Evidence-based practice of unplanned extubation nursing project of elderly nasal gastrointestinal tube
老年鼻胃肠管的非计划性拔管护理专案循证实践

摘要

目的 针对当前老年鼻胃肠管的非计划性拔管护理专案循证实践效果开展深入分析，判断非计划性拔管护理在临床上的价值。方法 选取我院2019年12月到2020年12月收治的行鼻胃肠管老年患者100例设为研究对象，遵从“乱数表法”分配原则，将参与研究的行鼻胃肠管老年患者分配到参照组和研究组，两组比例1：1。研究组50例，给予非计划性拔管护理；参照组50例，给予常规护理。结果 参照组的不良事件发生率高于研究组，组间差异具有统计学意义（P<0.05）。结论 行鼻胃肠管老年患者行非计划性拔管护理可以降低护理过程中的护理风险，避免控制护理不良事件的存在，实现疾病护理质量水平的提升，此护理方式适用于行鼻胃肠管老年患者的临床推广，大面积使用可以提高非计划性拔管护理的临床价值。

Abstract

Objective To carry out an in-depth analysis of the current evidence-based practice effects of unplanned extubation care for the elderly nose and gastrointestinal tube, and to judge the clinical value of unplanned extubation. Method Select 100 elderly patients undergoing nasal gastrointestinal tube admitted in our hospital from December 2019 to December 2020 as the research objects. According to the allocation principle of "random number table", the elderly patients who have undergone nasal gastrointestinal tube will be included in the study. Assigned to the reference group and the study group, the ratio of the two groups is 1:1. Fifty patients in the study group were given unplanned extubation care; 50 patients in the reference group were given routine care.
Results The incidence of adverse events in the reference group was higher than that in the study group, and the difference between the groups was statistically significant (P<0.05).
Conclusion   Elderly patients undergoing nasal gastrointestinal tube unplanned extubation nursing can reduce the nursing risk in the nursing process, avoid controlling the existence of adverse nursing events, and realize the improvement of the quality of disease care. This nursing method is suitable for nasal gastrointestinal surgery. Regarding the clinical promotion of elderly patients, large-scale use can improve the clinical value of unplanned extubation care.