摘要
总结将缩减身体约束策略应用于心脏外科ICU成人患者的护理经验,包括:制订并实施缩减心脏术后成人患者身体约束的行动策略,通过建立规范的约束评估方法和约束实施流程,营造全员参与的“最小化约束”组织文化.通过6个月的实践,心脏术后患者的身体约束时长缩短,镇静药物使用时长减少,入住ICU的不适感减轻,未发生非计划性拔管及其他约束相关并发症;医护人员对身体约束有了更好的认知.
Summarized nursing practice experience of physical restraint reduction strategyamong adult ICU patients after cardiac surgery,including formulating and implementing action strategy to reduce physical restraint in adult patients after cardiac surgery,establishing standardized restraint assessment method and implementation procedure to create a"minimal restraint"organizational culture with full participation.After implementation of the interventions for six months,the duration of physical restraint and sedative use were decreased without increasing the risk of unplanned extubation and physical restraint related complications.The patients have felt more comfortable and the health care workers had a better perception on physical restraint.
作者
刘静
潘尧云
石苗苗
王光来
林清冰
崔朝妹
LIU Jing;PAN Yaoyun;SHI Miaomiao;WANG Guanglai;LIN Qingbing;CUI Zhaomei
出处
《中华急危重症护理杂志》
2020年第4期323-327,共5页
Chinese Journal of Emergency and Critical Care Nursing
基金
山东第一医科大学附属省立医院2019-2020年院内护理科研立项(HL2019-03)
关键词
心脏外科手术
重症监护
约束
身体的
循证实践
Cardiac Surgical Procedures
Intensive Care
Restraint,Physical
Evidence-Based Practice