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- Title
Prevalence and Prevention of Unplanned Removal of Tubes and Catheters among Hospitalized Patients.
- Authors
Mayumi Kato; Wahyuni Fauziah; Tomoko Yamashita; Sumiko Nishijima; Mitsuko Kima; Michika Iida; Huong Thi Thu Pham
- Abstract
Objective: To identify the prevalence of unplanned removal of catheters among hospitalized patients and accumulate nurses' opinions regarding the causes of catheter removal caused by patients' activities. Methods: A retrospective study including patients with tube and catheter was conducted for a year under the surveillance of nurses. A total of 4 wards and 1 intensive care unit reported 427 incidents. The quantitative and qualitative data were analyzed by Spearman test and text mining using KH Coder, respectively. Results: Overall, 66.7% (40 out of 60) of incidents and accident reports of unplanned removal of tube and catheter were observed. The incident rate of unplanned removal was 0.67 per 1000 patient. However, a correlation among variables: age, cognitive decline, language disorder, and occurrence time was also observed. Additionally, variable delirium and adverse effects of anesthesia was also correlated. Conclusions: Although various methods were already implemented, unplanned removal of tubes and catheters still prevailed. Strategies to manage delirium including declining cognitive and enhancing observation in nighttime especially in older patients who underwent surgery may reduce the incident of unplanned removal of tubes and catheters.
- Subjects
JAPAN; HOSPITALS; INTENSIVE care units; COGNITION disorders; HOSPITAL patients; MEDICAL device removal; NURSES' attitudes; RETROSPECTIVE studies; QUANTITATIVE research; EXTUBATION; QUALITATIVE research; DESCRIPTIVE statistics; RESEARCH funding; CATHETERIZATION; DATA analysis software
- Publication
International Journal of Caring Sciences, 2021, Vol 14, Issue 1, p385
- ISSN
1791-5201
- Publication type
Article