鼻胃管非计划拔管中前馈控制的实证研究
An Empirical Study of Feedforward Control in Unplanned Extubation of Nasogastric Tube.
作者信息
Ma Hexing, Pan Hailong, Dong Xiangxiang, Li Lingyu
机构信息
Department of General Surgery, Affiliated Hospital of Yangzhou University, Yangzhou, 225007, People's Republic of China.
Department of Major Surgery, Affiliated Hospital of Yangzhou University, Yangzhou, 225007, People's Republic of China.
出版信息
J Multidiscip Healthc. 2023 May 25;16:1465-1471. doi: 10.2147/JMDH.S408676. eCollection 2023.
OBJECTIVE
To explore the effect of feedforward control on reducing the incidence of unplanned extubation and improving the quality of catheter nursing.
METHODS
A total of 186 patients with nasogastric tube after gastrointestinal surgery in the eastern region of our hospital from September 2020 to September 2021 were selected as the control group; 186 patients with nasogastric tube after gastrointestinal surgery in the western region of our hospital at the same period were selected as the experimental group. The influencing factors of unplanned extubation in patients with long-term postoperative nasogastric tube were analyzed, and effective preoperative and postoperative health education was conducted. The ratio of unplanned extubation of nasogastric tube and nursing satisfaction of patients in the two groups were compared.
RESULTS
Patient constraint, perceived pressure score, anxiety score, nasal gastrointestinal canal health education feedback score and indwell tube comfort score were independent risk factors for unplanned extubation. The restraint rate and the incidence of unplanned extubation in the experimental group were lower than those in the control group after intervention, with statistical significance (P < 0.05). The nursing satisfaction of the experimental group was significantly higher than that of the control group after feedforward cognitive intervention. After intervention, serum albumin and gastric PH in the experimental group were significantly higher than those in the control group (P < 0.05).
CONCLUSION
The safe nursing management method of feed forward control can effectively reduce the incidence of unplanned extubation in inpatients, which is worth further promoting in nursing work.
目的
探讨前馈控制对降低非计划拔管发生率及提高导管护理质量的效果。
方法
选取2020年9月至2021年9月我院东部地区胃肠道手术后留置胃管的186例患者作为对照组；同期选取我院西部地区胃肠道手术后留置胃管的186例患者作为试验组。分析术后长期留置胃管患者非计划拔管的影响因素，并进行有效的术前及术后健康教育。比较两组患者胃管非计划拔管率及护理满意度。
结果
患者约束情况、感知压力评分、焦虑评分、鼻胃肠管健康教育反馈评分及留置管舒适度评分是非计划拔管的独立危险因素。干预后试验组的约束率及非计划拔管发生率低于对照组，差异有统计学意义（P<0.05）。前馈认知干预后试验组的护理满意度显著高于对照组。干预后试验组血清白蛋白及胃内pH值显著高于对照组（P<0.05）。
结论
前馈控制的安全护理管理方法可有效降低住院患者非计划拔管的发生率，值得在护理工作中进一步推广。
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