Browse > Article
http://dx.doi.org/10.14400/JDC.2014.12.3.331

Study on an Unplanned Extubation Prevention Program (UEPP) for Intubated Patients in Intensive Care Unit  

Kang, Kyung-Ja (College of Nursing, Jeju National University)
Yu, Mi (Department of Nursing, Namseoul University)
Publication Information
Journal of Digital Convergence / v.12, no.3, 2014 , pp. 331-338 More about this Journal
Abstract
Unplanned extubation prevention program (UEPP) was developed and applied to intubated patients hospitalized in a medical intensive care unit (ICU). The number of unplanned extubation was 29 during the preliminary investigation and 23 cases during the prevention intervention program. The general features of the patients and nurses who experienced UE did not have any significant differences between the two periods, with only the number of new nurses in the ICU being significantly different (p=.039). Although the number of new nursing staff in the ICU was high, the mean rate of unplanned extubation, which is the number of UE days per 1000 intubation days, was 8.8 during the prevention intervention program, which was significantly lower than 12.3, the mean rate of UE during the preliminary investigation (t=-2.333, p=.040). The results provide a prevention program that could contribute to the safety of patients by actively preventing unplanned extubation in intubated patients in ICU.
Keywords
Unplanned Extubation; Prevention; Program; Nurses; ICU;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 Y. H. Kim, Y. S. Jeong, J. H. Park, S. H. Yoon, The effects of nurse education on physical restraint use in the ICU. Korean Journal of Anesthesiology, Vol. 55, No. 5, pp. 590-595, 2008.   과학기술학회마을   DOI   ScienceOn
2 E. H. Choi, H. J. Kim, M. H. Park, J. Y. Lee, The comparision of the unplanned extubation according to the method for fixing the endotracheal Tube. Journal of Korea Clinical Nursing Research, Vol. 12, No. 2, pp. 7-16, 2006.
3 J. S. Kim, E. S. Lee, J. H. Park, Effects on unplanned extubation, oral mucosa, and facial skin integrity of new method to secure endotracheal tube. Journal of Korea Clinical Nursing Research, Vol. 15, No. 3, pp. 49-59, 2009.
4 J. M. Yeo, M. H. Pak, Effects of on education program for nurses on the UE of restraints. Journal of Korean Academy of Nursing, Vol. 36, No. 3, pp. 532-541, 2006.
5 K. J. Song, E. O. Kwon, E. J. Jeong, H. J. Shin, O. H. Park, E. H. Shin, The effect on unplanned extubation prevention program. Journal of Korean Critical Care Nursing, Vol. 4, pp. 23-32, 2003.
6 A. L. Richmond, D. L. Jarog, V. M. Hanson, Unplanned extubation in adult critical care. Critical Care Nurse, Vol. 24, No. 1, pp. 32-37, 2004
7 A. R. Huizing, J. P. Hamers, M. J. Gulpers, M. P. Berger, Short-term effects of an educational intervention on physical restraint use: A cluster randomized trial. BMC Geriatrics, Vol. 6, pp. 17. 2006.   DOI   ScienceOn
8 P. Kiekkas, D. Aretha, E. Panteil, G. I. Baltopoulos, K. S. Filos, Unplanned extubation in critically ill adults: Clinical review. Nursing in Critical Care, Vol. 18, No. 3, pp. 123-134, 2013.   DOI   ScienceOn
9 P. S. da Silva, M. C. Fonseca, Unplanned endotracheal extubations in the intensive care unit: Systematic review, critical appraisal, and evidence-based recommendations. Anesthesia and Analgesia, Vol. 114, No. 5, pp. 1003-1014, 2012.   DOI   ScienceOn
10 L. A. Despins, Patient safety and collaboration of the intensive care unit team. Critical Care Nurse, Vol. 29, No. 2, pp. 85-92, 2009.
11 O. D. Listello, C. N. Seessler, Unplanned extubation: Clinical predictors for reintubation. Chest, Vol. 105, No. 5, pp. 1496-1503. 1994.   DOI   ScienceOn
12 M. J. Grap, C. Glass, M. O. Lindamonnd, Factors related to unplanned extubation of endotracheal tubes. Critical Care Nurse, Vol. 15, No. 2, pp. 57-65. 1995.
13 S. H. Yeh, L. N. Lee, T. H. Ho, M. C. Chiang, L. W. Lin, Implications of nursing care in the occurrence and consequences of unplanned extubation in adult intensive care units. International Journal of Nursing Studies. Vol. 41, No. 3, pp. 255-262, 2004.   DOI   ScienceOn
14 J. S. Krinsley, J. E. Barone, The drive to survive: Unplanned extubation in the ICU. Chest, Vol. 128, No. 2, pp. 560-566, 2005.   DOI   ScienceOn
15 D. P. Coppolo, J. J. May, Self-extubation: A 12-month experience. Chest, Vol. 98, No. 1, pp. 165-169, 1990.   DOI   ScienceOn
16 J. J. Lee, K. M. Lee, Y. B. Lee, B. M. In, D. J. Um, R. Chol, Unplanned extubation and factors affecting reintubation in ICU patients. Korean Journal of Critical Care Medicine, Vol. 11, No. 2, pp. 179-183, 1996.
17 B. N. Koo, S. O. Koh, T. D. Kwon, Predictors for reintubations after unplanned endotracheal extubation in multidisciplinary intensive care unit. Korean Journal of Critical Care Medicine, Vol. 18, No. 1, pp. 20-25, 2003.
18 U. Beckmann, D. M. Gillies, Factors associated with reintubation in intensive care; An analysis of causes and outcomes. Chest, Vol. 12, No. 2, pp. 538-542, 2001.
19 Y. K. Choi, K. S. Kim, A study on the influencing factor of unplanned endoracheal extubation in ICUs. Quality Improvement in Health Care, Vol. 9, No. 1, pp. 74-89, 2002.
20 K. M. Birkett, K. A. Southerland, G. D. Leslie, Reporting unplanned extubation. Intensive and Critical Care Nursing, Vol. 21, No. 2, pp. 65-75, 2005.   DOI   ScienceOn
21 J. S. Kim, The management of unplanned extubation prevention for intubated patients. Journal of Korean Critical Care Nursing, Vol.6, pp.1-8. 2005.