改良型防抓手套在颅脑损伤躁动病人非计划拔管中的应用效果

Effect of the improved gloves in unplanned extubation of patients with restlessness in department of neurosurgery

目的探讨改良型防抓手套在颅脑损伤躁动病人中的应用效果。方法采用非同期队列对照方法,选择2015年4月—2016年4月入住神经外科的30例颅脑损伤病人为观察组,选择2014年5月—2015年3月入住神经外科30例颅脑损伤病人为对照组,两组病人均应用导管滑脱危险因素评估表进行评估,得分≥13分并伴有躁动。对照组采用球拍型约束手套进行上肢约束,观察组在球拍型约束手套的基础上进行了改良后对病人上肢进行约束,对两组病人使用效果进行动态评估比较。结果观察组病人使用改良型防抓手套后,病人非计划拔管率、约束后局部皮肤不良反应明显下降(P<0.05),观察组病人满意度较对照组明显提升。结论改良型防抓手套可有效降低颅脑损伤躁动病人非计划拔管率及局部皮肤不良反应发生率,保证病人安全,同时防抓手套的人性化设计增加了病人的舒适感,提高了病人及家属满意度。

Objective To explore the effect of the improved avoiding capture gloves in neurosurgery patients with agitation of application.Methods Using non-synchronous queue control method,30patients who received treatments in department of neurosurgery from April2015to April2016as the observation group were selected.Aother30patients in neurosurgery in May2014to March2015were chosen as control group.Two groups of patients were applied catheter slippage to evaluate risk factors assessment and the score were more than13points and with restlessness.The control group used the racket type constraint gloves for upper limb restraint in the observation group,based on the racket constraint gloves were improved after the constraints on the upper limbs of the patients.The patients in the two groups were compared using the effect of dynamic assessment.Results Patients in the observation group after using improved avoiding capture gloves,the unplanned extubation rate,local skin adverse reactions after restriction decreased significantly(P<0.05)and patients satisfaction was improved significantly.Conclusion Improved avoiding capture gloves can effectively reduce the neurosurgery patients with restlessness unplanned extubation rate and local skin reactions occur,to ensure the safety of patients,humanized design and avoiding capture gloves increase the comfort of patients,improve the satisfaction of patients and their family.