Analysis of the effect of bundle nursing+3M transparent dressing on the unplanned extubation rate of indwelling gastric tubes in newborns
集束化护理+3M透明敷贴对新生儿留置胃管非计划性拔管率的影响分析

摘要

目的 探究留置胃管新生儿采取集束化护理+3M透明敷贴对非计划性拔管的影响。方法 纳入本院共110例留置胃管新生儿进行随机分组对照试验（时段2023年4月~2024年4月），其中55例采取常规护理新生儿纳入对照组，另55例采取集束化护理+3M透明敷贴新生儿纳入观察组。根据留置胃管时间、非计划拔管率、并发症评价2组干预效果。结果 观察组留置胃管时间相比对照组增加，非计划拔管率相比对照组下降（P＜0.05）。观察组并发症总发生率相比对照组下降（P＜0.05）。结论 留置胃管新生儿采取集束化护理+3M透明敷贴，有助于延长留置胃管时间，降低非计划拔管率，减少并发症。

Abstract

Objective To explore the effect of bundle nursing+3M transparent dressing on unplanned extubation in newborns with indwelling gastric tubes.
Methods A total of 110 newborns with indwelling gastric tubes in our hospital were included in a randomized controlled trial (period from April 2023 to April 2024). Among them, 55 newborns who received routine care were included in the control group, and the other 55 newborns who received bundled care+3M transparent dressing were included in the observation group. Evaluate the intervention effect of two groups based on the duration of gastric tube retention, unplanned extubation rate, and complications.
Results The observation group showed an increase in the duration of gastric tube retention compared to the control group, while the unplanned extubation rate decreased compared to the control group (P<0.05). The total incidence of complications in the observation group decreased compared to the control group (P<0.05).
Conclusion   Adopting bundled care and 3M transparent dressing for newborns with indwelling gastric tubes can help prolong the duration of tube placement, reduce unplanned extubation rates, and minimize complications.