ICU气管插管患者非计划拔管的原因、影响因素分析及护理对策

目的：了解导致ICU患者非计划拔管发生的原因及影响因素，探讨出科学有效的护理对策，为降低ICU患者非计划拔管的发生率提供依据。方法：本研究采用回顾性分析的方法，对我院2008年1月至2010年12月29例发生非计划拔管的患者进行分析，找出原因及影响因素，制定有针对性的护理对策。结果：2008年1月至2010年12月我院ICU患者非计划拔管率为4．2％，原因主要是患者自身的因素和医源性原因。影响因素依次为插管不耐受、患者气道梗阻、医护操作不当、插管方式错误、缺少有效的固定与约束及缺少有效镇静。结论：针对影响ICU患者发生非计划拔管的危险因素，制定有效的护理对策，可以切实的降低I（=U患者非计划拔管发生率。

Analysis of Reasons for Unplanned Extubation and Factors in Endotracheal Intubated ICU Patients and Nursing Strategy

Objective： To understand the causes and factors led to unplanned extubation in ICU patients, and to explore a scientific and effective nursing strategy for it. Methods： A total of 29 unplanned extubation patients in our hospital from January 2008 December 2010 were retrospectively analyzed to find out the reasons and factors and to develop the targeted nursing for the patients. Results： The unplanned extubation was 4.2% in ICU patients in our hospital from January 2008 December 2010, mainly due to patients＇ own factors and iatrogenic causes： Conclusion： To develop a effective nursing strategy ,according to the risk factors affecting unplanned extubation in ICU patients, can effectively reduce the incidence of unplanned extubation.in ICU patients.