Effect of comprehensive nursing management measures on reducing unplanned extubation of gastric tube in patients with Alzheimer's disease
10.3760/cma.j.cn115682-20200710-04317
- VernacularTitle:综合护理管理措施降低老年痴呆患者胃管非计划性拔管的效果观察
- Author:
Hongying MA
1
;
Cunmei YANG
;
Jie WANG
;
Xiaoying YU
Author Information
1. 解放军总医院第二医学中心保健四科，北京 100048
- Keywords:
Aged;
Dementia;
Indwelling gastric tube;
Unplanned extubation;
Comprehensive nursing
- From:
Chinese Journal of Modern Nursing
2021;27(7):934-938
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of comprehensive nursing management measures on reducing unplanned extubation of gastric tube in patients with Alzheimer's disease.Methods:By convenience sampling method, 102 elderly patients with Alzheimer's disease indwelling gastric tube diagnosed in the Fourth Department of Health Care of the Second Medical Center of PLA General Hospital from August 2016 to August 2018 were selected as the observation group, and 118 elderly patients with Alzheimer's disease indwelling gastric tube from July 2014 to July 2016 were selected as the control group. Caregivers of the patients in both groups of were included, 102 in the observation group and 118 in the control group.The control group received routine nursing, fixed the gastric tube with ordinary adhesive tape, and restrained with ordinary wrist restraint belt.The observation group was treated with comprehensive nursing intervention. 3M elastic tape was used to fix the gastric tube, and hand table tennis racket type restraint was used; Use the gastric tube inspection signature form to urge nurses to inspect and sign; Health education document of standard indwelling gastric tube was established; Strengthen the training of nurses and improve their comprehensive ability. The unplanned extubation rate and gastric tube management satisfaction of the two groups were compared.Results:There were 15 cases of unplanned extubation in the control group and 4 cases in the observation group. The difference between the two groups was statistically significant (χ 2=4.301, P=0.038) . There was no statistically significant difference in satisfaction with indwelling process between the two groups ( P>0.05) . The scores of fixed restraint method and management process in the observation group were higher than those in the control group ( P<0.05) . The difference was statistically significant ( P<0.05) . Conclusions:Through improving the methods of fixation and restraint and improving the comprehensive nursing ability, the application of comprehensive nursing intervention can effectively prevent unplanned extubation of patients with Alzheimer's disease indwelling gastric tube, reduce the incidence of unplanned extubation, and improve the satisfaction of caregivers to the management of patients with Alzheimer's disease indwelling gastric tube.
