Effects of restraint strategy based on group standards in ICU patients
10.3760/cma.j.cn115682-20211201-05407
- VernacularTitle:基于团体标准的约束干预策略在ICU患者中的应用
- Author:
Man GUO
1
;
Shuting ZANG
Author Information
1. 河南省人民医院急诊医学科，河南省护理医学重点实验室，郑州大学人民医院，郑州 450003
- Keywords:
Intensive Care Unit;
Restraint, physical;
Group standard;
Nursing;
Restriction decision-making wheel and grade
- From:
Chinese Journal of Modern Nursing
2022;28(21):2891-2896
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of restraint strategies based on group standars in Intensive Care Unit (ICU) patients.Methods:From December 2020 to April 2021, 385 ICU patients admitted to Henan Provincial People's Hospital were selected by convenience sampling as the research object. The 202 patients admitted from December 2020 to January 2021 were set as the control group, and the 183 patients admitted from February to April 2021 were set as the observation group. The control group implemented routine physical restraint, and the observation group carried out the restraint strategy based on group standards. The physical restraint, the incidence of restraint-associated adverse events between the two groups, the scores of ICU nurses' Physical Restraint Practice Behavior Questionnaire and Physical Restraint Cognition Questionnaire after the improvement of physical restraint measures were compared.Results:The physical restraint time of patients in the observation group was shorter than that in the control group, and the physical restraint rate, the incidence of acral edema, the incidence of acral bruising, and the total incidence of adverse events were all lower than those in the control group, and the differences were statistically significant ( P<0.05) . After the improvement of the physical restraint measures, the scores of ICU nurses' Physical Restraint Practice Behavior Questionnaire and Physical Restraint Cognitive Questionnaire were higher than those before the improvement, and the differences were statistically significant ( P<0.05) . Conclusions:The restraint strategy based on group standards can improve the practical ability and cognitive level of ICU nurses on physical restraint of patients, and can effectively shorten the physical restraint time of ICU patients, reduce unnecessary physical restraints and the incidence of adverse events. It has a good effect in the management of ICU patients' physical restraint.
