ICU成年病人经口气管插管非计划拔管管理策略的构建及验证

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Construction and validation of unplanned endotracheal extubation management strategies for oraltrachealintubationinadultICUpatients

PAN Shiqin，SUN Xiaolin，MA Qin，HAN Jinhai，SUN Lijuan，LU Yanping，TONG Yaqian，LUO Yincong

Qinghai Provincial People'sHospital，Qinghai 81oooo China

Corresponding Author PAN Shiqin，E-mail：289662520@qq.com

AbstractObjective：Toestablishoptimalevidenceforpreventingunplannedendotrachealextubation inadult patientsundergoing endotrachealintubatiieiteseareit ICU）pplytnicalprctie，ndvaluateitsectiven.Metods：e frameworkwasusedtodefineevidence-basedpracticequestions.Asearchstrategyandsearchtermsweredevelopedtoretreve， synthesizeandssstalrpratesoideebyitifntialpcticeeeeveicateth established，baseliereviewsonducted，implementationbariersanalyzed，andchangestrategiesformulated.Compareteateof unplanedextubationtroughoraltrachealintubationinadultICUpatientsbeforeandaftertheapplicationofthebestevidence，the implementationofvarousreviewindicatorsbyICUnursingstaffandthechangesintheknowledge，atudeandpracticelevelfICU nursingstaffinpreventioofaidentaloralintubationdisodgementinadultpatientsResults：Afterevidenceimpementationthatef unintentional endotracheal tube dislodgenment among ICU patients decreased from 0.92% to 0.25% ，but the difference was not statistically significant（ P>0.05 ）. Implementation rates of all indicators except Indicator 11 improved following evidence-based practice. Nurses'totalsoresforknowledg，atitude，andpracticeegardingpreventingunplanedndotrachealextubationinadultICUpatients receiving endotracheal intubation increased，with all differences statistically significant（ P<0.05 ）. Conclusion：Evidence-based preventive managementstrategesefectivelyenhanceICUnursesclinicalpracticeimplementationcapabiliesandknowledge-atitudepractice levels.Altoughteimprovementinunpaedndotrachealextubatioatesdidnoteachstatisticalsignificane，theovealppoach positively contributes to enhancing nursing quality.

Keywordsoraledotrachalintubation；unplanedextubation；bariersfactors；baselineevie;knowledgetitude，andpactice; evidence-based nursing

气管插管非计划性拔管（unplannedendotrachealextubation，UEE）是指气管插管在非预期时间发生自行或意外脱落，如病人故意或无意自行拔管、医护人员在开展医疗护理操作过程中意外脱管以及其他因素所导致的意外拔管[1]，包括自行拔管和意外拔管[2]。（剩余10150字）