ISSN 2096-7446　CN 10-1655/R
主管：中国科协技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 ›› 2020, Vol. 1 ›› Issue (1): 24-30.

• 论著 • 上一篇    下一篇

6项核心策略模型在ICU患者身体约束缩减行动中的应用研究

崔念奇 甘秀妮 金静芬 张传来 周世群 熊桂清 江莲   

  • 出版日期:2020-01-10 发布日期:2020-01-21

Effects of physical restraint reduction interventions based on 6 Core Strategies among patients in ICU

CUI Nianqi, GAN Xiuni, JIN Jingfen, ZHANG Chuanlai, ZHOU Shiqun, XIONG Guiqing, JIANG Lian   

  • Online:2020-01-10 Published:2020-01-21

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摘要： 目的 将6项核心策略模型应用于ICU患者身体约束缩减行动中，以期降低其身体约束的使用。 方法 选取2018年1月-12月入住我院中心ICU的426例患者为研究对象。2018年7月-12月入院的218例患者为试验组，实施涉及6项核心策略模型的身体约束缩减行动；2018年1月-6月入院的208例患者为对照组，采用传统身体约束流程。比较两组身体约束率、身体约束时长及非计划性拔管的发生率。 结果 实施涉及6项核心策略模型的身体约束缩减行动后，ICU患者身体约束使用率由31.25%下降至20.18%，差异具有统计学意义（P< 0.05）;ICU患者身体约束使用时长由25.00(11.00,118.25) h下降至10.50(5.00,18.75) h,差异具有统计学意义(P<0.05);非计划性拔管的发生率由5.29%下降至4.13%,差异无统计学意义(P>0.05). 结论 6项核心策略模型在ICU患者身体约束缩减行动中可降低ICU患者身体约束使用率及身体约束使用时长,不增加非计划性拔管的发生率。

关键词: 约束,身体的, 6项核心策略模型, 重症监护病房, 患者

Abstract: Objective To apply physical restraint reduction interventions based on 6 Core Strategies in order to reduce the utilization rate of physical restraint among patients in ICU. Methods A total of 426 patients admitted to ICU of the hospital from January to December 2018 were selected as the subjects, of which 208 patients admitted from January to June were the control group and 218 patients admitted from July to December 2018 were the experimental group, who were treated with the physical restraint reduction intervention. We recorded the changes in the utilization rate of physical restraint,the duration of the physicalrestraint, and the rate of unplanned extubation between two groups. Results After applying the physical restraint reduction interventions in experimental group,the utilization rate of physical restraint decreased significantly from 31.25% to 20.18%(P<0.05). The duration of physical restraint among patients in ICU decreased from 25.00 (11.00,118.25) h to 10.50 (5.00,18.75) h,the difference was statistically significant(P<0.05).Meanwhile, the rate of unplanned extubation decreased from 5.29% to 4.13%,but the difference was not significant(P>0.05). Conclusion The physical restraint reduction interventions based on 6 Core Strategies reduce the utilization rate of physical restraint and the duration of the physical restraint among patients in ICU but do not increase the rate of unplanned extubation.

Key words: Restraint,Physical, 6 Core Strategies, Intensive Care Units, Patients