International Journal of Nursing Research

Objective To explore the reasons for the use of central venous catheter (CVC) in the treatment of patients with severe tuberculosis and the nursing points of the occurrence of unplanned extubation, in order to provide help for the safe and efficient treatment and nursing of severe tuberculosis departments. Methods The medical records of the Department of severe tuberculosis of Xi an Chest Hospital were retrospectively analyzed, and 1200 patients who received central venous catheter (CVC) treatment in the department of severe tuberculosis of Xi an Chest Hospital from January 2019 to July 2023 were selected as the objects, and their clinical indicators and reasons for unplanned extubation were analyzed. Results Mechanical factor was the most important factor of unplanned extubation in CVC treatment of severe tuberculosis patients, accounting for 4.3%. Conclusion The occurrence of unplanned extubation is caused by multiple factors. Reasonable risk prediction and targeted intervention are the key to reduce the incidence of unplanned extubation.

Severe tuberculosis; Central venous catheter (CVC); Unplanned extubation; Cause of occurrence; Nursing point