基于eCASH理念的家庭参与式护理在干部病房危重患者身体约束中的应用效果

Effects of family integrated care based on eCASH on the physical restraint of critical patients in cadre wards

目的 探讨以患者为中心的舒适化浅镇静策略(eCASH)结合家庭参与式护理干预干部病房危重患者身体约束的效果。方法 本研究共纳入236例干部病房危重患者,以入院时间进行分组,2019年入院患者为对照组(128例),采用经验评估和预防性身体约束;2020年入院患者为干预组(108例),实施基于eCASH理念的家庭参与式护理,比较2组约束率、非计划性拔管发生率。结果 干预组身体约束率为26.2%,低于对照组的40.9%(χ2=33.854,P<0.001);干预组非计划性拔管发生率为0.05‰,对照组为0,差异无统计学意义(P>0.05)。结论 实施基于eCASH理念的家庭参与式护理能够降低干部病房危重患者身体约束率,且不增加拔管率。

Objective Exploring the effects of family integrated care based on eCASH on the physical restraint ofcritical patients in cadre wards.Methods The study included 236 patients in critical condition,divided into groups accord-ing to the time of admission.Patients admitted in 2019 as the control group(128 cases) was adopted experiential assessmentand preventive physical restraint.Patients admitted in 2020 as the intervention group(108 cases) was adopted family Inte-grated nursing based on the e CASH.The restraint rate and unplanned extubation rate were compared between the controlgroup and intervention group.Results The prevalence of physical restraint significantly differed between the control groupand intervention group(40.9% and 26.2%,respectively;χ~2=33.854,P<0.001).The incidence of unplanned extubation in theintervention group was 0.05 ‰,that of the control group was 0,and the difference was not statistically significant(P >0.05).Conclusion The implementation of family Integrated care based on the e CASH decreased the rate of physical restraintamong critically patients in cadre wards and did not increase the incidence of unplanned extubation.