Prevention strategies for unplanned extubation of nasogastric tube in adult inpatients:a summary on best evidences
10.3969/j.issn.1671-8283.2025.10.011
- VernacularTitle:成人住院患者鼻胃管非计划拔管预防策略的最佳证据总结
- Author:
Meixuan SONG
1
;
Linxia XU
1
;
Yuqin ZOU
1
;
Shan ZHAO
1
;
Ya SHEN
1
;
Qidan HE
1
;
Juan WU
1
;
Xianrong LI
1
Author Information
1. 西南医科大学附属医院普通外科(胃肠),四川 泸州,646000
- Publication Type:Journal Article
- Keywords:
unplanned extubation;
nasogastric tube;
evidence summary;
evidence-based nursing
- From:
Modern Clinical Nursing
2025;24(10):74-82
- CountryChina
- Language:Chinese
-
Abstract:
Objective To search,evaluate and synthesise the best available evidence on prevention strategies for unplanned extubation of nasogastric tube in adult inpatients and to offer a reference in management of safety and efficiency.Methods Literature on prevention strategies for unplanned extubation of nasogastric tube in adult inpatients was retrieved across BMJ Best Practice,UpToDate,JBI Center for Evidence Based Healthcare International Collaboration Library,Medlive,US National Guidelines Database,International Guidelines Collaboration Group,Scottish InterAcademy Guidelines Network,Ontario Registered Nurses Association of Canada,UK National Institute for Clinical Optimization,New Zealand Guidelines Research Group,PubMed,EMbase,Cochrane Library,Web of Science,EBSCO,CINAHL,CNKI,CBM Database,Wanfang Data and VIP Database,from the inception of databases to August 2024.Retrieved literature included guidelines,clinical decisions,recommended practices,evidence summaries,expert consensus and systematic reviews.Two researchers evaluated the literature methodologically and then summarised evidence from the included data.Results Fifteen publications(2 guidelines,1 clinical decision,3 recommended practices,7 evidences and 2 systematic reviews)were included.A total of 30 pieces of evidence were extracted and they were grouped into 7 themes:risk assessment,selection of nasogastric tube,depth of intubation,tube fixation,tube position,tube management and patient education.Conclusion Clinicians should integrate the best evidences into clinical practice and assess risk factors for unplanned extubation of nasogastric tube in adult inpatients.Personalised early intervention plans should be made to reduce or avoid the unplanned extubation.
