Exploration of improving the incidence of adverse events in ICU conscious restless patients with humanized protective restraint nursing
人性化保护性约束护理对ICU清醒躁动患者不良事件发生率的改善探讨

摘要

目的 探讨人性化保护性约束护理在ICU清醒躁动患者中对不良事件的预防效果。方法 在2023年3月至2024年3月期间，选取72例ICU清醒躁动患者作为研究对象。经过随机数字表法分为实验组与对照组，每组36例。对照组采取常规护理，实验组采取人性化保护性约束护理。对比两组不良事件发生率（跌倒、自伤、非计划性拔管）、躁动评分（Richmond躁动-镇静评分RASS）以及患者满意度（接受度、舒适度）。结果 实验组不良事件发生率、RASS评分低于对照组，患者满意度高于对照组（P＜0.05）。结论 人性化保护性约束护理能有效降低ICU清醒躁动患者的不良事件发生率，改善患者躁动状态，提高患者满意度。

Abstract

Objective To explore the preventive effect of humanized protective restraint nursing on adverse events in conscious restless patients in the ICU. Method From March 2023 to March 2024, 72 ICU conscious restless patients were selected as the study subjects. Divided into an experimental group and a control group using a random number table method, with 36 cases in each group. The control group received routine care, while the experimental group received humanized protective restraint care. Compare the incidence of adverse events (falls, self injury, unplanned extubation), restlessness score (Richmond restlessness sedation score RASS), and patient satisfaction (acceptance, comfort) between two groups. Result The incidence of adverse events and RASS score in the experimental group were lower than those in the control group, and patient satisfaction was higher than that in the control group (P<0.05).
Conclusion   Humanized protective restraint nursing can effectively reduce the incidence of adverse events in ICU conscious restless patients, improve their restless state, and increase patient satisfaction.