约束患者快速核查单的编制及应用效果评价

doi:10.3761/j.issn.1672-9234.2021.03.002

摘要/Abstract

摘要：

目的探讨约束患者快速核查单在预防患者非计划性拔管中的应用效果。方法通过查找约束患者发生非计划拔管的原因,结合文献分析和专家论证编制约束患者快速核查单,比较核查单应用前后身体约束患者非计划拔管发生率并记录护士在应用核查单过程中核查出的风险及不足之处。结果核查单应用后,约束患者非计划拔管发生率由5.63%（36/639）降至0.72%（2/278）,差异有统计学意义（ χ²=4.315,P<0.05）,同时核查出一系列风险及不足之处。结论约束患者核查单的应用有助于护士快速识别风险环节及不足之处,降低非计划拔管发生率,提高管路安全性,提升护理质量。

关键词: 约束,身体的, 病人安全, 清单, 导管,留置, 非计划拔管

Abstract:

Objective To evaluate the effects of quick checklist on unplanned extubation prevention for restricted patients. Methods By searching for the literature regarding the causes of unplanned extubation,and combining expert consultation,we developed a quick checklist for restricted patients. The incidence of unplanned extubation of patients with physical restraint before and after the checklist application was compared. Besides,nurses used a quick checklist to find out a series of risks and shortcomings of patient restraint. Results After the checklist application,the incidence of unplanned extubation of restricted patients decreased from 5.63%（36/639） to 0.72%（2/278）,and the difference was statistically significant（ χ²=4.315,P<0.05）. Conclusion The quick checklist can help nurses quickly identify risks and limitations,reduce the incidence of unplanned extubation,improve pipeline safety,and improve the quality of care.

Key words: Restraint,Physical, Patient Safety, Checklist, Catheters,Indwelling, Unplanned extubation

马莉,葛宝兰,崔曼,马静威. 约束患者快速核查单的编制及应用效果评价[J]. 中华护理教育, 2021, 18(3): 202-207.

MA Li,GE Bao-lan,CUI Man,MA Jing-wei. Development and effects of quick checklist for restricted patients[J]. Chinese Journal of Nursing Education, 2021, 18(3): 202-207.

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