余明迪;张静萍;
YU Mingdi;ZHANG Jingping;School of Nursing,Guizhou Medical University;Affiliated Hospital of Guizhou Medical University;

• 1:贵州医科大学护理学院
• 2:贵州医科大学附院急诊科

摘要(Abstract)：

目的:探讨《危重患者规范性身体约束评分量表》在重症加强护理病房(ICU)中的应用效果。方法:随机选取ICU 220例患者为研究对象,按入院时间分为对照组和实验组;对照组采用经验性评估后对患者实施约束,实验组根据自制的《危重患者规范性身体约束评分量表》评分>19分时,实施身体约束;比较两组患者身体约束使用率、约束时长、非计划性拔管发生率、约束并发症发生率以及患者和家属对身体约束使用满意度。结果:与对照组比较,实验组身体约束使用率、约束时长以及非计划性拔管率较低,患者和家属对约束的满意度较高,差异有统计学意义(P<0.05);两组患者约束部位并发症发生率比较,差异无统计学意义(P>0.05)。结论:《危重患者规范性身体约束评分量表》能指导临床实施规范安全的身体约束行为,最大限度保障患者安全,减少因约束引起的医患纠纷。
Objective: To explore the evaluation of the effect of the Standard Physical Restraint Assessment Scale for Critically Ill Patients application in ICU. Methods: A total of 220 patients were selected randomly from those who received a treatment in ICU from April 2017 to September 2017. The selected were then divided into the control group and the experimental group according to their admission time. Patients in the control group were restrained by the experience evaluation from nurses,while patients in the experimental group were restrained when their scores were higher than 19 according to the self-made Standard Physical Restraint Assessment Scale for Critically Ill Patients. The rate of physical restraint,length of restraint time,unplanned extubation rate,the incidence of restraint complications and satisfaction of patients and family members of the two groups were compared. Results: Compared with the control group,the rate of physical restraint,the length of constraint and unplanned extubation was lower,and the satisfaction of the patients and their families was higher in the experimental group,though the difference was not statistically significant( P > 0. 05). Conclusion: The Standard Physical Restraint Assessment Scale for Critically Ill Patients can instruct nurses to perform standard physical restraint behaviors,ensuring patients' safety and reducing disputes between nurses and patients caused by restraint. It is suitable for clinical promotion.

关键词(KeyWords)： 身体约束;评估量表;规范性;效果评价;非计划性拔管
physical restraints;assessment scale;standard;effect evaluation;unplanned extubation

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 余明迪;张静萍;
YU Mingdi;ZHANG Jingping;School of Nursing,Guizhou Medical University;Affiliated Hospital of Guizhou Medical University;

Email:

DOI: 10.19367/j.cnki.1000-2707.2018.04.026

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