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

Abstract

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

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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References 21

[1]	Bleijlevens MHC, Wagner LM, Capezuti E, et al. Physical restraints:consensus of a research definition using a modified Delphi technique[J]. J Am Geriatr Soc, 2016,64(11):2307-2310. doi: 10.1111/jgs.14435 pmid: 27640335
[2]	陈晓艳, 卢丽华, 曹玲, 等. 神经内外科重症监护病房患者身体约束使用的现状及特征的调查分析[J]. 现代临床护理, 2019,18(9):22-26.
	Chen XY, Lu LH, Cao L, et al. A survey of status and characteristics of physical restraints in ICU of neurosurgery department[J]. Mod Clin Nurs, 2019,18(9):22-26.
[3]	贾东点, 张瑞丽, 李慧娟, 等. 老年人身体约束最小化实践的研究进展[J]. 护理学杂志, 2017,32(7):106-109.
	Jia DD, Zhang RL, Li HJ, et al. Minimizing the use of physical restraint among the elderly:a review[J]. J Nurs Sci, 2017,32(7):106-109.
[4]	顾婷, 翁卫群, 王煦, 等. 某三级医院综合ICU患者身体约束使用现状及特征分析[J]. 实用临床医药杂志, 2018,22(6):118-121,126.
	Gu T, Weng WQ, Wang X, et al. Characteristics and current situation of physically restrained patients in ICU in a third-level hospital[J]. J Clin Med Pract, 2018,22(6):118-121,126.
[5]	王海妍, 郭红, 赵菁, 等. 不同身体约束情况及约束方式约束效果的系统评价[J]. 循证护理, 2019,5(2):97-105.
	Wang HY, Guo H, Zhao J, et al. System review of restraint effects of different physical restraints and restraint modes[J]. Chin Evid-Based Nurs, 2019,5(2):97-105.
[6]	葛向煜, 徐建鸣, 朱晓玲, 等. 气管插管非计划拔管危险因素的系统评价[J]. 护理学杂志, 2014,29(1):80-84.
	Ge XY, Xu JM, Zhu XL, et al. Risk factors of unplanned endotracheal extubation:a systematic review[J]. J Nurs Sci, 2014,29(1):80-84.
[7]	李佳星, 任之珺, 张紫君, 等. 缩减约束方案对预防ICU气管插管非计划性拔管的效果研究[J]. 中华护理杂志, 2017,52(5):549-553.
	Li JX, Ren ZJ, Zhang ZJ, et al. Effects of comprehensive restraint reduction program on preventing unplanned extubation among ICU patients with tracheal intubation[J]. Chin J Nurs, 2017,52(5):549-553.
[8]	张艳, 仲爱玲. 缩减约束方案应用于预防重症加强监护病房气管插管非计划性拔管的可行性分析[J]. 解放军护理杂志, 2019,36(5):47-50.
	Zhang Y, Zhong AL. Feasibility of reducing restraints for preventing unplanned extubation of tracheal intubation patients in ICU[J]. Nurs J Chin PLA, 2019,36(5):47-50.
[9]	廖亚显, 陈丽莉, 黎桂冰. 缩减约束方案预防ICU气管插管非计划性拔管的效果[J]. 国际护理学杂志, 2020,39(10):1814-1818.
	Liao YX, Chen LL, Li GB. The effect of reduced restraint plan in preventing unplanned extubation of ICU tracheal intubation[J]. Int J Nurs, 2020,39(10):1814-1818.
[10]	于思淼, 邢焕民, 王晓慧, 等. ICU病人身体约束决策量表(成人版)的研制及信效度检验[J]. 护理研究, 2019,33(19):3328-3332.
	Yu SM, Xing HM, Wang XH, et al. Development and its reliability and validity test of physical restraint decision-making scale of adult patients in ICU[J]. Chin Nurs Res, 2019,33(19):3328-3332.
[11]	王敏, 管义祥. 约束巡视记录单应用于神经外科躁动患者中的效果观察[J]. 中国医药导报, 2020,17(4):113-116.
	Wang M, Guan YX. Effect observation of constrained patrol records in patients with neurosurgical agitation[J]. China Med Her, 2020,17(4):113-116.
