| 王海青,刘超越,杨富,方芳,台瑞.ICU护士实施身体约束替代的现况调查[J].上海护理,2022,22(10): |
| ICU护士实施身体约束替代的现况调查 |
| A survey of alternatives to physical restraint analysis in ICU nurses |
| DOI： |
| 中文关键词: ICU 护士 身体约束 约束替代 |
| 英文关键词:ICU nurse physical restraints alternatives to restraint |
| 基金项目:上海市加强公共卫生体系建设三年行动计划(2020-2022 年)(GWV-5)；上海市“医苑新星”青年医学人才培养资助计划(2019)；上海交通大学医学院护理学科人才队伍建设项目 |
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| 中文摘要: |
| 目的 了解ICU护士实施身体约束替代的现状,为今后优化ICU身体约束管理提供依据。方法 采用自行设计的ICU护士身体约束替代现状调查表,通过现场调研方式对上海市某三甲综合医院228名ICU护士进行调查。结果 142名护士(62.3%)对身体约束替代知识有所了解,110名ICU护士(48.2%)在临床实践中实施身体约束替代,主要的身体约束替代类别为治疗设施管理(91.7%)、管道管理(90.4%),其次是环境控制(82.0%)。约束替代主要用于烦躁或攻击性,意识模糊、定向力障碍、单纯烦躁的患者(>50%),以实施身体约束后较为多见(74.1%)。结论 ICU护士实施身体约束替代整体水平偏低,以生理因素身体约束替代为主而心理因素为主的患者注意力转移身体约束替代实施较少,身体约束替代在实施约束前使用率不高。应加强身体约束替代相关培训,促进身体约束替代的实施,优化ICU患者的身体约束管理,减少不必要的身体约束。 |
| 英文摘要: |
| Objective To understand the status quo of ICU nurses implementing alternatives to physical restraint, and provide basis for optimizing ICU physical restraint management in the future. Methods 228 ICU nurses were investigated by using a self-designed restraint alternatives questionnaire in a third class a general hospital in Shanghai. Results 142 nurses (62.3%) had knowledge of alternatives to physical restraint, and 110 ICU nurses (48.2%) practiced alternatives to physical restraint in clinical practice. The main categories of alternatives to physical restraint were treatment facility management (91.7%), pipeline management (90.4%), and environmental control (82.0%). Alternatives to physical restraint were mainly used for patients with irritability or aggression, vague consciousness, disorientation, and simple irritability (>50%). They were more common after physical constraint (74.1%). Conclusion The overall level of alternatives to physical restraint in ICU nurses is low. Alternatives to physical restraint with physiological factors are more than patient attention shifting with psychological factors. And the utilization rate of alternatives to physical restraint before the implementation of restraint is not high. We should strengthen the training of alternatives to physical restraint, promote the implementation of alternatives to physical restraint, optimize the management of alternatives to physical restraint in ICU patients, and reduce unnecessary physical restraint. |
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