摘要
目的:探讨约束决策轮对急诊重症监护室(Emergency Intensive Care Unit,EICU)患者身体约束情况的应用效果。方法:选择2017年9月—2019年2月南通大学附属医院收治的EICU患者为研究对象,按照入院时间将患者分为干预组(n=199)和对照组(n=157),干预组通过约束决策轮评估对患者实施必要性身体约束,对照组通过《约束护理单》对患者实施身体约束。结果:两组身体约束时间和身体约束率比较差异均有统计学意义(均P<0.05);干预组非计划性拔管率虽有降低,但差异无统计学意义(P>0.05);两组患者约束期均无皮肤损伤。结论:应用约束决策轮对EICU患者进行身体约束评估,可明显减少约束时间,有效降低身体约束率,保障患者的安全。
Objective:To explore the application effect of constraint decision wheel on physical constraint of Emergency Intensive Care Unit(EICU)patients.Methods:EICU patients of the Affiliated Hospital of Nantong University from September 2017 to February 2019 were selected as the research objects.They were divided into intervention group(n=199)and control group(n=157)according to the admission time.The intervention group implemented necessary physical constraints on patients through constraint decision wheel evaluation,and the control group implemented physical constraints on patients through constraint nursing sheet.Results:There were significant differences in body restraint time and body restraint rate between the two groups(both P<0.05).In terms of unplanned extubation rate,although the intervention group decreased,the difference was not statistically significant(P>0.05).There was no skin injury in the two groups during the restraint period.Conclusion:The application of constraint decision wheel to evaluate physical restraint of EICU patients can significantly reduce constraint time,effectively reduce the rate of physical restraint,and ensure the safety of patients.
作者
周水鑫
倪花
袁晓宇
张学梅
吉云兰
ZHOU Shuixin;NI Hua;YUAN Xiaoyu;ZHANG Xuemei;JI Yunlan(Department of Emergency Medical,the Affiliated Hospital of Nantong University,Nantong 226001)
出处
《南通大学学报(医学版)》
2021年第6期512-515,共4页
Journal of Nantong University(Medical sciences)
基金
南通大学附属医院科研项目(Tfh1723)
南通大学教改课题(2020D16)。
关键词
约束决策轮
急诊重症监护室
身体约束
constrain decision wheel
Emergency Intensive Care Unit
physical constraint