[12]	黄素素, 陈香萍, 罗维嘉, 等. 成年气管插管患者非计划性拔管风险评价指标体系的构建[J]. 护理与康复, 2020,19(3):1-5.
	Huang SS, Chen XP, Luo WJ, et al. Establishment of a risk assessment index system for unplanned endotracheal extubation in adult patients[J]. J Nurs and Rehabil, 2020,19(3):1-5.
[13]	张艳, 吴娟, 胡雁, 等. ICU成人置管病人合理身体约束最佳证据应用审查及障碍分析[J]. 护理研究, 2019,33(21):3732-3736.
	Zhang Y, Wu J, Hu Y, et al. Application investigation and obstacle analysis on the best evidence for reasonable physical restraints in ICU adult patients with catheter[J]. Chin Nurs Res, 2019,33(21):3732-3736.
[14]	吴娟, 钱海兰, 胡雁, 等. ICU成人置管患者合理身体约束最佳证据的临床应用[J]. 中国护理管理, 2019,19(9):1395-1402.
	Wu J, Qian HL, Hu Y, et al. Clinical application of best evidence for reasonable physical restraint with ICU adult catheterized patients[J]. Chin Nurs Manag, 2019,19(9):1395-1402.
[15]	王栋琳, 娄海飞, 邹丽芳, 等. 鼻胆（胃）管非计划拔管的原因分析与防护对策[J]. 浙江医学, 2018,40(14):1628-1629,1633.
	Wang DL, Lou HF, Zou LF, et al. Analysis of the causes of unplanned extubation of the nasobiliary(gastric) tube and its protective countermeasures[J]. Zhejiang Med J, 2018,40(14):1628-1629,1633.
[16]	彭琳, 赵越, 韩文军. ICU内气管插管患者非计划性拔管的原因分析和干预措施[J]. 护理学, 2014,3(4):83-88.
	Peng L, Zhao Y, Han WJ. Current situation of preventive management for unplanned endotracheal extubation in ICU[J]. Nurs Sci, 2014,3(4):83-88.
[17]	黎张双子, 李亚玲, 董天菊, 等. ICU患者非计划性拔管风险指标体系的构建[J]. 中华护理教育, 2018,15(11):819-823.
	Li ZSZ, Li YL, Dong TJ, et al. Development of risk index system for unplanned extubation of ICU patients[J]. Chin J Nurs Educ, 2018,15(11):819-823.
[18]	常万琪, 宋魏莹, 闫婧. 分阶段约束干预在神经外科颅脑损伤躁动患者中的应用[J]. 护理实践与研究, 2019,16(24):75-77.
	Chang WQ, Song WY, Yan J. Application of grading constrained intervention for fidgety patients with craniocerebral injury in neurosurgery[J]. Nurs Prac and Res, 2019,16(24):75-77.
[19]	Lach HW, Leach KM, Butcher HK. Evidence-based practice guideline:changing the practice of physical restraint use in acute care[J]. J Gerontol Nurs, 2016,42(2):17-26. doi: 10.3928/00989134-20160113-04 pmid: 26820185
[20]	中华医学会重症医学分会. 中国成人ICU镇痛和镇静治疗指南[J]. 中华危重病急救医学, 2018,30(6):497-514. doi: 10.3760/cma.j.issn.2095-4352.2018.06.001 pmid: 30009721
	Critical Care Medicine Branch of Chinese Medical Association. Guidelines for analgesia and sedation treatment of adult ICU in China[J]. Chinese Critical Care Medicine, 2018,30(6):497-514. doi: 10.3760/cma.j.issn.2095-4352.2018.06.001 pmid: 30009721
[21]	国家卫生计生委医院管理研究所护理中心护理质量标准研发小组. 护理敏感质量指标实用手册(2016版)[M]. 北京: 人民卫生出版社, 2016.
	National Institute of Hospital Administration Nursing Center Nursing Quality Standards Research and Development Team. Practical handbook of nursing sensitive quality index（2016 edition）[M]. Beijing: People’s Medical Publishing House, 2016.

Development and effects of quick checklist for restricted patients

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