摘要
目的 探索一种患者及家属不能随意取下、方便实用、安全可靠、患者舒适度高、符合伦理的锁扣式保护性约束工具的临床应用效果.方法 设计锁扣式约束工具后,采用便利抽样法,选择2014年1月—2016年12月在浙江省中医院神经内科住院的患者80例,随机分为观察组和对照组,各40例.观察组采用锁扣式约束工具约束患者,对照组采用传统约束手套和约束带约束患者.在约束期间观察两组患者普通导尿管、普通胃管和颈内静脉置管的意外拔管发生率以及约束部位皮肤完整性.同时调查两组患者家属对约束工具的满意度.结果 观察组患者普通导尿管、普通胃管意外拔管率低于对照组,差异有统计学意义（P〈0.05）,两组颈内静脉置管的意外拔管率差异无统计学意义（P〉0.05）.对照组有2例患者保护性约束部位出现皮肤变红,观察组患者未发生皮肤完整性受损.观察组患者家属对约束工具的满意度高于对照组,差异有统计学意义（P〈0.05）.结论 规范使用锁扣式约束工具,可以降低躁动患者的意外拔管率,患者家属满意度高,符合伦理,可在需保护性约束的患者中推广使用.
Objective To explore the clinical application effect of a locking type restraint tool that patients and their families cannot take down at will, convenient and practical, safe and reliable, comfortable and ethical.Methods After designing the locking restraint tool, 80 patients in the Neurology Department of Zhejiang Provincial Hospital of TCM from January 2014 to December 2016 were selected by convenient sampling method. The participants were randomly divided into the experimental group and the control group, each with 40 cases. The patients in the experimental group were controlled by locking restraint tools, while patients in the control group were treated with traditional bound gloves and restraint bands. The incidence of accidental extubation （i.e. conventional catheters, common gastric tubes and internal jugular vein catheters） and the skin integrity of the restricted site was compared between the two groups. Moreover, the satisfaction of the family members for the constraint instruments was investigated.Results The experimental group had significantly lower accidental extubation rate for conventional catheter and common gastric tubes compared with the control group （P〈0.05）. However, there were no significant differences in accidental extubation rate for internal jugular vein catheters between two groups （P〉0.05）. There were two patients in the control group had skin redness at the protective constraint site but the experimental group did not suffer from skin integrity damage. The satisfaction level of the family members in the experimental group was significantly higher than that in the control group （P〈0.05）.Conclusions The standard use of locking restraint tools can effectively reduce the accidental extubation rate in patients with restlessness, and improve the satisfaction of the family members. It is ethical and can be further applied in patients who need protective restraint.
出处
《中华现代护理杂志》
2017年第27期3517-3519,共3页
Chinese Journal of Modern Nursing
关键词
约束
身体的
患者满意度
躁动
锁扣式约束工具
意外拔管
Restrain
physical
Patient satisfaction
Restlessness
Locking type restraint tool
Accidental extubation
