頁籤選單縮合
題名 | 非計畫性成功拔除氣管之影響因素分析=Exploring the Influences on Successful Unplanned Extubation |
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作 者 | 陳杏雯; 許重梅; 林惠釧; 葉美玲; | 書刊名 | 醫護科技期刊 |
卷期 | 12:4 2010.12[民99.12] |
頁次 | 頁290-298 |
分類號 | 419.73 |
關鍵詞 | 非計畫性拔除氣管內管; 重症單位; 呼吸器使用模式; 約束; 護理人力; Unplanned endotracheal tube extubation; Critical care units; Ventilator mode; Restraints; Nursing workforce; |
語文 | 中文(Chinese) |
英文摘要 | Purposes: Unplanned endotracheal tube extubation (UEE) is an important medical quality indicator in critical care units, and the occurrence of UEE endangers patient safety, extends hospital stay, and increases medical costs. Therefore, this study evaluates the demographics and medical treatments influencing successful UEE patients. Methods: From January 2007 to December 2009, patients who had a UEE episode in critical care units at a regional hospital were enrolled]. In total, 203 UEE episodes were investigated using a structured questionnaire. The chi-square test and stratum logistic regression were applied for further analyses. Results: Finally, 77 UEE episodes were extubated successfully. Patients who had a Glasgow coma scale score >10 and T-piece mode treated under a low ratio of staff to patients were most likely to have successful UEE (p < .05). The significant predictors of successful UEE were age, ventilator mode, restraint use, and nursing workforce. Conclusions: To improve successful weaning, study findings can be used as assessment factors to help patients wean from ventilator at an appropriate time. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。