新式手套式约束器在ICU应用效果的研究

Study on application effects of new type glove constraint in intensive care unit

目的：探讨新式手套式约束器在ICU应用的效果。方法将113例符合纳入及排除标准的患者按照随机数字表法分为对照组59例和试验组54例，对照组患者使用传统约束带进行身体约束，试验组患者使用新式手套式约束器。比较2组患者约束部位的皮肤状况、管路脱出及患者或家属满意度。结果试验组约束部位皮肤异常发生率为0，与对照组13.6%（8/59）比较，差异有统计学意义（χ2=7.880，P＜0.01）；试验组患者或家属满意度为33.3%（18/54），优于对照组的5.1%（3/59），2组比较差异有统计学意义（χ2=16.619，P＜0.01）。结论新式手套式约束器的使用可以给患者最大程度的活动空间，降低对患者的心理负面影响，减少对患者的皮肤及身体伤害，值得临床推广使用。

Objective To investigate the application effects of new-type glove constraint in intensive care unit. Methods A total of 113 eligible patients were randomly divided into two groups by random digits table method, of which 59 patients used the traditional restraint for body constraint in the control group while 54 patients applied the new-type glove constraint in the treatment group. The skin&nbsp;conditions of restraint position, tube coming off and the satisfaction of patients and relatives were compared between two groups. Results The incidence of skin abnormality at restraint position was 0 in the treatment group and 13.6%(8/59) in the control group. The difference had statistical significance (χ2=7.880, P<0.01). The satisfaction of patients and relatives was 33.3%(18/54) in the treatment group and 5.1%(3/59) in the control group, and the difference had statistical significance (χ2=16.619, P<0.01). Conclusions The use of new-type glove constraint may give a maximum activity space to patients;reduce patient′s psychological adverse impacts;and decrease the skin and body damages. It is worthy of clinical promotion and application.