Effects of comprehensive restraint reduction program on preventing unplanned extu-bation among ICU patients with tracheal intubation
10.3761/j.issn.0254-1769.2017.05.008
- VernacularTitle:缩减约束方案对预防ICU气管插管非计划性拔管的效果研究
- Author:
Jiaxing LI
;
Zhijun REN
;
Zijun ZHANG
;
Anqi CHENG
;
Tingting ZHANG
;
Xinhua XIA
- Keywords:
Intensive Care Units;
Restraint;
Physical;
Nursing Care;
Patient Satisfaction
- From:
Chinese Journal of Nursing
2017;52(5):549-553
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effects of comprehensive restraint reduction program on preventing un-planned extubation among ICU patients with tracheal intubation. Methods Totally 266 cases of ICU patients with tracheal intubation in our hospital were selected as the research objects using the convenient sampling method.They were divided into two groups by time: the experimental group of 130 cases implementing a comprehensive reduction constraint program and the control group of 136 cases using conventional physical restraint in nursing process.The constraint rate, constraint length, UEX incidence, skin and satisfaction of the two groups were compared. Results In the experimental group, the rate of physical restraint and UEX decreased, the average restraint length of each patient was shortened, skin integrity at the site of restraint improved, and the satisfaction of patients increased. Compared with the control group, the differences were statistically significant(P<0.01 or P<0.05). Conclusion The com-prehensive restraint reduction program can reduce the rate of physical restraint and the incidence of unplanned ex-tubation among ICU patients with tracheal intubation.
