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조효임 ( Cho Hyo-Im ) - 인하대학교 대학원 간호학과
이영휘 ( Lee Young-Whee ) - 인하대학교 간호학과
김화순 ( Kim Hwa-Soon ) - 인하대학교 간호학과
심보윤 ( Sim Bo-Yun ) - 인하대학교 대학원 간호학과
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Abstract
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Purpose: This retrospective study was designed to examine the frequency of unplanned extubation, and to identify the related factors of unplanned extubation in medical intensive care unit patients.
Methods: Data were collected from medical records of patients who received intubation in a medical intensive care unit. One hundred eighteen patient charts were selected for the study. The Patient Severity Classification Scale and unplanned extubation risk factors were examined. Data were analyzed with descriptive statistics, x2-test, Fisher"s exact test and Mann-Whitney U test.
Results: The incidence of unplanned extubation was 11 (9.32%) out of 118 patients who had undergone intubation. There were statistically significant differences between the unplanned extubation and work shift (x2=61.52, p=.001), ventilation mode (p=.001), number of days of ventilator application (U=366.00, p=.038) and administration of sedatives (p=.025).
Conclusion: Unplanned extubation is affected by the following variables: a) whether a nurse is in night shift, b) whether ventilation is mandatory, c) duration of ventilation use and d) administration of sedatives.
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KeyWords
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Airway extubation, Intensive care
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원문 및 링크아웃 정보
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등재저널 정보
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