医护合作决策危重患者身体约束缩减方案的实施

目的 探讨医护合作决策危重患者身体约束缩减方案的实施效果.方法 将ICU 2019年7月至2020年2月收治的273例患者设为对照组,2020年4～11月收治的307例患者设为干预组.对照组常规给予身体约束策略,干预组实施医护合作决策的身体约束缩减策略.比较两组身体约束率、身体约束时间及谵妄、非计划拔管、皮肤损伤发生率...

Practice of ICU medical-nursing cooperative decision-making in the reduction of critically ill patients' physical restraint

Objective To explore the application effect of the medical-nursing cooperative decision-making on the reduction of physical restraints in critically ill patients.Methods A total of 273 ICU patients admitted from July 2019 to February 2020 were regarded as a control group,and the other 307 ICU patients admitted from April to November 2020 were taken as an intervention group.The control group was routinely given a physical restraint strategy,while the intervention group received a physical restraint reduction strategy of medical-nursing cooperative decision-making.The physical restraint rate,physical restraint time and the incidence of delirium,unplanned extubation,and skin damage were compared between the two groups.Results The physical restraint rate of the intervention group was 34.20%,and its restraint time was(25.49±9.61)h,which were significantly lower or shorter than 53.85%and(31.73±10.26)h of the control group,and the incidence of delirium and skin damage in the intervention group were significantly lower than those of the control group(P<0.05,P<0.01),while there was no significant difference in the incidence of unplanned extubation between the two groups(P>0.05).Conclusion The application of ICU physical restraint reduction program under the medical-nursing cooperative decision-making can standardize the physical restraint operation process,ensure the rationality of restraint,reduce physical restraint rate and related complications,and shorten physical restraint time.