目的探讨个性化应用新型约束用具在危重患者护理中的效果研究。方法将人选的危重患者按住院的先后顺序编号,根据随机数字表法将354例患者分为对照组177例,采用普通约束带约束双上肢或四肢;观察组177例,使用新型约束用具实施个性化约束,规范约束流程,强调约束方法、约束部位、约束时间和约束用具选择等的个性化、人性化。结果观察组约束部位皮肤异常(红肿、淤青或损伤)、非计划性拔管发生率均低于对照组,差异有统计学意义(P〈0.05)。结论实施个性化应用新型约束用具能降低约束引起的并发症,保证患者安全,提高护理安全管理效果。
Objective To investigate the application effects of the new restraint tools in the critical patient care. Methods A total of 354 critical patients were averagely divided into observation group and control group according to the order number with random number table. The patients in the control group were routinely used ordinary restraint belt with restraint upper limbs or limbs, while the patients underwent the new restraint tools and implemented personalized restraint that emphasize personalized and humanized on restraint of method, site, time and tools selecting. Results In the observation group, binding site skin abnormalities ( swelling, bruising or injury ), unplanned extubation rates were lower than these of the control group ( P 〈 0.05 ). Conclusions Personalized application of the new restraint tool can reduce restraint adverse events, ensure patient safety and improve effectiveness of care and safety management.