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目的:探讨呼吸科老年患者非计划性拔管(UEX)的原因及相应的护理对策。方法:采用回顾性调查的方法 ,对2013年5月至2015年5月本院呼吸科发生的40例老年UEX患者调查研究,对原因进行分析,并提出防范对策。结果:发生UEX的管道类型包括胃管、尿管、深静脉穿刺管3类。胃管30例,占75%,尿管与深静脉穿刺管均为5例。40例UEX患者有32例发生在夜间(80%);8例发生在白天,且均为中午时段(20%)。结论:通过对发生非计划性拔管的原因进行分析,对患者加强沟通、合理镇静或镇痛、有效约束、妥当导管固定、规范护理操作程序、加强巡视等措施可有效降低呼吸科老年患者非计划性拔管的发生率。
Objective: To explore the causes of unplanned extubation (UEX) in elderly patients with respiratory diseases and the corresponding nursing strategies. Methods: A retrospective survey was conducted to investigate 40 elderly patients with UEX in our Department of Respiratory Medicine from May 2013 to May 2015, analyzed the causes and proposed preventive measures. Results: The pipeline types of UEX occurred include gastric tube, catheter and deep vein puncture tube. Gastric tube in 30 cases, accounting for 75%, catheter and deep vein puncture tube are 5 cases. 32 of 40 patients with UEX occurred at night (80%); 8 patients were at daytime, and both were at noon (20%). Conclusion: By analyzing the causes of unplanned extubation, measures such as enhancing communication, reasonable sedation or analgesia, effective restraint, appropriate catheterization, standardizing nursing procedures, and strengthening patrol can effectively reduce the risk of non-respiratory patients The incidence of planned extubation.