缩减约束方案在颅脑损伤患儿安全管理中的应用

Effect of reduced restraint program on safety management of children with craniocerebral

目的:探讨规范缩减约束方案在颅脑损伤患儿住院安全管理中应用效果。方法:采用便利抽样方法,选取2019年1月-2021年12月重度颅脑损伤留置有创管道患儿67例分为观察组和对照组;对照组采用常规约束护理。观察组实行最小化缩减约束方法,护理人员每班交接时护士长带领组员进行评估,将结果告知床位医生及时移除治疗性设施。结果:两组患儿非计划性拔管发生比较差异无统计学意义(P>0.05);两组患儿出现约束并发症差异有统计学意义(P<0.05);观察组满意度(94.3%)略高于对照组(84.4%)。结论:缩减约束可提高有效约束的目的和治疗依从性,减少不良事件的发生。

Objective:To explore the application effect of standardized reduction constraint scheme in the safety management of hospitalized children with craniocerebral injury.Methods:From January 2019 to December 2021,67 children with severe craniocerebral injury with indwelling invasive tube were selected and divided into observation group and control group by convenient sampling.The control group received routine nursing.In the observation group,the method of minimization reduction constraint was adopted.When nurses handed over each shift,the head nurse led the team to evaluate,informed the bed doctor of the results,and removed the therapeutic facilities in time.Results:There was no significant difference in the incidence of unplanned extubation between the two groups(P>0.05).There were significant differences in restraint complications between the two groups(P<0.05).The satisfaction of parents between the two groups was 94.3%in the observation group and 84.4%in the control group.Conclusion:Reduced restraint can improve the purpose of effective restraint and medical compliance,and reduce the incidence of adverse events.