摘要
目的探讨自制球拍式约束手套在防止管道拔脱护理中的效果。方法选取2012年1～11月我科收治90例留置管道、有拔管风险、需肢体约束的患者，合理将他们分为观察组和对照组，观察组患者使用自制球拍式约束手套，对照组使用普通约束带。观察约束的效果，有无滑脱、管道拔出、血行不畅、勒伤或擦伤、舒适度、家属接受等情况，观察并记录血压、心率、脉搏等情况。结果经统计，观察组患者滑脱、管道拔出、血行不畅、勒伤或擦伤、不舒适等情况的发生率均明显低于对照组，家属接受情况优于对照组；观察组患者血压、心率、脉搏的平均值都在正常范围内，生理状况优于对照组患者，具有统计学意义（P〈0．05）。结论自制球拍式约束手套在防止管道拔脱护理中的临床效果好，受到家属认可，耐用时间长，是很好的护理选择方式。
Objective To investigate the nursing effect of preventing tube falling off by self-made racket-constrained gloves. Methods 90 patients with indwelling catheter, risk of extubation, and required limb constraint admitted into our department from January 2012 to November 2012 were reasonably divided into observation group and control group. In the observation group, patients were used self-made racket-constrained gloves, while in the control group, general restraint strap was applied. The constraint effects and situations like tube slippage, tube falling off, unsmooth blood circulation, strangulation or abrasion, comfort, and family acceptance were observed and recorded as well as blood pressure, heart rate and pulse rate. Results In the observation group, the incidences of tube slippage, tube falling off, unsmooth blood circulation, strangulation or abrasion, and discomfort were all lower than those in the con- trol group. The family acceptance was superior to that of the control group. In addition, the average values of blood pressure, heart rate, and pulse rate in the observation group were all within the normal range and the physiological conditions were better than those in the control group. The results mentioned above all had statistical differences （P 〈 0.05）. Conclusion The self-made racket-constrained glove, as an ideal nursing option, obtains a favorable clinical effect in preventing tube falling off, which is also accepted by family members and is durable for a long time.
出处
《中国医药导报》
CAS
2013年第6期121-123,共3页
China Medical Herald
基金
广东省佛山市医学科学技术研究计划项目(项目编号:2012119)
关键词
自制球拍式约束手套
管道拔脱
舒适度
临床效果
Self-made racket-constrained glove
Tube falling off
Comfort
Clinical effect
