Abstract:

Objective To develop a physical restraint management system for ICU patients and explore its application effect. Methods A research and development team was established to build a physical restraint management system for ICU patients based on the ICU patient physical restraint assessment scale. The system collects relevant data in real time to realize the functions of dynamic reminder and quality control of patients’ physical restraint decision-making. A total of 216 patients admitted to the ICU of a tertiary A hospital in Zhejiang Province from January 2022 to June 2022 were selected as the research subjects. The patient’s physical restraint rate，length of physical restraint and the incidence of unplanned extubation of the system were compared after application（April to June 2022） and before application（January to March 2022）. The nurses’ satisfaction with the management system was collected. Results After the application of the physical restraint management system for ICU patients，the physical restraint rate was 35.19%，which was significantly lower than 49.07% before application. After the application，the physical restraint time of the patients was 45.71（16.41，121.31） h，which was significantly shorter than 126.00（28.05，317.00） h of the control group. There was no significant difference in the incidence of unplanned extubation between 2 groups. The total average score of ICU nurses’ satisfaction with the system was （4.56±0.48） points. Conclusion The use of the physical restraint management system for ICU patients can help reduce the use rate and duration of physical restraint in patients，and nurses are more satisfied with the system.

Key words: Intensive Care Units, Restraint, Physical, Information System, Nursing Care

摘要：

目的 构建ICU患者身体约束管理系统并探讨其应用效果。 方法 组建研究小组，以ICU患者身体约束评估量表为基础，构建ICU患者身体约束管理系统，系统实时采集相关数据，实现患者身体约束决策动态提醒和质量控制。选取2022年1月—6月浙江省某三级甲等医院ICU收治的216例患者为应用对象，比较系统应用后（2022年4月—6月）与应用前（2022年1月—3月）患者身体约束率、约束时长、非计划拔管发生率，并收集护士对该管理系统的满意度。 结果 ICU患者身体约束管理系统应用后，身体约束率（35.19%）低于应用前（49.07%），约束时长为45.71（16.41，121.31） h，显著低于对照组126.00（28.05，317.00） h，两组非计划拔管发生率的比较，差异无统计学意义；护士对约束管理系统的满意度得分为（4.56±0.48）分。 结论 使用ICU患者身体约束管理系统有助于降低患者身体约束使用率，减少约束时长，护士对该系统的满意度较高。

关键词: 重症监护病房, 约束, 身体的, 信息系统, 护理