Clinical application of body restraint reduction strategy in critically ill patient
10.3760/cma.j.issn.1674-2907.2019.32.005
- VernacularTitle:身体约束缩减策略在危重症患者临床应用的效果研究
- Author:
Yubing LI
1
;
Yingli HU
;
Changyun WEI
;
Yuchen NING
;
Jingya HUANG
Author Information
1. 中国医学科学院北京协和医院急诊科重症监护病房 100730
- Keywords:
Intensive Care Unit;
? Critically ill patient;
? Physical restraint;
? PR reduction strategy
- From:
Chinese Journal of Modern Nursing
2019;25(32):4146-4151
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To evaluate the effect of physical restraintreduction strategy on improving the physical restraint practice of critical patients. Methods? Using convenient sampling method, the inpatients in the Intensive Care Uni(t ICU)of the Emergency Department of a ClassⅢ Grade A hospital in Beijing in 2017 and 2018 were selected as the research objects. According to the length of stay, the inpatients in 2017 were divided into two groups: the control group (n=282), the intervention group (n=263), the control group was given regular physical restraint strategy, and the intervention group used the developed physical restraint reduction strategy to implement the physical restraint. The rate of physical restraint, time of physical restraint, delirium, unplanned extubation and skin abnormality were compared between the two groups. Results? In the intervention group, the rate of physical restraint was 23.57%, and the rate of unplanned extubation was 1.14%, which was lower than that in the control group, the differences were statistically significant (χ2=26.830, 4.142; P＜ 0.05). The restraint time of the intervention group was (49.63±146.94) h, and that of the control group was (93.62± 186.35) h, the difference was statistically significant (t=10.04, P＜0.05). There was no significant difference in the incidence of delirium and skin abnormality between the two groups (P＞0.05). Conclusions? The strategy of body constraint reduction is helpful to reduce the rate of body constraint, the time of constraint and the rate of unplanned extubation.
