摘要
目的探讨多元化护理干预在重症监护室(ICU)患者身体约束的应用效果。方法选取2019年7月至12月南昌大学第二附属医院收治的88例危重患者作为研究对象,按照随机数字表法分为对照组(44例)和试验组(44例)。对照组采取常规身体约束护理,试验组采取多元化护理。比较两组的身体约束率、谵妄发生率,记录两组的约束时间,调查患者对护理满意度。结果试验组的身体约束率为45.45%、谵妄发生率为4.55%,低于对照组的72.73%、20.45%,差异均有统计学意义(P<0.05)。试验组的约束时间为(80.87±7.23)h,短于对照组的(158.94±10.26)h,试验组的护理满意度评分为(88.76±5.28)分,高于对照组的(80.97±5.26)分,差异有统计学意义(P<0.05)。结论多元化护理干预能减少ICU患者的身体约束,缩短约束时间,促进护理满意度提升。
Objective To explore the effect of multiple nursing intervention on physical restraint of intensive care unit(ICU)patients.Methods A total of 88 critically ill patients admitted to the Second Affiliated Hospital of Nanchang University from July to December 2019 were selected as the research subjects.According to the random number table method,they were divided into the control group(44 cases)and the experimental group(44 cases).The control group received conventional physical restraint nursing,and the experimental group received diversified nursing.The rate of physical restraint and the incidence of delirium were compared between the two groups,and the time of restraint was recorded to investigate patients′satisfaction with nursing.Results The rates of physical restraint and delirium in the experimental group were 45.45%and 4.55%,both lower than those in the control group of(72.73%and 20.45%),and the differences were statistically significant(P<0.05).The constraint time of the experimental group was(80.87±7.23)h,shorter than that of the control group of(158.94±10.26)h,and the nursing satisfaction score was(88.76±5.28)points,which was higher than that of the control group of(80.97±5.26)points,with statistical differences(P<0.05).Conclusion Multiple nursing intervention can reduce the physical constraints of ICU patients,shorten the time of constraints,and promote the improvement of nursing satisfaction.
作者
李欣
方亮
李冬英
胡晓莹
LI Xin;FANG Liang;LI Dong-ying;HU Xiao-ying(Department of Cardiovascular Medicine,the Second Affiliated Hospital of Nanchang University,Jiangxi Province,Nanchang330006,China;Department of Anesthesiology,the Second Affiliated Hospital of Nanchang University,Jiangxi Province,Nanchang330006,China;Department of Critical Care Medicine,the Second Affiliated Hospital of Nanchang University,Jiangxi Province,Nanchang330006,China;Department of Nursing,the Second Affiliated Hospital of Nanchang University,Jiangxi Province,Nanchang330006,China)
出处
《中国当代医药》
CAS
2021年第33期234-236,240,共4页
China Modern Medicine
基金
江西省教育厅科学技术研究项目(GJJ180158)
江西省卫生健康委员会科技计划项目(202110062)。
关键词
重症监护室
多元化护理
身体约束
谵妄
满意度
Intensive care unit
Diversified care
Physical restraint
Delirium
Satisfaction