分级身体约束策略在危重症患者中的应用价值

目的探讨分级身体约束策略在危重症患者中的应用价值。方法选取本院治疗的158例危重症患者作为研究对象,按照入院时间不同分为对照组79例与观察组79例,对照组采取常规身体约束策略,观察组采取分级身体约束策略。比较两组身体约束率、约束时间、意外事件、约束部位异常及谵妄发生率等情况。结果观察组采取身体约束的患者比例明显低于对照组,约束时间明显短于对照组,差异有统计学意义(P<0.05);观察组约束部位异常率明显低于对照组,差异有统计学意义(P<0.05);两组除了非计划性拔管外均无其他意外事件发生,而且两组非计划性拔管率比较,差异无统计学意义(P>0.05);观察组谵妄发生率明显低于对照组,差异有统计学意义(P<0.05)。结论分级身体约束策略有助于降低危重症患者身体约束率,缩短约束时间,防止对约束部位造成损伤,减少谵妄发生率,而且并不会增加非计划性拔管等意外事件的发生风险,具有较高应用价值。

Objective To discuss the application value of hierarchical physical restraint strategy for critical patients.Methods 158 critical patients admitted to the hospital were selected as the research objects,and 79 of them were divided into the control group and the other 79 into the observation group according to their admission time;the routine physical restraint strategy was adopted in the control group,and the hierarchical physical restraint strategy was adopted in the observation group.The physical restraint rate,restraint time,accidents,the incidence of restraint part abnormalities,the incidence of and delirium and so on were compared between the two groups.Results The proportion of patients under physical restraint in the observation group was significantly lower than that in the control group,the restraint time of the observation group was shorter than that of the control group,and the difference was of statistical significance(P<0.05);the restraint part abnormality rate of the observation group was significantly lower than that of the control group,and the difference was of statistical significance (P<0.05);except for the unplanned extubation(UEX),no other accidents occurred to the two groups,and the difference between UEX was of no statistical significance after comparison(P>0.05);the incidence of delirium of the observation group was significantly lower than that of the control group,and the difference was of statistical significance(P<0.05).Conclusion The hierarchical physical restraint strategy for critical patients is conducive to lowering the physical restraint rate,shortening the restraint time,preventing harm to restraint parts and reducing the incidence of delirium rather than increasing risks of UEX and other accidents,so it is of high application value.