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人工气道患者非计划性气管插管拔管评估工具的设计。

Design of assessment tool for unplanned endotracheal extubation of artificial airway patients.

机构信息

Department of Neurosurgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.

Department of Vascular Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.

出版信息

Nurs Open. 2021 Jul;8(4):1696-1703. doi: 10.1002/nop2.807. Epub 2021 Feb 22.

DOI:10.1002/nop2.807
PMID:33616306
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8186713/
Abstract

AIM

Unplanned endotracheal extubation (UEE) is one of the most common adverse events reported in patients with artificial airway. Current research in UEE is mostly limited to the summary of risk factors and analysis of prevention strategies. The aim of the study was to develop an assessment tool for medical staff to assess the risk of unplanned extubation in endotracheal intubation patients.

DESIGN

The design was a qualitative study.

METHODS

Based on literature review, group discussion, pre-investigation, the initial risk assessment scale on unplanned extubation for endotracheal intubation patients was established. Fifteen experts from thirteen tertiary-A hospitals across eight provinces participated in two rounds of Delphi panel.

RESULTS

The risk assessment tool on unplanned extubation for endotracheal intubation patients was established by the Delphi method. It was composed of 11 indicators, which got agreement among two rounds panel.

摘要

目的

计划性气管插管拔管(UEE)是人工气道患者报告的最常见不良事件之一。目前关于 UEE 的研究大多局限于危险因素的总结和预防策略的分析。本研究旨在开发一种评估工具,供医务人员评估气管插管患者非计划性拔管的风险。

设计

本研究为定性研究。

方法

基于文献回顾、小组讨论、预调查,建立了气管插管患者非计划性拔管风险评估量表。来自全国 8 个省的 13 家三级甲等医院的 15 名专家参与了两轮德尔菲小组讨论。

结果

采用德尔菲法建立了气管插管患者非计划性拔管风险评估工具,由 11 个指标组成,两轮小组均达成一致意见。

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