保护性约束临床路径护理在神经外科颅脑损伤躁动患者中的应用研究

Application of Protective Constraint Clinical Pathway Nursing in Patients with Craniocerebral Injury and Restlessness in Department of Neurosurgery

目的:探讨保护性约束临床路径式护理在神外科颅脑损伤躁动护理对象中的应用效果。方法:择取2018年1至4月于我院就治的神外科颅脑损伤躁动护理对象70例为研究样本,以随机数字表法做等量均分,临床护理路径组与传统护理组研究样本数均为35例,观察两组研究样本在接受不同模式保护性约束护理后相关观察指标的差异度。结果:临床路径护理组干预后躁动与约束相关护理不良事件发生率显著较传统保护性约束护理组为低,保护性约束护理质控分值与护理满意率显著较传统保护性约束护理组为高,(P<0.05)。结论:以临床路径护理模式对神外科颅脑损伤躁动护理对象开展保护性约束管理,可赢得保护性约束护理质量的提升,降低该类高危护理对象躁动与约束相关护理不良事件风险,满意度较高。

Objective： To explore the application of protective constraint clinical pathway nursing in patients with craniocerebral injury and restlessness in mental surgery. Methods： 70 cases of craniocerebral injury restless nursing care in our hospital from 1 to April 2018 were selected as the study samples,and the equal scores were divided by random number table method. The number of study samples from the clinical nursing path group and the traditional nursing group were 35 cases,and the correlation observation of the two groups of research samples after the different protective nursing care was observed. The difference degree of the standard were observed. Results： The incidence of restlessness and constraint related nursing adverse events in the clinical pathway nursing group was lower than that of the traditional protective nursing group. The protective quality control score and the nursing satisfaction rate were higher than those of the traditional protective group（ P〈0.05）. Conclusion： With the clinical path nursing mode,the protective management of the nursing objects of craniocerebral injury restless nursing was carried out,which could win the improvement of the protective quality of nursing care,reduce the risk of undesirable nursing events related to the agitation and restriction of the high risk nursing objects,and the satisfaction was high.