首页|基于等级评估指导的阶梯式身体约束护理对神经外科患者的影响

基于等级评估指导的阶梯式身体约束护理对神经外科患者的影响

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目的:探讨基于等级评估指导的阶梯式身体约束护理对神经外科患者的影响.方法:选取2022年10月—2023年10 月晋江市医院收治的 80 例神经外科患者,根据随机数表法将其分为两组,各 40 例.对照组实施常规身体约束护理,观察组实施基于等级评估指导的阶梯式身体约束护理.比较两组身体约束相关指标,置管相关知识,护理满意度,非计划拔管发生情况.结果:观察组身体约束时间短于对照组,身体约束、约束部位皮肤异常占比均低于对照组,差异有统计学意义(P<0.05).观察组总知晓率高于对照组,差异有统计学意义(P<0.05).观察组护理总满意度高于对照组,差异有统计学意义(P<0.05).观察组非计划拔管发生率低于对照组,差异有统计学意义(P<0.05).结论:针对临床神经外科患者,对其实施基于等级评估指导下的阶梯式身体约束护理,相较常规的身体约束,可缩短身体约束时间,减少身体约束,同时皮肤异常发生情况减少,提高患者置管知识知晓率,护理满意度得到提高,同时非计划拔管例数削减,临床护理效果凸显.
Effect of Stepped Physical Restraint Nursing Based on Grade Evaluation Guidance on Neurosurgical Patients
Objective:To explore the effect of stepped physical restraint nursing based on grade evaluation guidance on neurosurgical patients.Method:A total of 80 neurosurgical patients admitted to Jinjiang Hospital from October 2022 to October 2023 were selected,they were divided into two groups by random number table method,40 cases in each group.The control group received routine physical restraint nursing,and the observation group received stepped physical restraint nursing based on grade evaluation guidance.The indexes related to physical restraint,knowledge related to catheterization,nursing satisfaction and occurrence of unplanned extubation were compared between the two groups.Result:The time of body restraint in observation group was shorter than that in control group,and the proportions of body restraint and abnormal skin in the constrained area was lower than that in control group,the differences were statistically significant(P<0.05).The total awareness rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The total nursing total satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The incidence of unplanned extubation in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).Conclusion:For clinical neurosurgery patients,the stepped physical restraint nursing based on grade evaluation guidance can reduce the time of physical restraint and physical restraint compared with conventional physical restraint.Meanwhile,the occurrence of skin abnormalities is reduced,the awareness rate of patients'catheterization knowledge is improved,and the nursing satisfaction is improved.At the same time,the number of unplanned extubation cases is reduced,and the clinical nursing effect is prominent.

NeurosurgeryLevel evaluationStepwiseUnplanned tube removalNursing satisfaction

孙敏、龚丽婷、王晓芬、许亚婷

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晋江市医院(上海市第六人民医院福建医院)福建晋江 362200

神经外科 等级评估 阶梯式 非计划拔管 护理满意度

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(28)
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