食道癌术后胃管及十二指肠营养管非计划性拔管的预警及预控
|
摘要
目的探讨强化食道癌术后胃管及十二指肠营养管非计划性拔管(UEX)的预警及预控的应用效果。方法选取2017年5月—11月行食道癌根治术的患者25例作为对照组,2017年12月—2018年6月行食道癌根治术的患者25例作为观察组。对照组实施常规护理,观察组在常规护理的基础上强化UEX的预警与预控。结果观察组患者对预防UEX相关知识的认知度高于对照组(P<0.05)。观察组UEX发生率为4.00%(1/25)低于对照组的20.00%(5/25)。结论食道癌术后患者胃管及十二指肠营养管置管期间加强预警与预控,可有效降低UEX发生率,提高患者对预防UEX相关知识的认知度。
Objective To investigate the effect of early warning and pre-control on unplanned extubation(UEX) of nasogastric tube and nasoduodenal tube after radical esophagectomy for esophageal cancer. Methods Totally 25 patients undergoing radical esophagectomy for esophageal cancer between May 2017 and November, 2017 were included as the control group, another 25 patients undergoing radical esophagectomy for esophageal cancer between December 2017 and June 2018 were included as the observation group. The routine nursing management was carried out during the perioperative period, and the early warning and pre-control interventions on UEX were carried out in the observation group. Results Patients in the observation group had a higher awareness of UEX prevention compared with those in the control group(P<0.05). The incidence of UEX in the observation group was lower than that in the control group(4.00% vs. 20.00%). Conclusion It is required to enhance the early warning and pre-control on UEX of nasogastric tube and nasoduodenal tube after radical esophagectomy for esophageal cancer. A comprehensive management is effective to reduce the risk of UEX and improve the patients awareness of UEX prevention.
Objective To investigate the effect of early warning and pre-control on unplanned extubation(UEX) of nasogastric tube and nasoduodenal tube after radical esophagectomy for esophageal cancer. Methods Totally 25 patients undergoing radical esophagectomy for esophageal cancer between May 2017 and November, 2017 were included as the control group, another 25 patients undergoing radical esophagectomy for esophageal cancer between December 2017 and June 2018 were included as the observation group. The routine nursing management was carried out during the perioperative period, and the early warning and pre-control interventions on UEX were carried out in the observation group. Results Patients in the observation group had a higher awareness of UEX prevention compared with those in the control group(P<0.05). The incidence of UEX in the observation group was lower than that in the control group(4.00% vs. 20.00%). Conclusion It is required to enhance the early warning and pre-control on UEX of nasogastric tube and nasoduodenal tube after radical esophagectomy for esophageal cancer. A comprehensive management is effective to reduce the risk of UEX and improve the patients awareness of UEX prevention.
引文
[1] 王庆淮.留置双胃管治疗食管癌术后吻合口瘘的效果分析[J].中华全科医学,2012,10(6):867.
[2] 赵清丽,刘霞,赵静,等.非计划性胃管拔管的原因分析及护理[J].护理研究,2010,24(21):1936-1937.
[3] 杨莘.335起护理不良事件分析及对策[J].中华护理杂志,2010,45(2):130-132.
[4] COSENTINO C,FAMA M,FOC,et al.Unplanned Extubations in Intensive Care Unit:evidences for risk factors.A literature review[J].Acta Biomed,2017,88(5S):55-65.
[5] DA SILVA P S,FONSECA M C.Unplanned endotracheal extubations in the intensive care unit:systematic review,critical appraisal,and evidence-based recommendations[J].Anesth Analg,2012,114(5):1003-1014.
[6] 刘爱婵.颜色标识化管理在ICU护理工作中的应用与效果分析[J].临床医学工程,2014,21(2):236-237.
[7] 米小月.床头护理标识预警分级在安全管理中的应用[J].护理实践与研究,2016,13(13):109-110.
[8] 熊代兰,张文玲,朱秀华,等.3种鼻胃管固定方法在普外科应用的效果观察[J].现代临床护理,2011,10(12):59-60.
[9] 邱春兰,李玉兰,杨力,等.食管癌术后胃管非计划性拔除原因及预防[J].中西医结合护理(中英文),2017,3(3):155-156.
[10] HUANG J X,ZHOU Y,WANG C H,et al.Logistic regression analysis of the risk factors of anastomotic fistula after radical resection of esophageal-cardiac cancer[J].Thorac Cancer,2017,8(6):666-671.
[11] 周成伟,徐芬,苏文敏,等.围手术期肠内营养对食管癌患者术后转归的影响[J].肿瘤代谢与营养电子杂志,2017,4(1):88-91.
[12] CARES A,PACE E,DENIOUS J,et al.Substance use and mental illness among nurses:workplace warning signs and barriers to seeking assistance[J].Subst Abus,2015,36(1):59-66.
[2] 赵清丽,刘霞,赵静,等.非计划性胃管拔管的原因分析及护理[J].护理研究,2010,24(21):1936-1937.
[3] 杨莘.335起护理不良事件分析及对策[J].中华护理杂志,2010,45(2):130-132.
[4] COSENTINO C,FAMA M,FOC,et al.Unplanned Extubations in Intensive Care Unit:evidences for risk factors.A literature review[J].Acta Biomed,2017,88(5S):55-65.
[5] DA SILVA P S,FONSECA M C.Unplanned endotracheal extubations in the intensive care unit:systematic review,critical appraisal,and evidence-based recommendations[J].Anesth Analg,2012,114(5):1003-1014.
[6] 刘爱婵.颜色标识化管理在ICU护理工作中的应用与效果分析[J].临床医学工程,2014,21(2):236-237.
[7] 米小月.床头护理标识预警分级在安全管理中的应用[J].护理实践与研究,2016,13(13):109-110.
[8] 熊代兰,张文玲,朱秀华,等.3种鼻胃管固定方法在普外科应用的效果观察[J].现代临床护理,2011,10(12):59-60.
[9] 邱春兰,李玉兰,杨力,等.食管癌术后胃管非计划性拔除原因及预防[J].中西医结合护理(中英文),2017,3(3):155-156.
[10] HUANG J X,ZHOU Y,WANG C H,et al.Logistic regression analysis of the risk factors of anastomotic fistula after radical resection of esophageal-cardiac cancer[J].Thorac Cancer,2017,8(6):666-671.
[11] 周成伟,徐芬,苏文敏,等.围手术期肠内营养对食管癌患者术后转归的影响[J].肿瘤代谢与营养电子杂志,2017,4(1):88-91.
[12] CARES A,PACE E,DENIOUS J,et al.Substance use and mental illness among nurses:workplace warning signs and barriers to seeking assistance[J].Subst Abus,2015,36(1):59-66.