鼻胃管非计划拔管风险预警体系的构建及应用
PDF下载 (85)李晓丽,肖 婷,周晓梅.鼻胃管非计划拔管风险预警体系的构建及应用[J].宁波大学学报(理工版),2025,38(4):114-120.DOI:10.20098/j.cnki.1001-5132.2024.1221
LI Xiaoli,XIAO Ting,ZHOU Xiaomei.Construction and application of risk warning system for unplanned extubation of nasogastric tube[J].Journal of Ningbo University(Natural Science & Engineering Edition),2025,38(4):114-120.DOI:10.20098/j.cnki.1001-5132.2024.1221
| Title: | Construction and application of risk warning system for unplanned extubation of nasogastric tube |
| 作者: | 李晓丽, 肖 婷, 周晓梅 |
| Author(s): | LI Xiaoli, XIAO Ting, ZHOU Xiaomei |
| 关键词: | 风险预警; 消化道; 肿瘤; 胃管; 非计划拔管; 预见性; 护理 |
| Keywords: | risk warning; digestive tract; tumor; gastric tube; unplanned extubation; foresight, nursing |
| 分类号: | R473.6 |
| DOI: | 10.20098/j.cnki.1001-5132.2024.1221 |
| 文献标识码: | A |
| 摘要: | 构建消化道肿瘤患者鼻胃管非计划拔管风险预警体系的应用效果，以降低非计划拔管及相关并发症的发生率。选取2023年4月—2024年4月南通市肿瘤医院收治的208例消化道肿瘤患者为研究对象，按入院顺序分为对照组和试验组，每组各104例。对照组实施常规护理，试验组组建风险预警团队，构建风险预警及分级指标，并制定对应的预见性护理方案。比较两组患者的鼻胃管非计划拔管率、敷料卷边潮湿发生率及胃管外固定处皮肤压力性损伤发生率。干预后，试验组非计划拔管率为0.96%，明显低于对照组的12.50%（P<0.05）；试验组敷料卷边、潮湿发生率均为1.92%，明显低于对照组的15.38%和13.46%（P<0.05）；试验组胃管外固定处压力性损伤发生率为2.88%，低于对照组的12.50%（P<0.05）；两组置管时间差异无统计学差异。结果表明消化道肿瘤患者鼻胃管非计划拔管风险预警体系能有效降低拔管率，减少敷料卷边、潮湿及皮肤压力性损伤的发生，具有临床推广价值。 |
| Abstract: | This study presents the application effect of a risk early warning system for unplanned extubation of nasogastric tubes in patients with digestive tract tumors, so as to reduce the incidence of unplanned extubation and related complications. A total of 208 patients with digestive tract tumors admitted to Nantong Cancer Hospital from April 2023 to April 2024 were selected as the research objects and were divided into the control group and the experimental group according to the order of admission, with 104 cases in each group. The control group received routine care, while the experimental group was attended with a risk early warning team, with which the risk early warning and classification indicators were constructed, and the corresponding predictive nursing plans were formulated. The unplanned extubation rate of nasogastric tubes, the incidence of moist wound edges of dressings, and the incidence of skin pressure injury at the external fixation site of gastric tubes were compared between the two groups. The results show that, after the intervention, the unplanned extubation rate in the experimental group was 0.96%, significantly lower than 12.50% in the control group (P<0.05). The incidences of dressing curling and dampness in the experimental group were both 1.92%, which were significantly lower than 15.38% and 13.46% in the control group (P<0.05). The incidence of pressure injury at the external fixation of the gastric tube in the experimental group was 2.88%, which was lower than 12.5% in the control group (P<0.05). There was no statistically significant difference in the catheterization time between the two groups. The risk early warning system for unplanned extubation of nasogastric tubes in patients with digestive tract tumors can effectively reduce the extubation rate, decrease the occurrence of curled dressings, moisture and skin pressure injuries, and has clinical promotion value. |
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| 备注/Memo: | 收稿日期：2024−12−31 宁波大学学报（理工版）网址：http://journallg.nbu.edu.cn/ 第一作者：李晓丽，主管护师，主要研究方向为胸外科肿瘤。E-mail: 1192038924@qq.com *通信作者：肖 婷，副主任护师，主要研究方向为胸外科肿瘤护理。E-mail: 2561866399@qq.com 宁波大学学报（理工版）网址：http://journallg.nbu.edu.cn/ |
