Study on the effect of comprehensive nursing intervention on preventing unplanned extubation in patients with traumatic brain injury and tracheal intubation
综合护理干预对防范颅脑损伤气管插管患者非计划性拔管的效果研究

摘要

目的 探讨综合护理干预在防范颅脑损伤气管插管患者非计划性拔管中的应用效果。方法 选取2024年1月-2024年12月本院收治的颅脑损伤气管插管患者80例进行研究，随机分为对照组和观察组各40例，对照组采用常规护理，观察组实施综合护理干预，观察并比较两组患者非计划性拔管发生率、机械通气时间、住院时间及并发症发生情况。结果 观察组非计划性拔管发生率为7.5%（3/40），显著低于对照组的25%（10/40）（P<0.05）；观察组机械通气时间、住院时间均短于对照组，并发症发生率低于对照组（P<0.05）。结论 综合护理干预能有效降低颅脑损伤气管插管患者非计划性拔管发生率，缩短机械通气时间和住院时间，减少并发症，具有较高的临床应用价值。

Abstract

Objective To explore the application effect of comprehensive nursing intervention in preventing unplanned extubation of tracheal intubation patients with traumatic brain injury.
Methods A total of 80 patients with traumatic brain injury and tracheal intubation admitted to our hospital from January 2024 to December 2024 were selected for the study. They were randomly divided into a control group and an observation group, with 40 patients in each group. The control group received routine nursing care, while the observation group received comprehensive nursing intervention. The incidence of unplanned extubation, mechanical ventilation time, hospitalization time, and incidence of complications were observed and compared between the two groups of patients.
Results The incidence of unplanned extubation in the observation group was 7.5% (3/40), significantly lower than the 25% (10/40) in the control group (P<0.05); The mechanical ventilation time and hospitalization time of the observation group were shorter than those of the control group, and the incidence of complications was lower than that of the control group (P<0.05).
Conclusion   Comprehensive nursing intervention can effectively reduce the incidence of unplanned extubation in patients with traumatic brain injury undergoing tracheal intubation, shorten mechanical ventilation time and hospitalization time, reduce complications, and has high clinical application value.