主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
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规范ICU患者身体约束管理实践

冯志仙 冯洁惠 黄春美 杨静雯   

  1. 浙江大学国际医院护理部(冯志仙,黄春美);浙江大学医学院附属第一医院(冯洁惠,杨静雯)
  • 出版日期:2016-07-25 发布日期:2016-07-25

The practice of standardized physical restraint management on Intensive Care Unit patients

  • Online:2016-07-25 Published:2016-07-25

摘要: 目的:评价规范化身体约束管理在ICU 患者中的应用效果。方法:采用目的抽样,选取杭州市某三级甲等综合性医院的ICU 进行身体约束的规范化改进,对改进前后身体约束率、非计划拔管率、医嘱开具比例与正确率进行比较。结果:身体约束率、医嘱开具比例与正确率改进前后有统计学差异(P <0.01),身体约束率下降后非计划拔管率无明显上升(P >0.05)。结论:通过规范化身体约束管理,可以明显降低危重患者的身体约束率,同时统计非计划拔管率无统计学差异,能保障患者安全,减少患者因约束引起的伤害。

Abstract: Objective: To explore the effects of standardized physical restraint management on Intensive Care Unit patients. Methods: Using purposive sampling, we chose an Intensive Care Unit from a tertiary comprehensive hospital in Hangzhou to make a standardized physical restraint improvement, and compared the physical restraint rate, unplanned extubation rate, the proportion of physician orders and the correct rate of orders before and after the improvement. Results:There were statistically significant differences (P<0.01) in the physical restraint rate, the proportion of physician orders and the correct rate of orders before and after the improvement, while unplanned extubation rate has no obvious increase with the decline of the physical restraint rate (P>0.05). Conclusion: Standardized physical restraint management can obviously reduce the physical restraint rate in critically ill patients and can reduce adverse events and hospitalization expenses caused by the physical restraint. Meanwhile, there was no significant difference in unplanned extubation rate, which can ensure patients’ safety and reduce damages caused by the restraint.