直形手套式腕部约束带在全麻术后谵妄患者中的应用价值分析

Analysis of the application value of straight gloved-wrist restraint bands in patients with postoperative delirium after general anesthesia

目的:探析用直形手套式腕部约束带对接受全身麻醉(简称"全麻")手术后并发谵妄的患者进行保护性约束的效果。方法:将2019年3月至2020年3月期间在深圳市宝安区石岩人民医院进行全麻手术后并发谵妄的60例患者随机分为观察组(n=30)与对照组(n=30)。在两组患者发生谵妄后,用传统的约束带对对照组患者进行保护性约束,用直形手套式腕部约束带对观察组患者进行保护性约束,然后比较两组患者谵妄期间不良事件的发生率及其家属对护理工作的满意情况。结果:干预后,观察组患者谵妄期间不良事件的发生率低于对照组患者,其家属对护理工作的总满意率高于对照组患者家属,差异有统计学意义,P<0.05。结论:用直形手套式腕部约束带对接受全麻手术后并发谵妄的患者进行保护性约束能显著降低其输液管意外拔除、导尿管脱出等不良事件的发生率,提高其家属对护理工作的满意率。

Objective:To explore the effect of protective restraint on delirium after general anesthesia with straight gloved-wrist restraint band.Methods:From March 2019 to March 2020,60 patients with delirium after general anesthesia in Shiyan People’s Hospital,Baoan District,Shenzhen city were randomly divided into observation group(n=30)and control group(n=30).After delirium occurred in the two groups,traditional restraint bands were used for protective restraint in the control group,and straight gloved-wrist restraint bands were used for protective restraint in the observation group.Then the incidence of adverse events during delirium in the two groups of patients and the satisfaction of their families with the nursing work were compared.Results:After intervention,the incidence of adverse events during delirium in the observation group was lower than that in the control group,and the overall satisfaction rate of the family members to the nursing work was higher than that in the control group,with statistically significant difference(P<0.05).Conclusion:The incidence of adverse events such as accidental removal of infusion tube and urethral catheter prolapse can be significantly reduced by using straight gloved-wrist restraint band to protect patients with postoperative delirium after general anesthesia,and the satisfaction rate of nursing work for their families can be improved.