Application of the management mode participated by doctors, nurses and patients in the safety management of medical tubes for restlessness patients in the Neurosurgery Intensive Care Unit_West China Medical Journal

Authors：

LIU Yan , WU Menghang ,  LIU Fan

Intensive Care Unit, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

LIU Fan, Email: samotj@163.com

Keywords：

Management mode participated by doctors, nurses and patients; Neurosurgery Intensive Care Unit; Restlessness patients; Safety management of medical tubes

DOI：

10.7507/1002-0179.201505004

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To determine the effects of the management mode participated by doctors, nurses and patients on the safety of medical tubes for restlessness patients in the Neurosurgery Intensive Care Unit (NICU). Methods A total of 133 restlessness patients treated between May 17 and November 22, 2013 were included in the study as control group, who were admitted to the NICU before application of the management mode participated by doctors, nurses and patients; another 119 restlessness patients treated between May 17 and November 22, 2014 were included in the study as research group, who were admitted to the NICU after application of the management mode participated by doctors, nurses and patients. Then we compared the accidental extubation situation between the two groups. Results The accidental extubation rate of all kinds of medical tubes in the research group was lower than that in the control group, among which the extubation rate of urethral catheter (0.67% vs. 4.32%), gastric tube (2.26% vs. 10.14%), trachea cannula (1.08% vs. 7.84%), and arterial cannulation pipeline (1.12% vs. 6.93%) was significantly different between the two groups (P<0.05). Conclusion The management mode participated by doctors, nurses and patients can effectively reduce the accidental extubation rate of medical tubes for restlessness patients, prevent the occurrence of adverse events and ensure the treatment and nursing safety in the NICU.

Citation： LIUYan, WUMenghang, LIUFan. Application of the management mode participated by doctors, nurses and patients in the safety management of medical tubes for restlessness patients in the Neurosurgery Intensive Care Unit. West China Medical Journal, 2017, 32(2): 242-245. doi: 10.7507/1002-0179.201505004 Copy

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11.	徐琳琳. 醫護患一體化方案對膠質瘤患者護理質量的影響. 中國腫瘤臨床與康復, 2014, 21(4): 510-512.
12.	楊旸, 辛文瓊. 系統性護理干預在腹腔鏡下小兒美克爾憩室切除術中的應用. 華西醫學, 2016, 31(1): 148-150.
13.	蔣海蘭, 劉冰, 曹敏, 等. 護理產房實施醫護患一體化模式的效果評價. 解放軍護理雜志, 2010, 27(3A): 348-349.
14.	強小娜, 漫麗, 柴菊麗. 老年食道異物 17 例醫護患一體化的護理. 中國誤診學雜志, 2009, 9(5): 1144-1145.
15.	劉迎. 我院實施醫護患一體化改革的做法與體會. 中華醫院管理雜志, 2002, 18(1): 47-48.
16.	王淑, 奚益群, 魏明月, 等. 基于醫院信息平臺的醫護患一體化互動模型的研究. 中國衛生資源, 2014, 17(5): 370-372.
17.	劉霞, 蘭堯, 劉靜, 等. 醫護一體化在肝癌患者介入治療中的應用. 華西醫學, 2014, 29(11): 2135-2137.
18.	朱月琴. ICU 氣管插管患者發生意外拔管的風險因素與防范對策分析. 當代醫藥論叢, 2014, 12(16): 84-85.
19.	朱忠琴, 管軍, 董浩芬, 等. 人工氣道患者意外拔管的原因分析及護理對側. 解放軍護理雜志, 2003, 20(7): 63-64.
20.	封蘇平, 鄭紅, 姜國英, 等. 保護性榆樹對腦損傷躁動患者意外拔管的預防效果. 解放軍護理雜志, 2010, 27(3A): 343-347.

1. ?吳孟航, 劉帆, 王瓊. NICU 意外拔管護理風險防范策略. 現代預防醫學, 2014, 41(11): 2110-2112.
2. Morhard D, Fink C, Graser A, et al. Cervical and cranial computed tomographic angiography with automated bone removal: dual energy computed tomography versus standard computed tomography. Invest Radiol, 2009, 44(5): 293-297.
3. 張娜, 郭敏, 王永勤. 神經外科護理風險的分析及防范對策. 中國醫藥指南, 2014, 12(30): 310-311.
4. Cumbie A. The integration of mind-body-soul and the practice of humanistic nursing. Holist Nurs Pract, 2001, 15(3): 56-62.
5. Haig KM, Sutton S, Whittington J. SBAR: a shared mental model for improving communication between clinicians. Jt Comm J Qual Patient Saf, 2006, 32(3): 167-175.
6. Bello J, Quinn P, Horrell L. Maintaining patient safety through innovation: an electronic SBAR communication Tool. Comput Inform Nurs, 2011, 29(9): 481-483.
7. 李燕芬, 鄭再菊. 神經外科管道護理風險因素分析及防范對策. 護士進修雜志, 2010, 25(13): 1210-1211.
8. 畢勇志. 重癥醫學科患者意外拔管的原因分析及防范對策. 中外醫療, 2014, 33(4): 166, 168.
9. 范春芳, 顧玲妹, 朱文亞. 重癥監護室患者非計劃性拔管的原因分析與護理. 實用心腦肺血管病雜志, 2013, 21 (3): 152-154.
10. 申啟蘭, 郭菊, 王樹紅, 等. 護理不良事件信息化管理系統在基層醫院患者安全管理中的應用. 華西醫學, 2015, 30(9): 1733-1735.
11. 徐琳琳. 醫護患一體化方案對膠質瘤患者護理質量的影響. 中國腫瘤臨床與康復, 2014, 21(4): 510-512.
12. 楊旸, 辛文瓊. 系統性護理干預在腹腔鏡下小兒美克爾憩室切除術中的應用. 華西醫學, 2016, 31(1): 148-150.
13. 蔣海蘭, 劉冰, 曹敏, 等. 護理產房實施醫護患一體化模式的效果評價. 解放軍護理雜志, 2010, 27(3A): 348-349.
14. 強小娜, 漫麗, 柴菊麗. 老年食道異物 17 例醫護患一體化的護理. 中國誤診學雜志, 2009, 9(5): 1144-1145.
15. 劉迎. 我院實施醫護患一體化改革的做法與體會. 中華醫院管理雜志, 2002, 18(1): 47-48.
16. 王淑, 奚益群, 魏明月, 等. 基于醫院信息平臺的醫護患一體化互動模型的研究. 中國衛生資源, 2014, 17(5): 370-372.
17. 劉霞, 蘭堯, 劉靜, 等. 醫護一體化在肝癌患者介入治療中的應用. 華西醫學, 2014, 29(11): 2135-2137.
18. 朱月琴. ICU 氣管插管患者發生意外拔管的風險因素與防范對策分析. 當代醫藥論叢, 2014, 12(16): 84-85.
19. 朱忠琴, 管軍, 董浩芬, 等. 人工氣道患者意外拔管的原因分析及護理對側. 解放軍護理雜志, 2003, 20(7): 63-64.
20. 封蘇平, 鄭紅, 姜國英, 等. 保護性榆樹對腦損傷躁動患者意外拔管的預防效果. 解放軍護理雜志, 2010, 27(3A): 343-347.

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