关键词: 保护性约束, 信息化, 护理管理研究, 患者安全

Abstract:

Objective To construct an information management system for protective restraint,for guiding clinical nurses to make scientific decisions and use constrained appliances reasonably.Methods Through literature review,expert consultation,group discussion and other methods,main contents of the management system were established. By collaborating with the computer center,a standardized system for assessment,reporting,monitoring for inpatients was built,and put into clinical application after trial operation and clinical debugging.Results The concordance rates for using protective constraint before and after the implementation of information system were 78.102% and 97.321%,respectively,and the rates of protective constraint were 0.906% and 0.799%,respectively,the differences were statistically significant(P<0.05). After the implementation of information system,the accuracy rate of assessment,the execution rate of standardized measures,the rate of dynamic observation,and the rate of shift turnover were getting improved,and the differences were statistically significant(P<0.05).Conclusion The information management system for protective constraint can replace experience management to help nurses scientifically,objectively evaluate and decide on the constraints and timing,regulate body constraint process,and guide nurses to timely report,dynamically monitor and accurately feedback.

Key words: Protective Restraint, Informationization, Nursing Administration Research, Patient Safety