约束巡视记录单在神经外科躁动患者安全管理中的应用

Application of constrained patrol record form in safety management of agitated patients of neurosurgery

目的：探讨约束巡视记录单在神经外科颅脑损伤躁动患者安全管理中的应用效果。方法选择2014年10月—2015年3月南京医科大学附属淮安第一医院神经外科收治的因颅脑损伤躁动需要约束的患者84例，根据随机数字表法分为对照组和观察组各42例。对照组给予常规约束护理管理，观察组在此基础上将约束巡视记录单应用于躁动患者安全管理中，比较两组患者的约束护理质量、护士对巡视记录单的满意度、患者及家属对护理的满意度。结果实施前，科室受理对照组患者或家属有关约束的投诉例数为16例，护士巡视记录单书写质量评分为（91.42±10.21）分；实施后观察组投诉例数为2例，记录单书写质量（97.12±14.11）分，差异有统计学意义（P〈0.05）。观察组患者约束期间并发症发生类型及例数均少于对照组，观察组护理人员对巡视记录单的满意度及患者家属对护理的满意度高于对照组，差异有统计学意义（ P〈0.05）。结论将约束巡视记录单应用于躁动患者安全管理后，可有效改善躁动患者约束护理质量，降低意外事件的发生，保障患者安全，提高患者及家属的满意度。

Objective To explore the application effect of constrained patrol record form in safety management of agitated patients in neurosurgery. Methods A total of 84 cases of agitated patients with brain injury in the neurosurgery of our hospital from October 2014 to March 2015 were selected and divided into the control group and the observation group by random number table method, with 42 cases in each group. Patients in the control group were given routine constraint care management, while patients in the observation group were given safety management with the use of constrained patrol record form. The quality of constraint care was compared between two groups. Satisfaction of the nurses to the record form and the satisfaction of patients and their families to nursing were also compared between two groups. Results Before the application of constrained patrol record form, the number of complaints in the control group was 16, and the writing quality of nurses′constrained patrol record form was （91.42±10.21）; after the application of constrained patrol record form, the number of complaints was 2 and the writing quality of record form was （97.12±14.11） （P〈0.05）. During the constrained period, the incidence rate and the number of cases of complications in the observation group were lower than that in the control group; and the nurses′s satisfaction to record form and patients′ satisfaction to nursing in the observation group were higher than that in the contro group （ P〈0. 05 ） . Conclusions The application of constrained patrol record form in the safety management of agitated patients in neurosurgery, can effectively improve the nursing quality of agitated patients, reduce the occurrence of accidents, protect the safety of patients and improve the satisfaction of patients and their families.