减少ICU患者身体约束的循证护理措施分析

Analysis of Evidence-based Nursing Measures to Reduce Physical Constraints in ICU Patients

目的探讨循证护理在减少ICU患者身体约束管理中的应用效果。方法选取648例ICU患者为研究对象,根据护理方法不同分为对照组313例,观察组335例,分别接受常规护理及减少约束的循证护理。比对两组约束时间、身体约束率、非计划性拔管率、谵妄发生率、皮肤伤损发生率及护理满意度。结果观察组患者约束时间>1 d时身体约束率低于对照组(P<0.05)。观察组非计划性拔管、谵妄、皮肤压损发生率低于对照组(P<0.05)。观察组对护理工作的总满意率为87.76%,高于对照组的66.13%(P<0.05)。结论通过循证护理干预,规范ICU患者身体约束管理,能够显著降低约束时间、患者身体约束率、非计划性拔管率、谵妄发生率、皮肤伤损率。

Objective To explore the application effect of evidence-based nursing in reducing physical restraint management of ICU patients.Methods A total of 648 ICU patients were divided into study subjects.According to different nursing methods,they were divided into 313 cases in the control group and 335 cases in the observation group.They received routine nursing and evidence-based nursing to reduce constraints respectively.The restraint time,physical restraint rate,unplanned extubation rate,delirium rate,skin injury rate and nursing satisfaction were compared between the two groups.Results When the restraint time was more than 1 day,the restraint time and physical restraint rate in the observation group were lower than those in the control group(P<0.05).The incidence of unplanned extubation,delirium and skin pressure loss in the observation group was lower than that in the control group(P<0.05).The total satisfaction rate of nursing in the observation group was 87.76%,which was higher than 66.13% in the control group(P<0.05).Conclusion Through evidence-based nursing intervention,standardizing the physical restraint management of ICU patients can significantly reduce the restraint time,patient physical restraint rate,unplanned extubation rate,delirium incidence and skin injury rate.