Application of physical restraint clinical pathway in the management of patients with restlessness in ;Neurosurgery Department
10.3760/cma.j.issn.1674-2907.2016.16.022
- VernacularTitle:保护性约束临床路径在神经外科躁动患者管理中的应用效果
- Author:
Aifeng WANG
1
;
Zhengmei WANG
;
Fang WANG
;
Yan JIN
;
Fei SHE
;
Lianshu DING
;
Chunxia SUN
;
Yaling JI
Author Information
1. 223300 南京医科大学附属淮安第一医院神经外科
- Keywords:
Neurosurgery;
Brain injury;
Restlessness;
Physical restraint;
Clinical pathway
- From:
Chinese Journal of Modern Nursing
2016;22(16):2303-2306
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of physical restraint clinical pathway in the management of patients with restlessness in Neurosurgery Department.Methods A total of 84 restless patients with brain injury in neurosurgery of our hospital between October 201 4 and March 201 5 were included and randomly divided into observation group (n =42)and control group (n =42).The routine physical restraint was used in both groups, additionally,the physical restraint clinical pathway was performed in observation group.The nursing quality of physical restraint and satisfaction of patients or their families on the implementation of physical restraint were compared between two groups.Results The duration of first physical restraint in observation group was shorter than that in control group [(32.86 ±8.32)h vs.(35.48 ±8.1 3)h],but the difference between two groups has no statistical significance (t =1 .460,P >0.05).The score of nursing document quality of physical restraint in observation group was higher than that in control group [(98.1 2 ±1 4.1 1 )vs.(90.42 ±1 0.21 )],the difference between two groups was statistically significant (t =-2.865,P <0.05).The incidence of unplanned pulling out of ECG wires,transfusion lines and nasogastric tubes,and the complications of physical restraint such as peripheral circulation block were decreased.The differences between two groups were statistically significant (P <0.05).The satisfaction of patients or their families on the implementation of physical restraint in observation group was higher than that in control group (95.24% vs.78.57%),the difference between two groups was statistically significant (χ2 =5.126,P <0.05).Conclusions The application of physical restraint clinical pathway in the management of patients with restlessness in neurosurgery can increase the safety and effectiveness of physical restraint,reduce the occurrence of accidents,and improve the satisfaction of patients or their families.
