本文選題：身體約束 + 重癥監(jiān)護(hù)病房　； 參考：《中國護(hù)理管理》2016年07期

【摘要】：目的:評價(jià)規(guī)范化身體約束管理在ICU患者中的應(yīng)用效果。方法:采用目的抽樣,選取杭州市某三級甲等綜合性醫(yī)院的ICU進(jìn)行身體約束的規(guī)范化改進(jìn),對改進(jìn)前后身體約束率、非計(jì)劃拔管率、醫(yī)囑開具比例與正確率進(jìn)行比較。結(jié)果:身體約束率、醫(yī)囑開具比例與正確率改進(jìn)前后有統(tǒng)計(jì)學(xué)差異(P0.01),身體約束率下降后非計(jì)劃拔管率無明顯上升(P0.05)。結(jié)論:通過規(guī)范化身體約束管理,可以明顯降低危重患者的身體約束率,同時(shí)統(tǒng)計(jì)非計(jì)劃拔管率無統(tǒng)計(jì)學(xué)差異,能保障患者安全,減少患者因約束引起的傷害。
[Abstract]:Objective: to evaluate the effect of standardized physical restraint management in ICU patients. Methods: objective sampling was used to select ICU from a general hospital of Grade 3A in Hangzhou to carry on the standardization improvement of body restriction, the rate of unplanned extubation, the proportion of prescribing orders and the correct rate before and after the improvement. Results: there were significant differences in the rate of body restraint, the proportion of prescribing orders and the correct rate before and after the improvement. The rate of unplanned extubation did not increase significantly after the decrease of the rate of physical restraint. Conclusion: the standardized physical restraint management can obviously reduce the rate of body restraint of the critically ill patients, at the same time, there is no statistical difference in the rate of unplanned extubation, which can ensure the safety of the patients and reduce the injuries caused by the constraints of the patients.
【作者單位】： 浙江大學(xué)國際醫(yī)院護(hù)理部;浙江大學(xué)醫(yī)學(xué)院附屬第一醫(yī)院;
【分類號】：R472

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