The impact of indwelling catheter nursing risk assessment on unplanned extubation and nursing outcomes in patients undergoing hepatobiliary surgery
留置导管护理风险评估应用于肝胆手术患者对非计划性拔管、护理效果的影响

摘要

目的 以肝胆手术患者为研究对象，深入探讨留置导管护理风险评估对其非计划性拔管、护理效果的影响。方法 选取2023年11月30日～2024年11月30日期间，85例行肝胆手术患者纳入本次研究范围，并随机均分为观察组（43例）和对照组（42例），两组患者均在术后留置了导管。其中，对照组实施常规导管护理，观察组在此基础上，对留置导管护理进行风险评估后，实施预见性护理措施，并对两组患者非计划性拔管和护理效果情况进行分析比较。结果 观察组非计划性拔管率显著低于对照组，而掌握导管护理相关知识的人数则明显比对照组多。结论 通过对留置导管护理进行风险评估，可做到提前预防、及时发现并妥善处置意外事故，有效降低了非计划性拔管发生率。

Abstract

Objective To explore the impact of risk assessment for indwelling catheter care on unplanned catheter removal and nursing outcomes in patients undergoing hepatobiliary surgery.
Methods A total of 85 patients who underwent hepatobiliary surgery from November 30, 2023 to November 30, 2024 were selected and randomly divided into an observation group (43 cases) and a control group (42 cases). Both groups had indwelling catheters after surgery. The control group received routine catheter care, while the observation group, on this basis, conducted risk assessment for catheter care and implemented predictive nursing measures. The rates of unplanned catheter removal and the nursing outcomes of the two groups were analyzed and compared.
Results The rate of unplanned catheter removal in the observation group was significantly lower than that in the control group, and the number of patients who mastered catheter care-related knowledge was significantly higher in the observation group.
Conclusion   Risk assessment for indwelling catheter care can help prevent, detect, and properly handle unexpected incidents in advance, effectively reducing the rate of unplanned catheter removal.