体验式教学在ICU缩减约束行动中的应用研究

目的将体验式教学应用于ICU护士身体约束培训,探讨其在缩减约束行动中的效果。方法采取便利抽样法,选取2017年1月—2018年10月在石家庄市某三级甲等医院ICU的903例住院患者为研究对象。将2017年1—10月的491例患者设为对照组,2018年1—10月的412例患者设为试验组。对照组采用常规约束护理,试验组采取缩减约束护理,比较两组身体约束率、身体约束合格率、身体约束护理文件书写质量及患者满意度得分。结果试验组患者约束率为62.14%(256/256),低于对照组的71.69%(352/491),试验组约束合格率89.06%(228/256),高于对照组的80.68%(284/352),两组比较差异均有统计学意义(P<0.05)。试验组身体约束护理文件书写质量得分(98.32±2.22)分,患者家属满意度得分(98.11±2.53)分,均高于对照组,两组得分比较差异均有统计学意义(P<0.05)。结论基于体验式教学的缩减约束护理降低了ICU患者身体约束率,提高了身体约束质量和患者满意度,值得临床推广。

Application of experiential teaching in reducing and restricting actions in intensive care units

Objective To explore experiential teaching to physical restraint training for intensive care nurses and its effects in reducing restraint actions.Methods 903 inpatients in ICU from January 2017 to October 2018 in a ClassⅢGrade A hospital in Shijiazhuang were selected as the subjects by convenient sampling.491 patients from January to October 2017 were set as the control group,and 412 patients who implemented the experiential teaching method from January to October 2018 were set as the test group.The control group was given routine restraint nursing,and the test group was given reduced restraint nursing.The physical restraint rates,qualified rates of physical restraint,writing quality of physical restraint nursing documents and patient satisfaction scores were compared between the two groups.Results The restraint rate of patients in the test group was 62.14%(256/412),which was lower than that 71.69%(352/491)in the control group,the qualified rate of restraint in the test group was 89.06%(228/256),which was higher than that 80.68%(284/352)in the control group,the differences between the two groups were statistically significant(P<0.05).Quality score of writting quality of physical restraint nursing documents in the test group was(98.32±2.22),and the patients satisfaction score was(98.11±2.53),which were higher than those in the control group,there were statistically significant differences between the two groups(P<0.05).Conclusions Reduced restraint nursing based on experiential teaching reduces the physical restraint rate of ICU patients,improves the quality of physical restraint and patient's satisfaction of nursing,and it is worthy of clinical promotion.