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頁籤選單縮合
| 題 名 | 降低外科加護病房非計劃性氣管內管拔管發生率=Decreasting Unplanned Extubations Rate in the Surgical Intensive Care Unit |
|---|---|
| 作 者 | 陳佳穗; 洪季蓮; 王婉菁; | 書刊名 | 澄清醫護管理雜誌 |
| 卷 期 | 1:2 2005.04[民94.04] |
| 頁 次 | 頁64-74 |
| 分類號 | 419.73 |
| 關鍵詞 | 非計劃性拔管; 外科加護病房; 發生率; Unplanned extubations; ICU; Satisfaction; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 維持呼吸道的通暢是人類生存的基本條件。在加護病房中氣管內插管留置的病患佔大多數,一旦滑脫,不但會危及病患安全也會增加醫療資源的耗用及照護的困難度。統計本單位自民國90年8月至91年7月間氣管內管留置人數為3469人而非計劃性拔管人次為25人,拔管發生率為0.72%。分析其原因有病患插管不舒適而躁動不合作、病患知識不足、約東方法未制定及落實等因素所致。為有效提高護理品質,針對缺失制定鎮靜止痛流程、相關作業流程標準化、家屬照顧須知及護理原則,並加強與病患及家屬的溝通。經改善後氣管內管平均滑脫率已明顯下降為0.22%。經由此次專案的進行在改善過程中,能獲得相當的肯定,充分展現團體合作的精神,並提升病患、及家屬對醫療照護的滿意度。 |
| 英文摘要 | Maintaining airway potency is essential for life support. Most patients admitted to intensive care unit (ICU) are intubated with endotracheal tube (ETT). Dislocation of ETTs not only endangers the patients' life but also consumes additional medical resources and increases the difficulty in nursing care. From August 2001 to July 2002, ETTs were placed 3469 patient-days in our unit. And dislocation of ETTs occurred 25 times; the dislocation rate of ETT was 0.72%. Dislocation of ETTs may result from several factors, e.g. the presence of foreign body in nasopharynx, patients experienced uncomfortable and were irritable; patíents were not well-educated about the ETTs; SOP for patient constrain was not well established and proper practice, etc. In order to improve the quality of nursing care and patients' comfortable, several practices were employed to overcome the defaults. These included: establishing the protocol for patient sedation and pain control; standardizing the practice algorithm; pro viding the family members information regarding to the patients' care and principle of care; reinforcing the communication with patíents themselves and their family mem bers. After applying the above protocols, dislocation rate of ETTs has been reduced to 0.22%. Through the execution of this project we were able to obtain self-affirmation in problem solving, to proclaim the spirit of our teamwork, and to increase the satísfactíon and confidence of patients and their family members to our daily care. |
本系統中英文摘要資訊取自各篇刊載內容。