自制腕式约束带在患者术后麻醉恢复期的应用

Application of homemade wrist constraints for postoperative patients during anesthesia recovery period

目的探讨自制腕式约束带在患者术后麻醉恢复期的应用效果。方法设计制作一种安全、有效、使用方便的腕式约束带用于全麻术后恢复期患者的约束固定。将300例全麻术后恢复期患者随机分为观察组和对照组,每组150例,对照组患者采用传统约束带,观察组患者采用改良腕式约束带,比较2种约束方式的有效性、约束带并发症发生率、患者舒适度及医护满意度。结果观察组患者使用改良腕式约束带有效性高于对照组,并发症发生率低于对照组,差异具有统计学意义(P<0.05);观察组患者的舒适度、医护满意率明显优于对照组,差异具有统计学意义(P<0.05)。结论改良后的腕式约束带在临床中应用效果明显优于传统约束带,增加了患者的安全感和舒适度,值得临床推广应用。

Objective The purpose of this study is to evaluate the safety and effect of the homemade wrist restraint belt in postoperative patients during anesthesia recovery period. Methods Three hundred postoperative patients were randomly assigned into two groups,patients in the control group（ n = 150） were constrained with traditional restraint belt while patients（ n = 150） in the observation group were constrained with homemade wrist restraint belt before recovered from general anesthesia in the post anesthesia care unit（ PACU）. The effectiveness of constraint,patients comfort,constraint related complications,PACU faculty responses on the satisfaction were recorded during anesthesia recovery period. Results The complications in the observation group were lower than those in the control group（ P 0. 05）. Compared with control group,the patient satisfaction,patient comfort,PACU faculty satisfaction were significant higher in the observation group（ P 0. 05）. Conclusion The homemade wrist constraints could increase the patient＇s safety and comfort,reduce restraint belt related complications during anesthesia recovery period. It revealed more effectiveness than the traditional restraint belt.