Open-label randomised controlled trial about application of bundle care in prevention of unplanned extubation of nasobiliary drainage catheter after endoscopic retrograde cholangiopancreatography.

Abstract

To observe the effects of bundle care on preventing unplanned extubation of nasobiliary drainage catheter after endoscopic retrograde cholangiopancreatography. Preventing unplanned extubation has become a difficult problem for nursing staff because the catheter is stiff, fine and long. A total of 114 cases that experienced nasobiliary drainage after endoscopic retrograde cholangiopancreatography for the first time in our hospital from April 2015-July 2016 were enrolled in this study. According to receiving routine nurse or bundle nurse, these cases were randomly divided into control (n=56) and intervention (n=58) group. The unplanned extubation incidence, contact area between tape and catheter and tensile resistance were compared between the two groups. The contact area was one square centimetre in the control group and 5cm2 in the intervention group. Tensile resistance was significantly higher in the intervention group than in the control (all p<.05). Unplanned extubation incidence was significantly lower in the intervention group (1.72%, 1/58) than in the control (12.5%, 7/56) (p=.0305). Bundle care can effectively decrease unplanned extubation incidence after endoscopic retrograde cholangiopancreatography. This study provides a basis for decreasing unplanned extubation incidence.