改良型上肢约束具应用于ICU护理中效果研究.docVIP

改良型上肢约束具应用于ICU护理中效果研究 　　[摘要]目的 研究对ICU危重患者应用改良型上肢约束具的临床效果。 方法 选择2014年2月～2015年2月在我院ICU住院的192例躁动患者作为临床研究对象。将其随机分为研究组与对照组，各96例。研究组病患使用改良式上肢约束具，对照组病患给予传统手腕约束带加棉布包裹方法约束，对照两组病患的约束效果、对护理的满意程度及护理人员对约束具的使用评价。 结果 研究组管路意外拔出率显著低于对照组（P0.05），约束并发症率也明显低于对照组，两组比较差异有统计学意义（P0.05）；研究组家属对约束护理的满意度评分比对照组高，两组比较差异有统计学意义（P0.01）；护理人员对约束具的评价中，保障约束部位皮肤完整评分、观察方便性评分、工作压力减轻评分均显著高于对照组（P0.05）。 结论 对ICU躁动患者应用改良式上肢约束具，其临床效果及护理满意程度均显著优于传统约束方式，此法值得推广。 　　[关键词]改良；身体约束用具；ICU；安全护理 　　[中图分类号] R473 [文献标识码] B [文章编号] 2095-0616（2016）09-110-04 　　[Abstract] Objective To study the clinical effect of modified upper limb restraint applied by ICU critical patients. Methods 192 patients with restlessness from February 2014 to February 2015 in ICU of my hospital were randomly selected as clinical research object， who were randomly divided into research group and control group， 96 cases in each group. The research group received modified upper limb restraint， while the control group received traditional wrist restraint band and cotton parcel method constraint. The constraint effects， satisfaction on nursing， and utilization evaluation of constraint by nursing staff between the two groups were compared. Results In the research group， the pipeline accident pull out rate was significantly lower than that of the control group （P0.05）， the constraint complication rates were significantly lower than those of the control group， the difference of the two groups was significant （P0.05）. The satisfaction scores of constraint nursing by research groups family was higher than that of the control group， the difference of the two groups was significant （P0.01）. In the constraint evaluation by nursing staff， the score of guaranteeing skin integrity in binding site， observation convenience score， work pressure relief score of the reasarch group were significantly higher than those of the control group （P0.05）. Conclusion The clinical effect and nursing satisfaction of modified upper limb restraint applied by ICU patients with restles