关键词: 身体约束, 神经内科, 重症病房, 影响因素分析

Abstract:

Objective To investigate the prevalence of physical restraint in neuro-ICU patients and to analyze the risk factors.Methods A total of 337 neuro-ICU patients from four tertiary hospitals in Beijing were selected by means of convenience sampling. Data were collected using a self-designed questionnaire of Physical Restraints Use in Neuro-ICU Patients.Results The prevalence of patients with body restraint was 62.3%. 43.8% of the nurses performed physical constraint based on experience. Body-constrained parts was documented in 29.5% of the nursing records,and 50.5% recorded the start and release time. Evaluation during restraint was documented in 60% records. The influencing factors of physical restraint use were decision makers,indwelling nasogastric tube,state of consciousness,risk of pressure ulcers,type of invasive devices,and delirium.Conclusion The rate of body restraint in neurology ICU patients was at a high level and body restraint was not standardized. The indications for the use and release of physical restraint need to be clarified. Influencing factors can provide a basis for clinical nurses and nursing managers to design physical restraint strategy for patients in neurology ICU.

Key words: Physical Restraints, Neurology, Intensive Care Unit, Root Case Analysis