OBJECTIVE: The goal of this study was to explore the application of standardized nursing assessment and intervention in reducing the incidence of unplanned extubation of gastric tube. METHODS:100 patients with indwelling gastric tube admitted to our hospital from November 2018 to November 2019 were recruited, and according to the order of admission, they were divided into an experimental group and a control group, with 50 patients in each group. Patients in the control group received routine care, while patients in the experimental group received standardized care. The clinical indicators, incidence of slipping of the catheter, nursing disputes, complications, pain relief time and swelling relief time, unplanned extubation of the gastric tube, nursing and patient satisfaction rate, and extubation time were compared between the two groups. RESULTS: The rates of success intubation and indwelling compliance in experimental group were higher than those in the control group (P<0.05). The experimental group exhibited smaller probability of catheter blockage compared with the control group (P<0.05). The incidence of complications was observed to be lower in the experimental group compared with the control group (P<0.05). We identified no statistical difference in catheter slippage and nursing disputes in the two groups (P>0.05). Regarding the 'nursing and patient satisfaction, the experimental group displayed significantly higher score in comparison with the control group (P<0.05). Furthermore, the extubation time, the pain relief time and swelling relief time in experimental group were found to be shorter (P<0.05). The unplanned gastric tube extubation rate of the experimental group was obviously lower than that of the control group's (P<0.05). CONCLUSION: The incidence of unplanned gastric extubation tube and occurrence of complications and unexpected situations of patients can be reduced significantly through standardized nursing evaluation and intervention, which should be widely promoted and adopted in clinical practice. AJTR
RCT Entities:
OBJECTIVE: The goal of this study was to explore the application of standardized nursing assessment and intervention in reducing the incidence of unplanned extubation of gastric tube. METHODS: 100 patients with indwelling gastric tube admitted to our hospital from November 2018 to November 2019 were recruited, and according to the order of admission, they were divided into an experimental group and a control group, with 50 patients in each group. Patients in the control group received routine care, while patients in the experimental group received standardized care. The clinical indicators, incidence of slipping of the catheter, nursing disputes, complications, pain relief time and swelling relief time, unplanned extubation of the gastric tube, nursing and patient satisfaction rate, and extubation time were compared between the two groups. RESULTS: The rates of success intubation and indwelling compliance in experimental group were higher than those in the control group (P<0.05). The experimental group exhibited smaller probability of catheter blockage compared with the control group (P<0.05). The incidence of complications was observed to be lower in the experimental group compared with the control group (P<0.05). We identified no statistical difference in catheter slippage and nursing disputes in the two groups (P>0.05). Regarding the 'nursing and patient satisfaction, the experimental group displayed significantly higher score in comparison with the control group (P<0.05). Furthermore, the extubation time, the pain relief time and swelling relief time in experimental group were found to be shorter (P<0.05). The unplanned gastric tube extubation rate of the experimental group was obviously lower than that of the control group's (P<0.05). CONCLUSION: The incidence of unplanned gastric extubation tube and occurrence of complications and unexpected situations of patients can be reduced significantly through standardized nursing evaluation and intervention, which should be widely promoted and adopted in clinical practice. AJTR
Authors: Suzanne C Smeltzer; Jennifer G Ross; Bette Mariani; Colleen H Meakim; Elizabeth Bruderle; Elizabeth Petit de Mange; Serah Nthenge Journal: J Nurs Educ Date: 2018-12-01 Impact factor: 1.726