Application of restraint bands in patients with mechanical ventilation in ICU
约束带在ICU机械通气患者中的应用

摘要

目的 研究约束带在ICU机械通气患者中的应用效果。方法 从2022年10月-2023年10月我院收治的ICU机械通气患者中选取140例进行研究，随机分为观察组和对照组，均为70例，观察组实施规范化约束带，对照组实施常规约束带，对比两组身体约束率、非计划拔管率、约束时间、皮肤异常率及谵妄率。结果 观察组约束率比对照组更低，指标对比差异有统计学意义，P＜0.05；观察组约束时间短于对照组，指标对比差异有统计学意义，P＜0.05。观察组出现1例非计划性拔管，1例谵妄、2例皮肤异常；对照组出现8例非计划性拔管，10例谵妄、11例皮肤异常，指标对比存在显著差异，P＜0.05。结论 规范化约束带能有效降低ICU机械通气患者身体约束率、非计划拔管率，并能缩短患者约束时间。

Abstract

Objective To study the application effect of restraint band in patients with mechanical ventilation in ICU.
Methods 140 patients with mechanical ventilation in ICU admitted to our hospital from October 2022 to October 2023 were randomly divided into observation group and control group (70 cases in both cases). The observation group was subjected to standardized restraint band, while the control group was subjected to routine restraint band. The physical restraint rate, unplanned extubation rate, restraint time, skin abnormality rate and delirium rate were compared between the two groups.
Results The constraint rate of the observation group was lower than that of the control group, and the difference was statistically significant (P < 0.05). The constraint time in the observation group was shorter than that in the control group, and the difference in index comparison was statistically significant (P < 0.05). In the observation group, there were 1 case of unplanned extubation, 1 case of delirium and 2 cases of abnormal skin. In the control group, there were 8 cases of unplanned extubation, 10 cases of delirium and 11 cases of abnormal skin, and there were significant differences in index comparison (P < 0.05).
Conclusion   The standardized restraint band can effectively reduce the physical restraint rate and unplanned extubation rate of patients with mechanical ventilation in ICU, and shorten the restraint time of patients.