中国护理管理
中國護理管理
중국호리관리
CHINESE NURSING MANAGEMENT
2014年
10期
1022-1023,1024
,共3页
重症监护室%约束%身体%规范
重癥鑑護室%約束%身體%規範
중증감호실%약속%신체%규범
Intensive Care Unit%restraint%physical%standard
目的：了解重症监护室（ICU）患者身体约束使用现状。方法：采用自行设计的《ICU患者身体约束调查表》回顾性调查102例ICU使用约束的成人患者资料，内容包括一般资料、疾病与治疗状况、身体约束特征、护理记录等。结果：ICU患者身体约束的使用率为45.7%，其中65岁及以上老年人占41.5%，精神心理状况异常者占13.2%，认知状况受损者占12.1%，镇静剂使用者占17.2%，机械通气者占75.2%；约束工具以手腕棉布约束带为主，部位以肢体约束为主；存在约束护理不规范、使用指征不明确、护理记录不全等问题。结论：应逐步明确患者身体约束的使用指征及护理内容，构建信息化管理系统，最终形成适用于我国临床护理工作的规范。
目的：瞭解重癥鑑護室（ICU）患者身體約束使用現狀。方法：採用自行設計的《ICU患者身體約束調查錶》迴顧性調查102例ICU使用約束的成人患者資料，內容包括一般資料、疾病與治療狀況、身體約束特徵、護理記錄等。結果：ICU患者身體約束的使用率為45.7%，其中65歲及以上老年人佔41.5%，精神心理狀況異常者佔13.2%，認知狀況受損者佔12.1%，鎮靜劑使用者佔17.2%，機械通氣者佔75.2%；約束工具以手腕棉佈約束帶為主，部位以肢體約束為主；存在約束護理不規範、使用指徵不明確、護理記錄不全等問題。結論：應逐步明確患者身體約束的使用指徵及護理內容，構建信息化管理繫統，最終形成適用于我國臨床護理工作的規範。
목적：료해중증감호실（ICU）환자신체약속사용현상。방법：채용자행설계적《ICU환자신체약속조사표》회고성조사102례ICU사용약속적성인환자자료，내용포괄일반자료、질병여치료상황、신체약속특정、호리기록등。결과：ICU환자신체약속적사용솔위45.7%，기중65세급이상노년인점41.5%，정신심리상황이상자점13.2%，인지상황수손자점12.1%，진정제사용자점17.2%，궤계통기자점75.2%；약속공구이수완면포약속대위주，부위이지체약속위주；존재약속호리불규범、사용지정불명학、호리기록불전등문제。결론：응축보명학환자신체약속적사용지정급호리내용，구건신식화관리계통，최종형성괄용우아국림상호리공작적규범。
Objective:To examine physical restraint usage in Intensive Care Unit (ICU). Methods:A retrospective study was conducted among 102 ICU adult patients. A self-designed questionnaire was used including patient’s demographic information, health and treatment characteristics, physical restraint pattern and related nursing records. Results:About 45.7%of the ICU patients received physical restraints. The characteristic of those who were restrained were 41.5%over 65 years old, 13.2%with psychiatric condition, 12.1%with cognitive impairment, 17.2%using sedation, and 75.2%with mechanical ventilation. The main tools were wrist restraints and extremity restraints were mainly applied. Restraints practice with no clear guidelines, unclear indicators and incomplete nursing records were the existing problems. Conclusion:Further studies of physical restraints of ICU patients are needed in order to ifnd the indicators of physical restraints, to establish the clinical decision-making references, to standardize the nursing practice and to develop the standards for physical restraints ifnally.
