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目的探讨胸腔闭式引流术后非计划性拔管的原因及护理对策。方法选取我院2016年5月~9月收治的胸腔闭式引流术后的患者172例作为研究对象,对其中术后发生非计划性拔管的患者进行原因分析,并结合临床提出相应的护理对策。结果在172例患者中发生非计划性拔管的有26例,在26例非计划性拔管患者中属于患者因素有13例(50%),医护人员因素8例(31%),导管固定因素5例(19%)。结论认真落实“医-护-患”沟通制度,加强医护人员相关知识的培训,加强患者及家属对导管维护的相关知识可有效减少胸腔闭式引流术后非计划性拔管的发生。
Objective To investigate the causes and nursing countermeasures of unplanned extubation after closed thoracic drainage. Methods A total of 172 patients with closed thoracic drainage who were treated in our hospital from May to September 2016 were selected as the research object. The causes of unplanned extubation in postoperative patients were analyzed. The corresponding nursing Countermeasures. Results Of the 172 patients with unplanned extubation in 26 cases, 26 cases of unplanned extubation were attributable to patient factors in 13 cases (50%), health care workers in 8 cases (31%), catheter fixation Five factors (19%). Conclusion Seriously implementing the communication system of “doctor-nurse-patient”, strengthening the training of medical staff and strengthening the knowledge of patients and their families on catheter maintenance can effectively reduce the occurrence of unplanned extubation after thoracic closure drainage.