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

Aims And Objectives: To observe the effects of bundle care on preventing unplanned extubation of nasobiliary drainage catheter after endoscopic retrograde cholangiopancreatography.

Background: Preventing unplanned extubation has become a difficult problem for nursing staff because the catheter is stiff, fine and long.

Design: 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.

Method: The unplanned extubation incidence, contact area between tape and catheter and tensile resistance were compared between the two groups.

Results: The contact area was one square centimetre in the control group and 5 cm 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).

Conclusion: Bundle care can effectively decrease unplanned extubation incidence after endoscopic retrograde cholangiopancreatography.

Relevance To Clinical Practice: This study provides a basis for decreasing unplanned extubation incidence.