基于量化评估策略下的身体约束管理在ICU患者中的应用效果  

Application effect of physical restraint management based on quantitative assessment strategy in ICU patients

作　　者：赵薇[1] 李惠芬 连斌 贾艳 程静娟 倪春燕 陆小良 杜秋月 ZHAO Wei;LI Huifen;LIAN Bin;JIA Yan;CHENG Jingjuan;NI Chunyan;LU Xiaoliang;DU Qiuyue(ICU,Suzhou Science and Technology City Hospital Affiliated to Nanjing Medical University,Jiangsu Province,Suzhou215153,China;Department of Nursing,Suzhou Science and Technology City Hospital,Nanjing Medical University,Jiangsu Province,Suzhou215153,China)

机构地区：[1]南京医科大学附属苏州科技城医院ICU,江苏苏州215153 [2]南京医科大学附属苏州科技城医院护理部,江苏苏州215153

出　　处：《中国医药导报》2022年第1期166-169,共4页China Medical Herald

基　　金：江苏省重点研发计划专项资金项目(BE2018669)。

摘　　要：目的探讨基于量化评估策略下的身体约束管理在重症监护病房(ICU)患者中的应用效果。方法选择2019年5月至2020年9月苏州市立医院ICU收治的83例患者,采用随机数字表法分为试验组42例、对照组41例。同时选择30名ICU护士,采用随机数字表法分为试验组、对照组各15名。对照组给予患者经验式的身体约束管理,试验组基于量化评估策略下的身体约束管理。比较两组护士身体约束管理知信行水平、患者身体约束情况、患者家属身体约束满意度。结果管理后两组护士约束知识、约束态度、约束行为、约束知信行总分高于管理前,且试验组高于对照组,差异有统计学意义(P<0.05)。试验组身体约束率、约束相关并发症低于对照组;试验组约束时间短于对照组,差异有统计学意义(P<0.05)。试验组家属身体约束满意率高于对照组,差异有统计学意义(P<0.05)。结论基于量化评估策略下的身体约束管理有助于增强ICU护士身体约束知信行水平,降低ICU患者身体约束率及相关并发症,提高家属满意度。Objective To explore the application effect of physical restraint management based on quantitative assessment strategy in intensive care unit(ICU)patients.Methods A total of 83 patients admitted to the ICU of Suzhou Municipal Hospital from May 2019 to September 2020 were selected.Using random number table method,they were divided into 42 cases in the treatment group and 41 cases in the control group.At the same time,a total of 30 ICU nurses were selected and divided into the treatment group and the control group with 15 nurses in each group by random number table method.The control group was given empirical physical restraint management for patients,while the treatment group was based on physical restraint management under the quantitative assessment strategy.The physical restraint management knowledge,beliefs,and practice(KBP)of two groups of the nurses,the physical restraint situation,and family members’physical restraint satisfaction of the patients were compared.Results After the management,the total scores of the two groups of nurses’of restraint knowledge,restraint attitude,restraint behavior,and restraint knowledge,belief,and practice were higher than those before management,while the test group was higher than the control group,and the differences were statistically significant(P<0.05).The physical restraint rate and restraint-related complications of the test groups were lower than those of the control group;the restraint time of the test group was shorter than that of the control group,and the differences were statistically significant(P<0.05).The satisfaction rate of family members in the experimental group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Physical restraint management based on quantitative assessment strategies can help enhance ICU nurses’knowledge,beliefs,and practice of physical restraint,reduce the rate of physical restraint and related complications of ICU patients,and improve family satisfaction.

关 键 词：重症监护病房 身体约束 量化评估 知信行 安全护理 

分 类 号：R472[医药卫生—护理学]