Influencing factors of unplanned extubation in elderly patients at home
10.3760/cma.j.cn115682-20201130-06454
- VernacularTitle:居家高龄患者非计划性拔管的影响因素研究
- Author:
Nuo ZHAO
1
;
Siyue ZHU
;
Jun LIU
;
Ming YIN
;
Yuan LIU
;
Xue YANG
Author Information
1. 解放军总医院第二医学中心急诊医学科，北京 100853
- Keywords:
Aged;
Chronic disease;
Unplanned extubation;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2021;27(24):3327-3331
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the influencing factors of unplanned extubation (UEX) in elderly patients with chronic diseases, so as to provide a reference for the prevention of UEX.Methods:From March 2019 to May 2020, convenience sampling was adopted to select 152 elderly chronic diseases patients carrying tubes in the longterm in the Second Medical Center of the Chinese People's Liberation Army General Hospital as the research object. This study counted the occurrence of UEX in patients, and conducted univariate analysis and Logistic regression analysis on the factors that might lead to the occurrence of UEX.Results:A total of 36 cases of UEX occurred in 152 patients, with an incidence rate of 23.68%. Multivariate Logistic regression analysis showed that wakefulness, lethargy, and complete bed rest were independent risk factors for the occurrence of UEX, and the differences were statistically significant ( P<0.05) . Conclusions:The incidence of UEX in elderly patients is high, which is mainly affected by the state of consciousness and activity. At the management level, the risk assessment tools should be improved, the nursing risk training of the caregivers should be strengthened, and the risk awareness level should be improved. At the nursing level, we should focus on high-risk groups, formulate personalized UEX intervention strategies, strengthen health education for patients when they are discharged from the hospital, perform predictive care, minimize the incidence of UEX, and improve the quality of life of elderly patients carrying tubes.
