护士对缺血性脑卒中介入手术患者实施身体约束管理的现状调查及影响因素分析  

Current status investigation of physical restraint management in stroke interventional surgery patients by nurses and an analysis of its influencing factors

作　　者：钟海 朱小平[1] 胡小龙[2] 徐升祥 罗欢欢 郑子明 马强 Zhong Hai;Zhu Xiaoping;Hu Xiaolong;Xu Shengxiang;Luo Huanhuan;Zheng Ziming;Ma Qiang(Zhongnan Hospital of Wuhan University,Wuhan 430062,China;Interventional Therapy Room,Zhongshan City People's Hospital,Zhongshan Guangdong 528403,China)

机构地区：[1]武汉大学中南医院,武汉430062 [2]广东省中山市人民医院介入治疗室,广东中山528403

出　　处：《保健医学研究与实践》2023年第S02期1-4,共4页Health Medicine Research and Practice

摘　　要：目的调查护士对缺血性脑卒中介入手术患者实施身体约束管理的现状,并探究其影响因素。方法于2022年8月—2022年11月选取广东省介入手术室护士223名为研究对象。通过问卷调查法调查对脑梗介入手术患者实施身体约束管理的现状,并分析其影响因素。结果护士身体约束管理总得分为(115.67±8.44)分,身体约束管理得分在120分以上(即评价为较好)者有75人。通过单因素分析和logistic回归分析,工作年限5年以上、有身体约束培训经历、有医生身体约束医嘱、有专用身体约束流程、科室有身体约束评价、身体约束纳入护理质量评价是脑卒中介入手术护士身体约束质量的积极因素。结论广东省护士对脑卒中介入手术患者实施身体约束管理现状并不理想,整体约束管理水平较为一般,且管理水平受工作年限、相关培训经历及各医院科室身体约束制度影响。Objective To investigate the current status of physical restraint management implemented by nurses on stroke interventional surgery patients and to explore its influencing factors.Methods From August 2022 to November 2022,223 nurses from interventional operating rooms in Guangdong Province were selected as research participants.A questionnaire survey was conducted to investigate the current status of physical management in patients undergoing thrombosis interventional surgery and to analyze the influencing factors.Results The total score of nurse restraint management was(115.67±8.44)points,and 75 nurses scored over 120 points(i.e.,evaluated as better).Through single-factor analysis and logistic regression analysis,more than 5 years of working experience,having undergone physical restraint training,having a doctor's order for physical restraint,having a dedicated physical restraint process,having a departmental physical restraint evaluation,and including physical restraint in the nursing quality evaluation were positive factors for the quality of physical restraint by nurses in stroke interventional surgery.Conclusion The current status of physical restraint management by nurses on patients receiving stroke interventional surgery in Guangdong Province is not ideal.The overall level of restraint management is relatively average and is influenced by factors such as years of work experience,relevant training experience,and the physical restraint systems of various hospital departments.

关 键 词：身体约束管理 脑卒中 介入手术 影响因素 

分 类 号：R473[医药卫生—护理学]