摘要
目的 探讨精细化护理模式管理模式下ICU患者身体约束率使用现状以及不良事件发生情况。方法 选取2021年6~10月在ICU住院的150例患者作为研究对象,按照入院的奇偶顺序将所有研究对象随机分为对照组和观察组,每组75例。对照组实施传统护理模式,观察组采用精细化护理模式。观察2组身体约束情况、不良事件发生情况、PASS评分、GPOT评分、GCS评分和肌力评价。结果 观察组患者的身体约束率、身体约束时间以及身体约束不良事件发生情况均明显低于对照组,差异有统计学意义(P<0.05)。2组RASS、GPOT、GCS和肌力评分比较,差异无统计学意义(P>0.05)。住院患者RASS、CPOT、GCS以及肌力评分的临界值分别为:0.50分、1.50分、8.50分和1.50分。结论 实施精细化护理管理模式能够有效降低患者约束率,减少约束时间以及降低身体约束相关不良事件发生情况。RASS、CPOT、GCS以及肌力评分对于评判是否应用保护性约束均具有一定指导性意义,重点关注高于临界值患者,为早期开展保护性约束和适时去除约束提供一定数据基础,值得在临床推广。
Objective To explore the current status of ICU patients’ application of physical restraint use rate and occurrences of adverse events under the refined nursing model.Methods A total of 150 patients admitted to ICUs of the Hospital from June 2021 to October 2021 were selected as research subjects,and all the subjects were randomly divided into the control group and the observation group in the odd-even order of admission.The traditional nursing mode was adopted for the control group,and the refined nursing mode was adopted for the observation group.Physical restraint,adverse events,PASS scores,GPOT scores,GCS scores and muscle strength evaluation of two groups were observed.Results Occurrences of physical restraint use rate,physical restraint duration and restraint-related adverse events of patients in the observation group were significantly lower than such indexes of patients in the control group,and differences were statistically significant(P<0.05).Differences in the critical value of RASS,CPOT,GCS and muscle strength index scores was 0.50 point,1.50 points,8.50 points and 1.50 points,respectively.Conclusion The refined nursing management model implemented supports effectively lowering the restraint use rate of patients,decreasing the restraint duration and reducing occurrences of adverse events related to physical restraint.RASS,CPOT,GCS and muscle strength scores deliver certain guiding significance for determining the feasibility of applying protective restraint,focusing on patients above the critical value,providing a certain data basis for early development of protective restraint and timely removal of the restraint,being worthy of clinical promotion.
作者
丁彦芝
李韬锋
晋盼盼
孟利远
耿赞
李锦
孔硕
DING Yanzhi;LI Taofeng;JIN Panpan(The Second Hospital of Hebei Medical University,Hebei,Shijiazhuang 050000,China;不详)
出处
《河北医药》
CAS
2023年第2期305-308,共4页
Hebei Medical Journal
基金
河北省医学科学研究重点课题计划(编号:20170121)。
关键词
精细化护理
ICU患者
保护性约束
临床意义
refined nursing
ICU patients
protective restraint
clinical significance
