综合干预策略在SICU身体约束缩减行动中的应用

The effect of comprehensive intervention strategies on physical restraint minimization action in SICU

目的:探讨综合干预策略在SICU身体约束缩减行动中的应用效果。方法:制定并实施针对SICU身体约束缩减行动的综合干预措施,以干预前后"ICU护士身体约束知识、态度和实践问卷"的成绩以及SICU身体约束率和非计划性拔管率作为指标进行效果评价。结果:实施干预后SICU护士身体约束知识、态度和实践得分均高于干预前(P<0.05),SICU身体约束率明显下降(P<0.05),非计划性拔管率未见增加。结论:综合干预策略有助于提高SICU护士对身体约束知识、态度和实践的正确认知,缩减身体约束率,降低非计划性拔管率,实现"ICU最小化身体约束"的临床管理目标。

Objective： To explore the effect of comprehensive intervention strategies on physical restraint minimization action in SICU. Methods： We developed and implemented comprehensive intervention strategies for physical restraint minimization action in SICU. We assessed the effect of the intervention by the scores of Questionnaire of ICU nurse＇s knowledge, attitude and practice toward physical restraint, the prevalence of using physical restrict and unplanned extubation rate in SICU before and after nursing intervention. Results： After nursing intervention, the mean scores of the questionnaire was higher than that before the intervention（P〈0.05）. The prevalence of using physical restrict was significantly decreased（P〈0.05）, while the unplanned extubation rate did not increase. Conclusion： Comprehensive intervention strategies could enhance SICU staff nurses＇ knowledge, attitudes and practices toward physical restrict, reduce prevalence of using physical restraint, decrease rates of unplanned extubation,, and achieve the goal of physical restraint minimization action.