摘要
目的:探讨老年慢性病患者非计划性拔管(UEX)发生的影响因素,为UEX的预防提供参考依据。方法:采用便利抽样法,选择2019年3月—2020年5月在解放军总医院第二医学中心就诊的152例长期带管高龄慢性病患者为研究对象,统计患者UEX发生情况,对可能导致UEX发生的因素进行单因素分析与Logistic回归分析。结果:152例患者中共发生UEX 36例,发生率为23.68%。多因素Logistic回归分析显示,清醒、嗜睡、完全卧床为UEX发生的独立危险因素(P<0.05)。结论:高龄患者UEX发生率较高,主要受意识状态和活动情况影响。管理层面应完善风险评估工具,加强陪伴人员护理风险培训,提高风险认识水平;护理层面应重点关注高危人群,制订个性化的UEX干预策略,加强离院时的健康宣教,进行预见性护理,最大限度地降低UEX的发生率,提升带管生存高龄患者的生活质量。
Objective To explore the influencing factors of unplanned extubation(UEX)in elderly patients with chronic diseases,so as to provide a reference for the prevention of UEX.Methods From March 2019 to May 2020,convenience sampling was adopted to select 152 elderly chronic diseases patients carrying tubes in the longterm in the Second Medical Center of the Chinese People's Liberation Army General Hospital as the research object.This study counted the occurrence of UEX in patients,and conducted univariate analysis and Logistic regression analysis on the factors that might lead to the occurrence of UEX.Results A total of 36 cases of UEX occurred in 152 patients,with an incidence rate of 23.68%.Multivariate Logistic regression analysis showed that wakefulness,lethargy,and complete bed rest were independent risk factors for the occurrence of UEX,and the differences were statistically significant(P<0.05).Conclusions The incidence of UEX in elderly patients is high,which is mainly affected by the state of consciousness and activity.At the management level,the risk assessment tools should be improved,the nursing risk training of the caregivers should be strengthened,and the risk awareness level should be improved.At the nursing level,we should focus on high-risk groups,formulate personalized UEX intervention strategies,strengthen health education for patients when they are discharged from the hospital,perform predictive care,minimize the incidence of UEX,and improve the quality of life of elderly patients carrying tubes.
作者
赵诺
朱思悦
刘俊
尹明
刘源
杨雪
Zhao Nuo;Zhu Siyue;Liu Jun;Yin Ming;Liu Yuan;Yang Xue(Department of Emergency Medicine,the Second Medical Center of Chinese People's Liberation Army General Hospital,Beijing 100853,China;Outpatient Department,the Second Medical Center of Chinese People's Liberation Army General Hospital,Beijing 100853,China)
出处
《中华现代护理杂志》
2021年第24期3327-3331,共5页
Chinese Journal of Modern Nursing
基金
解放军总医院临床科研扶持基金项目(2016FC-TSYS-2036)。
关键词
老年人
慢性病
非计划性拔管
影响因素
Aged
Chronic disease
Unplanned extubation
Influencing factors
