手腕约束手套在老年躁动患者非计划性拔管中的应用  

Effect of wrist restraint gloves on the unplanned extubation of elderly patients with restlessness

作　　者：黄春燕[1] 周春英[1] 张玉霞[1] 钟江英[1] 

机构地区：[1]广东医学院附属医院老年科,湛江524001

出　　处：《中华现代护理杂志》2013年第6期721-723,共3页Chinese Journal of Modern Nursing

摘　　要：目的探讨手腕约束手套在老年躁动患者中非计划性拔管的应用效果。方法选取广东医学院附属医院老年内科病区2011年6月至2012年6月收治的自主行为能力障碍且接受约束的老年躁动患者80例，按入院顺序分为对照组和观察组各40例，对照组患者采用传统手腕约束带，观察组患者采用手腕约束手套，比较两组患者非计划性拔管的发生率及约束效果。 结果观察组患者发生非计划性拔管率为5%，对照组为45%，两组比较差异有统计学意义（χ2=8.273，P〈0.05）；观察组患者满意度为100%，明显高于对照组的30%，两组比较差异有统计学意义（χ2=9.652，P〈0.05）。结论应用手腕约束手套能降低老年躁动患者非计划性拔管的发生率。Objective To investigate the effects of wrist restrain gloves in elderly patients with restlessness on their unplanned extubation. Methods Totals of 80 cases of elderly patients with restlessness were divided into control group and observation group, 40 cases in each group. And traditional wrist restrains were used to the patients in the control group, while the wrist restrain gloves （also know as wave plate ） were applied in the observation group. The frequency of unplanned extubation and the effects of restrain were compared between two groups. Results It showed that the incidence of unplanned extubation in observation group was significantly lower than that in control group （ 5% vs 45% ）, there was statistical difference between two groups （χ2 = 8. 273 ,P 〈 0.05）. And patients＇ satisfaction of observation group was significantly higher than that of control group （ 100% vs 30% ） ,there was statistical difference between two groups （ χ2 = 9. 652,P 〈 0.05）. Conclusions Application of wrist restrain gloves could reduce the incidence of unplanned extubation in elderly patients with restlessness, and improve their satisfaction.

关 键 词：手腕约束手套 老年躁动患者 非计划性拔管 

分 类 号：R473.6[医药卫生—护理学]