刘丽琼　章雪婷

【摘要】 目的：探讨降低ICU小儿气管插管非计划性拔管的护理干预模式。方法：选取笔者所在医院2019年1-11月收治的行ICU气管插管的患儿180例，随机分为两组，对照组行常规护理，研究组行综合护理干预，对比两组非计划性拔管发生率、患儿家属满意度。结果：研究组非计划性拔管发生率为1.11%，低于对照组的8.89%，差异有统计学意义（字2=5.731，P=0.017）;研究组家属满意度为97.78%，高于对照组的88.89%，差异有统计学意义（字2=5.714，P=0.017）。结论：ICU气管插管患儿的护理干预模式中，采用综合护理干预有利于降低非计划性拔管发生率，减少对患儿的伤害，也有利于提高患儿家属的满意度，保持护患关系融洽。

【关键词】 ICU小儿气管插管 非计划性拔管 综合护理干预

doi：10.14033/j.cnki.cfmr.2020.18.039 文献标识码 B 文章编号 1674-6805（2020）18-00-02

Study on Nursing Intervention Modes for Reducing Unplanned Extubation of Tracheal Intubation in ICU Infant/LIU Liqiong， ZHANG Xueting. //Chinese and Foreign Medical Research， 2020， 18（18）： -94

[Abstract] Objective： To explore the nursing intervention mode of reducing the unplanned extubation of tracheal intubation in children in ICU. Method： From January to November 2019， 180 children with ICU tracheal intubation in our hospital were selected， and were randomly divided into two groups， the control group was given routine nursing， and the study group was given comprehensive nursing intervention， the incidence of unplanned extubation and the satisfaction of the childrens family members were compared between the two groups. Result： The incidence of unplanned extubation in the study group was 1.11%， lower than 8.89% in the control group， the difference was statistically significant （字2=5.731， P=0.017）. The satisfaction of the family members in the study group was 97.78%， higher than 88.89%in the control group， the difference was statistically significant （字2=5.714， P=0.017）. Conclusion： In the nursing intervention mode for children with endotracheal intubation in ICU， the adoption of comprehensive nursing intervention is conducive to reducing the incidence of unplanned extubation， reducing the harm to the children， improving the satisfaction of the childrens families， and maintaining the harmonious relationship between nurses and patients.

[Key words] ICU infant tracheal intubation Unplanned extubation Comprehensive nursing intervention

First-authors address： Quanzhou Womens and Childrens Hospital， Quanzhou 362000， China

ICU小兒气管插管针对的是急危重症患儿，以气管插管术将医用气管插入患儿气管中，从而建立人工气道，以改善急危重症患儿呼吸功能，提高患儿治疗效果[1]。当前在ICU气管插管患儿的临床护理中，降低非计划拔管发生率是一项重要工作，基于患儿年龄较低，自我控制能力不强，在未得到医护人员许可的情况下患儿自行拔管，或应患儿肢体动作等造成导管脱落，都会直接影响患儿机械通气的终止，从而造成患儿呼吸功能弱化，加重病情，严重的可能导致患儿出现生命危险[2]。因此研究降低ICU小儿气管插管非计划性拔管的护理干预模式具有重要意义。综合护理干预是一种较为全面的护理措施，ICU气管插管患儿采用综合护理干预模式，能够提高患儿依从性，降低非计划拔管发生率，也能够较好地提高治疗效果及患儿家属满意度，更好地促进护患关系融洽[3]。……