目的 改良住院患者管道护理系列工具并评价其应用效果。方法 改良住院患者管道护理系列工具,包括改进约束工具、改进早期活动与院内转运影像检查使用器材、优化管道固定、规范管道标识4个方面。采用便利抽样法,选取2019年1月—2022年12月在福建省南平市某三级甲等医院治疗的住院患者作为研究对象,按住院时间先后分为试验组（2022年1月—12月）8 977例、对照组（2019年1月—12月）7 094例。试验组采用改良后的住院患者管道护理系列工具,对照组采用改良前的住院患者管道护理系列工具,比较两组非计划性拔管发生率的差异。结果 试验组非计划性拔管总体发生率低于对照组,差异具有统计学意义（χ²=13.946,P<0.05）;常见4类导管中的中心静脉导管及气管导管发生率低于对照组（χ²=4.545、15.623,均P<0.05）。结论 改良后的住院患者管道护理系列工具有助于降低住院患者非计划性拔管发生率,提高留置管道的安全性。

Objective To improve a series of pipeline nursing tools for inpatients and explore its application effects. Methods We improved a series of tools for inpatient pipeline nursing,including improved restraint tools,improved equipment for early activities and equipment for imaging examination in-hospital transport,optimized pipeline fixation,and standardized pipeline identification. Convenience sampling method was used to select inpatients treated in a tertiary class A hospital in Nanping City,Fujian Province from January 2019 to December 2022 as subjects,with 8 977 patients in the experimental group（January to December of 2022） and 7 094 patients in the control group（January to December of 2019） according to admission time of the patients. The experimental group was managed with self-designed pipeline nursing care series tools,and the control group was managed with conventional pipeline nursing tools. The incidence of unplanned extubation was compared between the two groups. Results The incidence of unplanned extubation in experimental group was lower than that in control group and the difference was statistically significant（χ²=13.946,P<0.05）.Among them,the incidence of central venous catheter and tracheal catheter was lower than that of control group（χ²=4.545、15.623,P<0.05）. Conclusion Implementation of the improved inpatient pipeline nursing care series tools reduced the rate of unplanned inpatient extubation and improved the safe management of patient indwelling pipelines.