人性化保护性约束护理在ICU清醒躁动患者中的应用

Application of humanized protective restraint nursing in ICU patients with awake and restlessness

目的探讨人性化保护性约束护理在ICU躁动患者中的应用效果。方法选择人性化保护性约束护理实施前(2019年1—4月)和实施后(2019年5—8月)收住于本院ICU且接受保护性约束的危重症患者各44例,将实施前后患者分别设为对照组与试验组,对照组接受常规模式保护性约束,试验组接受人性化保护性约束护理。观察两组患者保护性约束依从性评分及躁动相关不良事件和保护性约束相关纠纷事件发生率。结果干预后试验组ICU躁动患者保护性约束依从性评分明显高于对照组(P<0.05),躁动相关不良事件与保护性约束相关纠纷事件发生率明显低于对照组(P<0.05)。结论采用人性化保护性约束护理对ICU躁动患者实施干预,有助于提升其保护性约束依从性,提高约束质量与效果。

Objective To explore the application effect of humanized protective restraint nursing in ICU patients with agitation.Methods To select 44 cases of critically ill patients who were admitted to the ICU of our hospital and received protective restraint as the study objects before and before the implementation(from January to April 2019)and after the implementation(from May to August 2019)of choosing humanized protective restraint nursing,and the patients were set as a control group and an experimental group.The control group received conventional protective restraint,and the experimental group received humanized protective restraint nursing to observe the protective restraint compliance score and the incidence of agitation-related adverse events and protective restraint-related disputes in the two groups.Results After the intervention,the protective restraint compliance score in the experimental group was significantly higher than that in the control group(P<0.05),and the incidence of agitation-related adverse events and protective restraint-related disputes events were significantly lower than those in the control group(P<0.05).Conclusion The application of humanized protective restraint nursing to intervene in ICU patients with agitation can help improve their compliance with protective restraint and improve restraint quality and effect.