RCGL综合约束分级管理方案对ICU患者效果分析

Effect of RCGL comprehensive restraint graded management on ICU patients

目的探讨在ICU患者管理中实施身体约束分级护理管理方案(RCGL)的应用效果。方法选取2021年10月至2022年10月在ICU住院的100例,患者按照入院的奇偶顺序分为对照组和观察组,每组50例。对照组实施传统身体约束方案,观察组采用RCGL护理模式。观察2组身体约束率、身体约束时间、不良事件发生率及患者家属满意度。结果观察组患者身体约束率、身体约束时间时间均明显低于对照组,患者满意度得分情况明显优于对照组,差异均有统计学意义(P<0.05)。方案实施后护理团队的护理操作、文书书写、镇静护理和约束保4个维度得分较方案实施前情况均显著提升,差异有统计学意义(P<0.05)。结论通过在ICU患者管理中实施RCGL护理模式能够有效降低患者约束率,减少约束时间,有效提升患者家属满意度水平、提高护理质量。RCGL护理模式能够为识别必须开展保护性约束的病患提供一定数据基础,值得推广。

Objective To explore the application effect of the RCGL comprehensive restraint graded management on the management of intensive care unit(ICU)patients.Methods A total of 100 patients who were hospitalized in the ICU of our hospital from October 2021 to October 2022 were selected as the research objects.They were divided into the control group(n=50)and the observation group(n=50)according to the odd-even order of admission.Patients in the control group were given the conventional physical restraint program,and those in the observation group were given the RCGL comprehensive restraint graded nursing model.Results The physical restraint time in the observation group was significantly lower than that of the control group,and the satisfaction was significantly higher(P<0.05).The nursing operation,document writing,sedative care,and restraint protection scores of the nursing team before the implementation of the plan were 71.30±5.09,79.60±3.89,80.25±2.95,and 77.80±4.47 points,respectively.After the implementation of the plan,they increased to 90.70±5.20,86.20±3.76,87.65±3.15,and 91.95±3.86 points,respectively.Conclusion The RCGL comprehensive restraint graded management applied to ICU patients effectively lowers the patient restraint rate and shortens the restraint time,which effectively improves the satisfaction of patients’families.