护理包对ICU患者体力抑制率,持续时间和并发症的影响
Büşra Ertuğrul1, Dilek Özden2, Koen Milisen3,4
1All Ireland Institute of Hospice and Palliative Care, Education & Research Centre, Our Lady's Hospice, Harold's Cross, Dublin, Ireland.
身体限制减轻护理包 (PRRCB) 在重症监护室显著降低了身体限制率和并发症. 然而,这项干预措施并没有显著减少约束的持续时间.
科学领域:
- 关键护理医学 关键护理医学
- 患者安全 患者安全
- 护理干预 护理干预
背景情况:
- 身体克制是重症监护室 (ICU) 的常见做法,通常与不良事件有关.
- 减少身体克制的速度,持续时间和并发症对于改善患者的治疗结果和安全至关重要.
研究的目的:
- 评估物理限制减少护理包 (PRRCB) 在减少物理限制使用的速度,持续时间和并发症方面的有效性.
- 评估i-PARIHS框架指导干预措施对土耳其大学医院ICU体力限制实践的影响.
主要方法:
- 采用了一种准实验性的前后观察性研究设计.
- 该i-PARIHS框架指导了PRRCB的开发和实施,其中包括指南,护理地图,培训和决策支持工具.
- 文献审查和修改的德尔菲方法被用来制定基于证据的指导方针.
主要成果:
- 干预后观察到身体克制率的统计学显著下降 (48.1%至39.7%).
- 干预后,身体克制的几率明显降低 (OR=0.71).
- 所有评估并发症的显著减少,包括四肢颜色,温度,胀,穴位和皮肤完整性.
结论:
- 由i-PARIHS指导的PRRCB有效地降低了在ICU中与身体限制相关的发生率和并发症.
- 虽然干预改善了与克制有关的并发症,但它并没有显著减少身体克制的平均持续时间.
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