubations were related to personal ( patients and nurses ) factors and central vascular catheters ’ maintenance and management .According to above causes , nursing strategies were made and none unplanned extubations happened after January 2013 .Conclusions During the process of using central vascular catheters , many reasons may cause unplanned extubation .Through designing workflow and guidelines , improving nurse training , strictly following operation specification , early detection of potential factors and the communication with patients and their relations , the rate of unplanned extubations can be effectively reduced .
