Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Risk Factors for Deliberate Self-extubation

기관 내 삽관환자의 의도적 자가발관 위험요인

  • Cho, Young Shin (Surgical Intensive Care Unit, Kosin University Gospel Hospital) ;
  • Yeo, Jung Hee (Department of Nursing, Dong-A University)
  • 조영신 (고신대학교 복음병원 외과계 중환자실) ;
  • 여정희 (동아대학교 간호학과)
  • Received : 2014.07.03
  • Accepted : 2014.09.12
  • Published : 2014.10.31
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Abstract

Purpose: This study was conducted to analyze intubation survival rates according to characteristics and to identify the risk factors affecting deliberate self-extubation. Methods: Data were collected from patients' electronic medical reports from one hospital in B city. Participants were 450 patients with endotracheal intubation being treated in intensive care units. The collected data were analyzed using Kaplan-Meier estimation, Log rank test, and Cox's proportional hazards model. Results: Over 15 months thirty-two (7.1%) of the 450 intubation patients intentionally extubated themselves. The patients who had experienced high level of consciousness, agitation. use of sedative, application of restraints, and day and night shift had significantly lower intubation survival rates. Risk factors for deliberate self-extubation were age (60 years and over), unit (neurological intensive care), level of consciousness (higher), agitation, application of restraints, shift (night), and nurse-to-patient ratio (one nurse caring for two or more patients). Conclusion: Appropriate use of sedative drugs, effective treatment to reduce agitation, sufficient nurse-to-patient ratio, and no restraints for patients should be the focus to diminish the number of deliberate self-extubations.

Keywords

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