神经内科重症监护室患者身体约束使用情况及相关影响因素分析  

Analysis of Use of Physical Restraint and Related Influencing Factors of Patients in Neurological Intensive Care Unit

作　　者：李梦璐 刘畅[1] LI Menglu;LIU Chang(Affiliated Zhongda Hospital of Southeast University,Nanjing 210009,China;不详)

机构地区：[1]东南大学附属中大医院,江办南京210009

出　　处：《中外医学研究》2024年第29期152-156,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：东南大学附属中大医院护理科研立项重点课题项目(KJZC-HL-202103)。

摘　　要：目的:分析神经内科重症监护室(ICU)患者身体约束使用情况及相关影响因素。方法:采用方便抽样法选择2022年5月—2023年8月在东南大学附属中大医院神经内科ICU治疗的200例重症患者为研究对象。采用问卷调查收集患者一般资料、行为特征、治疗特征等,采用logistic回归分析神经内科ICU患者身体约束使用影响因素。结果:200例神经内科ICU患者,135例使用身体约束,使用率为67.50%。不同身体约束使用情况神经内科ICU患者意识状态、谵妄、跌倒风险、压力性损伤风险、留置管道类型比较,差异有统计学意义(P<0.05)。logistic回归分析检验结果显示,意识障碍、谵妄、高跌倒风险、极度/高度压力性损伤风险、留置高危管道是神经内科ICU患者身体约束使用的危险因素(P<0.05)。结论:神经内科ICU患者身体约束使用率较高,与意识障碍、谵妄、高跌倒风险、极度/高度压力性损伤风险、留置高危管道有关。Objective:To analyze the use of physical restraint and related influencing factors of patients in Neurological Intensive Care Unit(ICU).Method:A convenient sampling method was used to select 200 critically ill patients who treated in the Department of Neurological ICU of Affiliated Zhongda Hospital of Southeast University from May 2022 to August 2023 as the study subjects.Questionnaires were used to collect general information,behavioral characteristics and treatment characteristics of patients,logistic regression was used to analyze the influencing factors of physical restraint use of patients in Neurological ICU.Result:Among 200 patients in Neurological ICU,135 patients used physical restraint,with a utilization rate of 67.50%.There were statistically significant differences in the consciousness state,delirium,fall risk,stress injury risk and indwelling pipeline type among patients in Neurological ICU with different physical restraint use(P<0.05).The results of logistic regression analysis showed that disturbance of consciousness,delirium,high risk of falls,extreme/high risk of pressure injury and indwelling high-risk pipelines were risk factors for the use of physical restraints in patients in Neurological ICU(P<0.05).Conclusion:The utilization rate of physical restraint in patients in Neurological ICU is high,which is related to disturbance of consciousness,delirium,high risk of falls,extreme/high risk of pressure injury and indwelling high-risk pipelines.

关 键 词：神经内科重症监护室 身体约束 影响因素 

分 类 号：R473.74[医药卫生—护理学]