重症患儿多功能约束衣的制做与应用  

Production and application of multifunctional strait-jacket in severe children

作　　者：何晓玲[1] 柏晓玲[2] 伍桂平 叶春香[1] 

机构地区：[1]贵州省人民医院儿科重症监护病房,贵阳550002 [2]贵州省人民医院儿科护理部,贵阳550002

出　　处：《中国实用护理杂志》2015年第16期1240-1241,共2页Chinese Journal of Practical Nursing

基　　金：贵州省科技计划课题{黔科合LH字[2014]7031号

摘　　要：儿科重症监护病房患儿病重无家属陪伴，常烦躁哭闹、撞伤或抓伤自己，拔掉安置在身体上各种导线和威导管等，甚至发生坠床等不良事件。为确保患儿安全，我科制做了一款多功能约束衣，并应用在临床以解决上述问题。该约束衣衣身为开放结构，便于安装导线及开展各种操作；肩部、袖口处设扣袢，用布带穿过扣袢，系于病床护栏，从而将患儿固定在病床上，以防止其翻滚移位；袖口翻叠的“手套”既可避免患儿因躁动而抓伤皮肤、拔掉管线，又可起到手掌保暖的作用；腰部增加2块约束片，既对患儿的腰部进行约束又对腹部保暖。经临床应用，该约束衣可防止因约束不当引发皮肤擦伤、肢体受损、血液循环障碍等并发症的发生，为患儿减轻了痛苦。Children without company of parents in pediatric intensive care unit, often irritable crying, injured, or scratching themselves,pulling in all kinds of wire and/or catheter on the body, and even adverse events, such as dropping of bed. To ensure the safety of the children, we invent a multifunctional strait-jacket, and it is applied in clinic in order to solve the above problems. The structure of this strait-jacket is open, easy to install wire and all kinds of operation; shoulder, cuff with button loops fix bed guardrail by a rope, to prevent the roll shift; cuff with double fold ＂gloves＂ can avoid scratch the skin, remove the line, having the effect of palm warm; waist adding two constraints, not improving constraints on the waist but abdomen to keep warm. By clinical application, this strait-jacket improves the comfort of the constraint, can prevent the occurrence of complications due to improper constraints, such as skin abrasions, physical damage, blood circulation obstacle, alleviate the pain for the children.

关 键 词：约束 身体的 重症患儿 制做 应用 

分 类 号：R472[医药卫生—护理学]