新型安全防护三件套约束用具在躁动患者中的应用及效果评价

发布时间：2018-05-21 00:33

本文选题：约束 + 身体的　；参考：《中国全科医学》2017年20期

【摘要】：目的探讨新型安全防护三件套约束用具在躁动患者中的应用效果。方法选取连云港市第一人民医院神经内科重症监护室收治的患者,其中2015年7—12月使用传统约束用具的躁动患者66例为对照组,2016年2—7月使用新型安全防护三件套约束用具的躁动患者61例为试验组,比较两组患者在约束期间非计划拔管发生率、皮肤损伤发生率、镇静药物使用率及家属对约束的满意率的差异。结果对照组留置导管总数为164根,非计划拔管18根(10.98%);试验组留置导管总数为179根,非计划拔管4根(2.23%);试验组非计划拔管发生率低于对照组(χ~2=10.894,P=0.001)。试验组皮肤损伤发生率[11.48%(7/61)]低于对照组[39.39%(26/66)](χ~2=12.848,P0.001)。试验组镇静药物使用率[19.67%(12/61)]低于对照组[40.91%(27/66)](χ~2=6.719,P=0.012)。试验组家属满意率[85.25%(52/61)]高于对照组[40.91%(27/66)](χ~2=26.506,P0.001)。结论新型安全防护三件套约束用具能够有效降低躁动患者非计划拔管发生率,减少皮肤损伤的发生,降低镇静药物使用率,提高家属对约束的满意率,值得在临床躁动患者中大力推广应用。
[Abstract]:Objective to explore the effect of three-piece restraint appliance for safety protection in restless patients. Methods the patients were selected from the intensive care unit of Department of Neurology, first people's Hospital of Lianyungang City. Among them, 66 restless patients who used traditional restraint appliances from July to December 2015 as control group, and 61 restless patients who used new safety protection three-piece restraint appliances from February to July 2016 as the experimental group. The incidence of unplanned extubation, the incidence of skin injury, the rate of sedation drug utilization and the satisfaction rate of family members were compared between the two groups. Results the total number of indwelling catheters was 164 in the control group, 18 in the unplanned extubation was 10.98, the total number of the indwelling catheters in the experimental group was 179 and 4 in the unplanned extubation was 2.230.The incidence of unplanned extubation in the experimental group was lower than that in the control group (蠂 ~ 2, 10.894, P < 0.001). The incidence of skin injury in the trial group [11.48 / 7 / 61] was lower than that in the control group [39.39 / 26 / 66] (蠂 ~ (2) 2 + 12.848 / P 0.001). The sedative utilization rate in the trial group [19.67 / 61] was lower than that in the control group [40.91 / 27 / 66] (蠂 ~ (2 / 2) 6.719). The satisfaction rate of family members in the test group [85.25% / 52 / 61] was higher than that in the control group [40.91%, 27 / 66] (蠂 ~ (2 / 2) = 26.506 / P 0.001). Conclusion the new safety protective three-piece restraint appliance can effectively reduce the incidence of unplanned extubation, reduce the incidence of skin injury, reduce the utilization rate of sedative drugs, and increase the satisfaction rate of family members with restraint. It is worth popularizing in clinical restlessness patients.
【作者单位】：江苏省连云港市第一人民医院神经内科;
【分类号】：R473.74

【参考文献】