Effect of restriction decision wheel and grade on ICU patients with critical consciousness disorder
10.3969/j.issn.1671-8283.2015.10.009
- VernacularTitle:约束决策轮及等级在重症监护室危重症意识障碍患者中的应用
- Author:
Xiuchan SONG
;
Hong XU
;
Peiduo XIAO
;
Juanli SONG
- Publication Type:Journal Article
- Keywords:
intensive care unit;
consciousness disorder;
constraints decision making wheel and grade
- From:
Modern Clinical Nursing
2015;14(10):33-36
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of restriction decision wheel and grade ICU patients with critical consciousness disorder. Methods Two hundred and fifty four patients in ICU with critical consciousness disorder from July to December 2012, who were intubated and constrained with their limbs due to the risk of unexpected extubation, were divided into the control group (n=125) and the experiment group (n=129), according to registration sequence. The former were constrained to their limbs after evaluation referring to the constraint nursing form and the latter was constrained by using the constraint decision-making wheel and grade. The two groups were compared in terms of restraint rate, unplanned extubation rate, and incidence of skin abnormality. Results The restraint rate of the observation group was significantly lower than that of the control group (P<0.01). There was no incidence of abnormal skin in the two groups. There was no significance in the rate of unplanned extubation between the two groups (P>0.05). Conclusion Constraints decision making wheel and grade is effective in ensuring patients'safety and improving the quality of nursing safety management by reducing unnecessary constraints or the incidence of delayed constraints.
