Application of nursing program in reducing the rate of unplanned extubation of nasogastric tube (护理专案模式在降低患者胃管非计划拔管发生率中的应用)

Abstract

Objective To investigate the effect of nursing program in reducing the rate of unplanned extubation (UEX)of nasogastric tube. Methods Totally 80 patients with placement of nasogastric feeding tube before implement of nursing program(Dec, 2019 to Dec, 2020) were included as the control group, and another 84 patients with placement of nasogastric feeding tube after implement of nursing program(Jan, 2021 to Jan, 2022) were recruited as the observation group. The potential reasons of UEX were retrospectively analyzed, and a standard procedure of maintenance of nasogastric feeding tube was established. The rate of UEX was observed and compared between two groups. Results No case of UEX was reported in the observation group, and 4 cases(7. 49‰) of UEX were observed in the control group, there was significant difference in the rate of UEX between two groups (P＜0. 05). Nurses had achieved a higher score of theory test and practical assessment after implementation of nursing program(P＜0. 05). There was no significant difference in the indwelling time of nasogastric feeding tube between two groups(P＞0. 05). Conclusion The nursing program is potentially effective to reduce the UEX rate of nasogastric feeding tube, ensure the safety of patients, improve the quality control and comprehensive ability of nurses. (目的 探讨护理专案模式在降低胃管非计划拔管(UEX)发生率中的应用效果。方法 将2019 年12月—2020 年 12月护理专案实施前收治的胃管留置患者80例设为对照组, 2021年1 月—2022年 1月护理专案实施后收治的胃管留置患者84例设为观察组。运用护理专案改善方法分析胃管非计划脱管的原因, 制定标准化方案。比较两组胃管UEX发生率。结果 观察组未发生胃管UEX, 对照组发生胃管UEX4(7. 49‰)例, 两组比较差异有统计学意义(P＜0. 05)。护理专案模式实施后, 护士胃管管理理论和操作成绩较实施前提高, 差异有统计学意义(P＜0. 05)。两组食道异物患者和喉癌患者的胃管留置时间比较, 差异无统计学意义(P＞0. 05)。结论 护理专案模式的应用可降低住院患者胃管UEX发生率, 保障患者安全, 提高科室质量管理水平, 有助于护士综合素质和科室凝聚力的提升。)

Keywords

• nasogastric tube
• nursing program
• unplanned extubation
• nursing management
• 胃管
• 护理专案
• 非计划拔管
• 护理管理