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Web of Proceedings - Francis Academic Press
Web of Proceedings - Francis Academic Press

Analysis on the application of prospective nursing management in the prevention of unplanned extubation of trachea intubation in ICU

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DOI: 10.25236/medsbe.2019.069

Author(s)

Bai Nabuqi, Tang Jing

Corresponding Author

Tang Jing

Abstract

Objective: To analyze the application value of prospective nursing management in the prevention of unplanned extubation of trachea intubation in ICU. Methods: 100 patients undergoing ICU endotracheal intubation in our hospital were randomly divided into the control group and the observation group, with 50 cases in each group. The control group received routine nursing management and the observation group received prospective nursing management, combining with the question of ICU endotracheal intubation is not planned extubation alignment between the prevention and management of group, compared two groups of patients in hospitalization Unplanned extubation of tracheal intubation (UEX) insertion loss, catheter displacement, joint swelling, infection (blood clots) odds, compared two groups of patients' satisfaction, contrast nursing overall efficiency. Results: The incidence of catheterization shedding, catheterization displacement, catheterization swelling and infection (thrombus) in the observation group was lower than that in the control group, and the effective rate and satisfaction rate of the observation group were higher. There were significant differences in the comparative analysis between the two groups (P<0.05). Conclusion: ICU tracheal intubation, tube is particularly important to the security, the catheter may be limited by external stimuli and interference, not only affect the input of drugs, at the same time will result in patients with severe psychological stress, work hard to sustain in ICU series, even become a source of conflict in the nurses and patients, to prevent unscheduled extubation, endotracheal intubation, be to maintain the ICU reasonable carry on the essential condition of ICU treatment, prospective, nursing is helpful for prevention of adverse circumstance and observation, help to improve work safety in the ICU.

Keywords

Prospective nursing management; ICU endotracheal intubation; Unplanned extubation; Application analysis