集束化管理策略在减少神经外科住院患者身体约束中的应用

doi:10.3969/j.issn.2095-378X.2022.03.018

外科研究与新技术 ›› 2022, Vol. 11 ›› Issue (3): 214-217.doi: 10.3969/j.issn.2095-378X.2022.03.018

集束化管理策略在减少神经外科住院患者身体约束中的应用

严凤, 黎海涛, 丁光洁, 张素

华中科技大学协和京山医院神经外科,湖北京山 431899

收稿日期:2020-12-30 出版日期:2022-09-28 发布日期:2022-12-29
作者简介:严凤（1981—）,女,大学本科,副主任护师,从事临床护理管理工作;电子信箱：363898579@qq.com
基金资助:
湖北省荆门市科学技术研究与开发计划引导项目（2019YDKY058）

Evaluation of effect of centralized management strategy on reduction of physical restraint in neurosurgical inpatients

YAN Feng, LI Haitao, DING Guangjie, ZHANG Su

Department of Neurosurgery, Huazhong University of Science and Technology and Jingshan Hospital, Jingshan 431899, Hubei, China

Received:2020-12-30 Online:2022-09-28 Published:2022-12-29

摘要/Abstract

摘要： 目的探讨集束化管理策略对减少神经外科患者身体约束的应用效果。方法采用目的抽样法,选取神经外科身体约束患者对其实施集束化管理策略,对实施前后患者身体约束率、约束相关并发症及非计划拔管发生率、护士身体约束知信行情况进行对比。结果神经外科患者身体约束率、约束相关并发症及非计划拔管发生率、护士身体约束知信行实施前后有明显统计学差异（P<0.01）。结论身体约束集束化管理策略能降低神经外科住院患者身体约束率及非计划性拔管发生率,减少约束相关并发症的发生,提升护士身体约束知信行能力,保障护理安全,提升护理质量。

关键词: 集束化管理, 身体约束缩减行动, 约束决策轮, 神经外科, 身体约束最小化, 非计划性拔管

Abstract: Objective To explore the effect of centralized management on reducing physical restraint in neurosurgical patients. Methods Neurosurgical patients with physical restraint were selected by purposive sampling method to implement the strategy of cluster management. Before and after comparisons were made in terms of the patients’ physical restraint rate, restraint-related complications, and unplanned extubation rate, and the nurses’ knowledge, attitude, and practice of physical restraint. Results There were significant differences in the rates of physical restraint, restraint-related complications, and unplanned extubation in neurosurgical patients and the scores of knowledge, attitude, and practice of physical restraint in nurses before and after the implementation of centralized management strategy of physical restraint （P<0.01）. Conclusion The strategy of centralized management of physical restraint can reduce the incidence rate of physical restraint, restraint-related complications, and unplanned extubation in neurosurgical inpatients, improve nurses’ knowledge, attitude, and practice of physical restraint, ensure nursing safety, and increase the quality of nursing care.

Key words: Centralized management, Physical restraint reduction action, Restraint decision wheel, Neurosurgery, Physical restraint minimization, Unplanned extubation

中图分类号:

R473.6

严凤, 黎海涛, 丁光洁, 张素. 集束化管理策略在减少神经外科住院患者身体约束中的应用[J]. 外科研究与新技术, 2022, 11(3): 214-217.

YAN Feng, LI Haitao, DING Guangjie, ZHANG Su. Evaluation of effect of centralized management strategy on reduction of physical restraint in neurosurgical inpatients[J]. Surgical Research and New Technique, 2022, 11(3): 214-217.

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集束化管理策略在减少神经外科住院患者身体约束中的应用

Evaluation of effect of centralized management strategy on reduction of physical restraint in neurosurgical inpatients

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