约束决策轮联合规范化约束护理在神经外科身体约束中的应用分析  

Application Analysis of Restraint Decision Wheel Combined with Standardized Restraint Nursing in Neurosurgery Physical Restraint

作　　者：钟弋云[1] 王红娟[1] 钟金取 李共梅 方美娟 侯嘉敏 廖玉冰 Zhong Yi-yun;Wang Hong-juan;Zhong Jin-qiu;Li Gong-mei;Fang Mei-juan;Hou Jia-min;Liao Yu-bing(Department of Neurosurgery,Xinhui District People's Hospital of Jiangmen,Jiangmen 529100,Guangdong Province,China)

机构地区：[1]江门市新会区人民医院神经外科,广东江门529100

出　　处：《中外医药研究》2022年第7期121-123,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:探讨约束决策轮联合规范化约束护理在神经外科身体约束中的应用效果。方法:选取2018年4-6月江门市新会区人民医院神经外科收治的138例患者为对照组,选取2018年7-9月江门市新会区人民医院神经外科收治的140例患者为观察组。对照组护士通过护理经验判定并对患者实行规范化身体约束护理,观察组护士根据约束决策轮判定并进行规范化约束护理,观察两组患者身体约束率、身体约束平均时数、非计划性拔管、跌倒及约束相关不良事件发生率情况。结果:观察组身体约束率低于对照组,差异有统计学意义(P<0.05);观察组身体约束平均时数低于对照组,差异有统计学意义(P<0.05)。两组非计划拔管率、跌倒发生率比较,差异无统计学意义(P>0.05)。观察组约束相关不良事件发生率低于对照组,差异有统计学意义(P<0.01)。结论:使用约束决策轮作为是否约束护理及等级评估患者是否需要约束,能有效降低神经外科住院患者身体约束率和约束时数,减少约束相关不良事件的发生。Objective:To explore the application effect of restraint decision wheel combined with standardized restraint nursing in neurosurgery physical restraint.Methods:A total of 138 patients admitted to Neurosurgery Department of Xinhui District People's Hospital of Jiangmen from April 2018 to June 2018 were selected as the control group.Another 140 patients admitted to Neurosurgery Department of Xinhui District People's Hospital of Jiangmen from July 2018 to September 2018 were selected as the observation group.In the control group,nurses judged and implemented standardized physical restraint nursing for patients through nursing experience.In the observation group,nurses judged and implemented standardized restraint nursing according to the restraint decision wheel.The physical restraint rate,physical restraint average hour number,incidences of unscheduled extubation,falling and restraint-related adverse events in two groups were observed.Results:The physical restraint rate in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The physical restraint average hour number in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).There were no significant differences in the incidences of unscheduled extubation and falling between the two groups(P>0.05).The incidence of restraint-related adverse events in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.01).Conclusion:The use of restraint decision wheel as restraint nursing and grade evaluation of whether patients need restraints can effectively reduce the physical restraint rate and restraint hours of inpatients in neurosurgery department,and reduce the occurrence of restraint-related adverse events.

关 键 词：约束决策轮 神经外科 身体约束 约束时数 

分 类 号：R47[医药卫生—护理学]