Situation of unplanned extubation in Ramadhibodi Chakri Naruebodindra Hospital
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Abstract
Unplanned Extubation (UE) is a common adverse event in intensive care units and general wards caring for critically ill patients. This retrospective descriptive study aimed to examine the situations and factors associated with UE in intensive care and stroke units. Data were retrospectively collected from medical records and incident reports between January 1, 2020, and August 31, 2022. A purposive sample of 170 cases was selected. The research instrument was a UE data collection form with a content validity index of 0.86 and an inter-rater reliability of 1.00. Data were analyzed using descriptive statistics and fisher’s exact test.
The results revealed that the incidence rate of UE was 6.47% The majority causes were discomfort and neck pain (72.73%). Most patients had good conscious and received immediate reintubation (90.91%). UE events occurred most frequently during night and evening shifts. During UE incidents, nurses were caring to other patients in 63.64%. Factors significantly associated with UE included age under 60 years, agitation or restlessness, discomfort and pain. Therefore, nurses should closely monitor alert patients with agitation and pain assessment to prevent unplanned extubation events.
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เนื้อหาและข้อมูลในบทความที่ลงตีพิมพ์ในวชิรสารการพยาบาลถือเป็นข้อคิดเห็นและความรับผิดชอบของผู้เขียนบทความโดยตรง ซึ่งกองบรรณาธิการไม่จำเป็นต้องเห็นด้วย หรือร่วมรับผิดชอบใด ๆ ทั้งสิ้น
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในวชิรสารการพยาบาล ถือเป็นลิขสิทธิ์ของวชิรสารการพยาบาล หากบุคคลใดหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด ๆ จะต้องได้รับอนุญาตเป็นลายลักอักษรจากวชิรสารการพยาบาลก่อนเท่านั้น
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