Status of unplanned extubation events in General Wards
10.3760/cma.j.cn115682-20220211-00639
- VernacularTitle:普通病房非计划性拔管事件现状分析
- Author:
Donghui HU
1
;
Haihong XU
;
Peiyuan LIU
Author Information
1. 首都医科大学附属复兴医院全科医学科，北京 100038
- Keywords:
Hospitalization;
Patients;
Unplanned extubation;
Status
- From:
Chinese Journal of Modern Nursing
2022;28(15):2043-2047
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the status of unplanned extubation (UE) in hospitalized patients.Methods:A retrospective research method was used to select 189 UE patients from Fuxing Hospital affiliated to Capital Medical University from 2014 to 2019 as the research object. The general data, extubation and restraint of UE patients were analyzed.Results:The age of 189 UE patients was (79.69±10.62) years old, and the proportion of medical UE patients accounted for 62.43% (118/189) . The state of consciousness was mainly awake (46.03%, 87/189) and confusion (39.15%, 74/189) . The types of pipelines were mostly nutrition (56.99%, 110/189) and blood (22.80%, 44/189) . Most of the people found were medical and nursing staff (60.32%, 114/189) , and most of UE occurred for the first time (85.71%, 162/189) . There were statistically significant differences in the restraint of UE patients with different nursing levels, state of consciousness, self-care ability, department, nutrition pipeline, blood pipeline, drainage pipeline and re-intubation ( P<0.05) . Conclusions:Factors such as the patient's state of consciousness and the type of pipelines should be monitored, and physical restraint should be used cautiously. At the same time, a UE risk warning system should be established, and intelligent equipment should be used to monitor high-risk groups in real time to prevent the occurrence of UE.
