ISSN 2097-6046（网络）
ISSN 2096-7446（印刷）
CN 10-1655/R
主管：中国科学技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 >

2022 , Vol. 3 >Issue 4: 360 - 364

DOI: https://doi.org/10.3761/j.issn.2096-7446.2022.04.015

质量与安全

住院患者胃管非计划拔管的数据挖掘及防范对策分析

  • 吴觅之 ,
  • 余红梅 ,
  • 潘红英 ,
  • 吕婷婷 ,
  • 王敬萍 ,
  • 李迪琼 ,
  • 庄玉锌
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  • 310016 杭州市 浙江大学医学院附属邵逸夫医院普外科（吴觅之,余红梅,吕婷婷,王敬萍,李迪琼,庄玉锌）,护理部（潘红英）
吴觅之：女,硕士,护师,E-mail：wumz@srrsh.com

收稿日期: 2021-12-22

  网络出版日期: 2022-07-07

基金资助

浙江省医药卫生科技计划项目（2021KY180）;浙江大学医学院附属邵逸夫医院护理科研基金项目（202107HL）

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Data mining and preventive countermeasure analysis of unplanned extubation of gastric tube in hospitalized patients

  • WU Mizhi ,
  • YU Hongmei ,
  • PAN Hongying ,
  • LÜ Tingting ,
  • WANG Jingping ,
  • LI Diqiong ,
  • ZHUANG Yuxin
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Received date: 2021-12-22

  Online published: 2022-07-07

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摘要

目的 挖掘住院患者胃管非计划拔管数据中有价值的关联规则,为预防非计划拔管提供参考依据。方法 收集2018年1月—2020年12月浙江省某三级甲等医院2个院区746例胃管非计划拔管事件的相关信息,采用Apriori算法进行数据挖掘,使用卡方检验分别对得到的关联规则进行有效性评定。结果 共发现637条胃管非计划拔管事件关联规则,经卡方检验筛选出225条规则,最终筛选出10条具有临床实际指导意义的强关联规则,包括患者意识、年龄≥60岁、置管1~7 d、未使用约束带、因置管带来的不适感等。结论 在护理工作中需提炼胃管非计划拔管风险评估要点,关注重新置管预测因素和患者不适症状,鼓励患者说出真实感受,夜间有效巡视,实施分时段人性化保护性约束,减少胃管非计划拔管的发生。

关键词： 胃管; 非计划拔管; 数据挖掘; 关联规则; 护理信息学

本文引用格式

吴觅之 , 余红梅 , 潘红英 , 吕婷婷 , 王敬萍 , 李迪琼 , 庄玉锌 . 住院患者胃管非计划拔管的数据挖掘及防范对策分析[J]. 中华急危重症护理杂志, 2022 , 3(4) : 360 -364 . DOI: 10.3761/j.issn.2096-7446.2022.04.015

Abstract

Objective To find out the valuable association rules in the data of inpatients with unplanned gastric tube extubation,and provide reference for the prevention of unplanned gastric tube extubation. Methods Collected information about 746 cases of unplanned extubation of gastric tube in 2 districts of Grade Ⅲ,Grade A hospitals in Zhejiang Province from January 2018 to December 2020,and used Apriori algorithm for data mining,then used the chi-square test to evaluate the validity of the obtained association rules respectively. Results A total of 637 association rules were found,and then 225 rules were screened out by the chi-square test,and 10 strong association rules with clinical practical guiding significance were finally screened out. Rules included patient awareness,age≥ 60 years old,catheter placement for 1~7 days,no restraint bands,discomfort caused by catheter placement,etc. Conclusion It is necessary to refine the key risk assessment points of unplanned extubation of gastric tube,focus on the predictive factors of reinsertion and discomfort symptoms of patients,encourage patients to talk about their true feelings,conduct effective night patrols,implement time-based humanized protective restraint to reduce the occurrence of unplanned extubation of the gastric tube.

Key words： Gastric Tube; Unplanned Extubation; Data Mining; Association Rules; Nursing Informatics

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