自制新型约束带在神经外科躁动患者中的应用  

Application of homemade restraint strap in restless patients of neurosurgery

作　　者：柏基香[1] 王存祖[1] 徐敏[1] 

机构地区：[1]江苏省苏北人民医院神经外科,扬州225001

出　　处：《中华现代护理杂志》2013年第31期3921-3923,共3页Chinese Journal of Modern Nursing

摘　　要：目的 探讨自制新型约束带在神经外科躁动患者保护性约束应用中的临床效果.方法 将新人院符合条件的76例躁动患者随机分为观察组和对照组各38例.对照组采取普通约束带约束,观察组采取自制新型约束带约束的方法,比较两组患者约束带挣脱率、意外拔管率及医源性受伤情况.结果 观察组患者约束带挣脱率和意外拔管率分别为7.89％（3/38）,2.63％（1/38）,分别低于对照组的26.32％（10/38）,18.42（7/38）,差异均有统计学意义（x2值分别为4.547,5.029;P ＜0.05）.观察组束缚处皮肤损伤率、约束肢体肿胀率分别为7.89％ （3/38）,5.26％ （2/38）,分别低于对照组的28.95％（11/38）,31.58％（12/38）,差异均有统计学意义（x2值分别为5.604,8.756;P ＜0.05）.结论 自制新型约束带在神经外科躁动患者保护性约束应用中能使患者得到安全有效的约束.Objective To explore the effect of homemade restraint strap on restless patients of neurosurgery. Methods The newly admitted 76 restless patients were randomly divided into observation group and control group, each with 38 cases. The control group was taken ordinary restraint strap, and the observation group was taken homemade restraint strap. Then the broken rate of restraint strap, the rate of accidental extubation, the rate of skin lesions and the iatrogenic injury frequency were compared within these two groups. Results The broken rate of restraint strap and the rate of accidental extubation were respectively 7. 89% （3/ 38）, 2. 63% （1/38） in the observation group, which were lower than 26. 32% （ 10/38）, 18.42% （7/38） in the control group, and the differences were statistically significant （ X2 = 4. 547,5. 029, respectively; P 〈 0. 05 ）. The rate of skin lesions and the rate of swelling in the constraint limb were respectively 7. 89% （3/38） , 5.26% （2/38） in the observation group, which were lower than 28.95% （11/38）, 31.58% （12/38） in the control group, and the differences were statistically significant （ X2 = 5. 604,8. 756, respectively ; P 〈 0. 05 ）. Conclusions Homemade restraint strap supplies patients with effective and safe constraints in neurosurgery, and it is worthy to be widely used in our clinical work.

关 键 词：革新推广 约束带 躁动 神经外科 

分 类 号：R472[医药卫生—护理学]