[1]范瑜来,涂美春,李 毅.瑞士奶酪模型在非计划性拔管管理中的应用效果[J].医学信息,2025,38(02):153-156168.[doi:10.3969/j.issn.1006-1959.2025.02.030]
　FAN Yulai,TU Meichun,LI Yi.Application Effect of Swiss Cheese Model in Unplanned Extubation Management[J].Journal of Medical Information,2025,38(02):153-156168.[doi:10.3969/j.issn.1006-1959.2025.02.030]
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瑞士奶酪模型在非计划性拔管管理中的应用效果()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
38卷
期数:
2025年02期
页码:
153-156168
栏目:
护理研究
出版日期:
2025-01-15

文章信息/Info

Title:
Application Effect of Swiss Cheese Model in Unplanned Extubation Management
文章编号:
1006-1959（2025）02-0153-05
作者:
范瑜来; 涂美春; 李 毅
联勤保障部队第九○○医院心胸外科，福建 福州 350025
Author(s):
FAN Yulai;  TU Meichun;  LI Yi
Department of Cardiothoracic Surgery, the 900th Hospital of Joint Logistic Support Force, Fuzhou 350025, Fujian, China
关键词:
瑞士奶酪模型; 非计划性拔管; 护理管理; 护理安全; 不良事件
Keywords:
Swiss cheese model;  Unplanned extubation;  Nursing management;  Nursing safety;  Adverse event
分类号:
R473
DOI:
10.3969/j.issn.1006-1959.2025.02.030
文献标志码:
A
摘要:
目的 探讨瑞士奶酪模型在非计划性拔管（UEX）管理中的应用效果。方法 选取联勤保障部队第九〇〇医院心胸外科监护室2021年1月-12月收治的1227例患者为对照组，2022年1月-12月收治的1348例患者为观察组。对照组采取传统管道管理模式，观察组采取基于瑞士奶酪模型的非计划性拔管管理，比较两组UEX发生率、UEX不良事件分级情况、护理满意度。结果 观察组UEX发生率为0.31%，低于对照组的1.30%，差异有统计学意义（P＜0.05）；除尿管外，观察组深静脉置管、外周静脉置管、气管插管、鼻饲管、桡动脉置管、各类引流管UEX发生率均低于对照组，差异有统计学意义（P＜0.05）；观察组不良分级严重程度低于对照组，差异有统计学意义（P＜0.05）；观察组护理满意度高于对照组，差异有统计学意义（P＜0.05）。结论 将瑞士奶酪模型应用于非计划性拔管管理中，可以降低患者UEX的发生率以及UEX不良事件分级严重程度，提高护理满意度。
Abstract:
Objective To explore the application effect of Swiss cheese model in unplanned extubation (UEX) management . Methods A total of 1227 patients admitted to the cardiothoracic surgery intensive care unit of the 900th Hospital of Joint Logistic Support Force from January to December 2021 were selected as the control group, and 1348 patients admitted from Januaryto December 2022 were selected as the observation group. The control group adopted the traditional pipeline management mode, and the observation group adopted the unplanned extubation management based on the Swiss cheese model. The incidence of UEX, the classification of UEX adverse events, and nursing satisfaction were compared between the two groups. Results The incidence of UEX in the observation group was 0.31%, which was lower than 1.30% in the control group, and the difference was statistically significant (P<0.05). Except for urinary catheter, the incidence of UEX in deep vein catheterization, peripheral vein catheterization, tracheal intubation, nasal feeding tube, radial artery catheterization and various drainage tubes in the observation group was lower than that in the control group, and the difference was statistically significant (P<0.05). The severity of adverse grading in the observation group was lower than that in the control group, and the difference was statistically significant (P<0.05). The nursing satisfaction of the observation group was higher than that of the control group, and the difference was statistically significant (P<0.05). Conclusion The application of Swiss cheese model in unplanned extubation management can reduce the incidence of UEX and the severity of UEX adverse events, and improve nursing satisfaction.

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更新日期/Last Update: 1900-01-01