保护性身体约束护理干预在急诊科中的应用

目的探究保护性身体约束护理干预在急诊科中的应用效果。方法选取2017年2月至2018年2月急诊科收治的500例患者作为研究对象,按照随机数字表法将患者分为观察组和对照组,各250例。对照组采取常规护理干预,观察组在对照组基础上给予保护性身体约束护理干预。评价患者并发症发生情况,选取患者院内转运时间、护理质量评分作为评价指标,比较干预后两组患者医疗纠纷发生率和焦虑自评量表(SAS)评分。结果护理干预后,观察组患者并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。干预后,观察组院内转运时间明显优于对照组,护理质量评分明显高于对照组,差异有统计学意义(P<0.05)。干预后,观察组患者医疗纠纷发生率及SAS评分明显高于对照组,差异有统计学意义(P<0.05)。结论保护性身体约束护理干预能有效预防急诊科患者的并发症发生,提高院内转运效率和护理质量,但会对患者生理和心理造成一定的伤害,护理人员应规范使用。

Application of protective body restraint nursing intervention in emergency department

Objective To explore the application of protective body restraint nursing intervention in emergency department.Methods A total of 500 patients admitted to the emergency department from February 2017 to February 2018 were selected as the subjects of the study.The patients were divided into observation group and control group with 250 cases each according to the random number table method.The control group adopted routine nursing intervention,and the observation group was given protective body restraint nursing intervention on the basis of the control group.The incidence of complications in patients was evaluated,the hospital transfer time and nursing quality score of patients were selected as evaluation indexes,and the incidence of medical disputes and anxiety self-rating scale(SAS)scores of the two groups of patients after intervention were compared.Results After nursing intervention,the complication rate of the observation group was significantly lower than that of the control group,the difference was statistically significant(P<0.05).After intervention,the hospital transfer time in the observation group was significantly better than that in the control group,and the nursing quality score was significantly higher than that in the control group,the difference was statistically significant(P<0.05).After intervention,the incidence of medical disputes and SAS score in the observation group were significantly higher than that in the control group,with statistically significant differences(P<0.05).Conclusions Protective body restraint nursing intervention can effectively prevent the complications of emergency department patients,improve the hospital transport efficiency and quality of care,but it will cause certain physical and psychological harm to patients,nursing staffs should be standardized use.