新型约束护理用具在危重患者中的应用

目的：探讨新型约束护理用具在重症监护病房（ICU）危重患者中的应用效果.方法：采用透气性强的棉织品材料改良三种约束工具：双保险约束带、球拍手套和安全背心.随机将100例急性生理和慢性健康评分系统（APACHEⅡ）评分≥10分患者分为观察组（51例）和对照组（49例）,分别应用改良式约束护理工具及传统约束用具,对患者进行防护性约束,比较两组患者并发症的发生率、家属满意率及护士心理压力.结果：观察组患者并发症发生率低于对照组（P＜0.05）；家属满意率方面,观察组明显高于对照组（P＜0.05）；护士的心理压力方面,观察组明显低于对照组（P＜0.05）.结论：改良式约束护理用具能有效降低护理并发症,提高家属对约束用具的满意度.

Application of a new type of constraint care in critically ill patients

Objective：To explore the new constraint care in the intensive care unit （ICU） application in critically ill patients.Methods：the breathable cotton material modified strong three constraints：double insurance constraints,racket gloves and safety vest.Methods：100 cases with APACHE Ⅱ ≥ 10 were divided into observation group （51 cases） and control group （49 cases）,respectively application of modified constraint care tools and traditional restraint appliance,protective restraint on the patients,compared two groups of patients with complications,family satisfaction and nurse psychological pressure.Results：The patients in the observation group were higher than control group （P 〈 0.05）.Aspects of family satisfaction rate,the observation group was significantly higher than that of the control group （P 〈 0.05）.The nurse＇s psychological pressure,the observation group was significantly lower than that of the control group （P 〈 0.05）.Conclusion：The modified constraint care can reduce complications,improve family＇s restraint appliance satisfaction.