基于6CS模型的身体约束等级评估方案在预防ICU气管插管非计划拔管中的实施  

Implementation of physical constraint rating evaluation scheme based on 6CS model in the prevention of unplanned extubation of tracheal intubation in ICU

作　　者：王笑笑[1] 陶玲[2] 贲艳丽[1] WANG Xiaoxiao;TAO Ling;BEN Yanli(Department of Nursing,The People’s Hospital of Xinjiang Uyghur Autonomous Region,Urumqi 830001,China;Department of Hematology,The People’s Hospital of Xinjiang Uyghur Autonomous Region,Urumqi 830001,China)

机构地区：[1]新疆维吾尔自治区人民医院护理部,乌鲁木齐830001 [2]新疆维吾尔自治区人民医院血液科,乌鲁木齐830001

出　　处：《新疆医科大学学报》2021年第4期510-513,共4页Journal of Xinjiang Medical University

基　　金：新疆维吾尔自治区自然科学基金(2018D01C098)。

摘　　要：目的探讨基于6CS模型的身体约束等级评估方案应用于ICU气管插管非计划拔管的实施效果。方法选取2019年1-12月入住新疆某三级甲等医院的重症医学科的265例行气管插管术的患者为研究对象,其中2019年1-6月的130例患者为对照组,采用的是本院现行的预防ICU非计划拔管的护理方案;2019年7-12月的135例患者为试验组,采用的是基于6CS模型的身体约束等级评估方案。比较两组患者的非计划性拔管率、身体约束工具使用率及皮肤损伤的发生率。结果实施干预后,ICU患者非计划性拔管的发生率由6.9%下降至2.2%;身体约束工具使用率由30.0%下降至17.8%;皮肤损伤的发生率由5.4%下降至1.5%,两组比较差异均有统计学意义(P<0.05)。结论基于6CS模型的身体约束等级评估方案应用ICU气管插管的患者中,能显著降低ICU非计划拔管率、降低身体约束工具使用率和减少皮肤损伤率,为科学制定ICU患者安全管理方案提供理论依据,该方案值得在临床推广和应用。Objective To explore the implementation effect of the physical restraint grade evaluation scheme based on the 6 CS model in ICU endotracheal intubation unplanned extubation.Methods A total of 265 patients undergoing endotracheal intubation admitted to the department of critical Care medicine of our hospital from January to December2019 were enrolled as the study subjects,including 130 patients admitted from January to June 2019 as the control group,using our current plan to prevent unplanned extubation in ICU.A total of 135 patients from July to December2019 were included as the experimental group,and a 6 CS model based physical constraint rating evaluation scheme was adopted.The unplanned extubation rate,restraint band usage rate and the incidence of skin injury were compared between the two groups.Results After intervention,the incidence of unplanned extubation in ICU patients decreased from 6.9%to 2.2%.The use rate of physical restraint bands decreased from 30.0%to17.8%;The incidence of skin injury decreased from 5.4%to 1.5%,and the differences were statistically significant(P<0.05).Conclusion In patients with endotracheal intubation in ICU,the 6 CS model based physical restraint grade assessment program can significantly reduce the rate of unplanned extubation in ICU,the use rate of restraint bands,and the rate of skin injury,which can increase the theoretical basis for the scientific development of the ICU patient safety management scheme.Therefore,this scheme is worth promoting and applying in clinical practice.

关 键 词：6CS 身体约束 ICU 患者 非计划拔管 实施 

分 类 号：R473[医药卫生—护理学]