规范ICU患者身体约束管理实践

发布时间：2018-04-23 02:07

本文选题：身体约束 + 重症监护病房　；参考：《中国护理管理》2016年07期

【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(P0.01),身体约束率下降后非计划拔管率无明显上升(P0.05)。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 evaluate the effect of standardized physical restraint management in ICU patients. Methods: objective sampling was used to select ICU from a general hospital of Grade 3A in Hangzhou to carry on the standardization improvement of body restriction, the rate of unplanned extubation, the proportion of prescribing orders and the correct rate before and after the improvement. Results: there were significant differences in the rate of body restraint, the proportion of prescribing orders and the correct rate before and after the improvement. The rate of unplanned extubation did not increase significantly after the decrease of the rate of physical restraint. Conclusion: the standardized physical restraint management can obviously reduce the rate of body restraint of the critically ill patients, at the same time, there is no statistical difference in the rate of unplanned extubation, which can ensure the safety of the patients and reduce the injuries caused by the constraints of the patients.
【作者单位】：浙江大学国际医院护理部;浙江大学医学院附属第一医院;
【分类号】：R472

【相似文献】