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1、ICU危重患者意外拔管原因及護理干預效果分析王靜川省自貢市第四人民醫(yī)院摘要：目的分析重癥加強護理病房(ICU)危重患者意外拔管發(fā)生原因，并探討護理干預應用效果。方法選取2014年1月2017年3月I⑶接收的262例危重患者為研宄對象，以循證護理為分界點，將其分為兩組。常規(guī)護理組(n=128)給予基礎護理配合，循證護理組(n=134)根據意外拔管發(fā)生原因進行循證護理干預。比較兩組患者意外拔管發(fā)生率、夜間高危吋段意外拔管發(fā)生率以及護理滿意度。結果循證護理組患者意外拔管發(fā)生率為1.49%(2/134),夜間高危時段發(fā)生率為0.7
2、5%(1/134)，常規(guī)護理組意外拔管發(fā)生率為11.72%(15/128)，夜間高危時段發(fā)生率為6.25%(8/128),差異有統(tǒng)計學意義(P<0.05)。循證護理組滿意度為93.28%(125/134)，常規(guī)護理組為79.69%(102/128),差異有統(tǒng)計學意義(P〈0.05)。結論以循證護理理念服務模式成用于T⑶危重患者護理有助于控制意外拔管風險事件，提高患者生存質量及護理滿意度，值得推廣。關鍵詞：重癥加強護理病房;危重患者;意外拔管;循證護理;收稿日期：2017-08-07Analysisonthecausesof
3、accidentalextubationandtheeffectofnursinginterventioninICUcriticallyillpatientsWANGTingTheFoyxXhJLeople’^JlosniXaJ^oX^igongCityinSichuanProvince;Abstract：ObjectiveToanalyzethecausesofaccidentalextubationincriticallyillpatientsintheintensivecareunit(ICU)，andtoexplo
4、retheapplicationeffectofnursingintervention.MethodsAtotalof262criticallyi11patientswhowereadmittedtoICUfromJanuary2014toMarch2017wereselectedasstudysubjects.Theevidence-basednursingwasselectedasthedividingpoint,andthepatientsweredividedintotwogroups.Routinenursing
5、caregroup(n=128)wasgivenbasicnursingcare,andtheevidence-basednursinggroup(n=134)wasgivenevidence-basednursinginterventionaccordingtothecausesofaccidentalextubation.Theincidencerateofaccidentalextubation,theincidencerateofaccidentalextubationathighriskperiodsatnigh
6、tandthesatisfactionofnursingwerecomparedbetweenthetwogroups.ResultsTheincidencerateofaccidentalextubationwas1.49%(2/134)inevidence-basednursinggroup,andtheincidencerateofhigh-riskperiodsatnightwas0.75%(1/134).Theincidencerateofaccidentalextubationintheroutinenursi
7、nggroupwas11.72%(15/128)，andtheincidencerateofhigh-riskperiodsatnightwas6.25%(8/128).Thedifferenceswerestatisticallysignificant(P<0.05).Thesatisfactionrateintheevidence-basednursinggroupwas93.28%(125/134)，andtherateintheroutinenursinggroupwas79.69%(102/128).Thedif
8、ferencewasstatisticallysignificant(P<0.05).ConclusionEvidence-basednursingconceptservicemodelappliedtoICUcriticallyillpatientcarehelpstocontrolaccidenta
