Observation on the effect of protective restraint clinical pathway nursing care for restless patientswith craniocerebral injury in neurosurgery
神经外科颅脑损伤躁动患者采用保护性约束临床路径护理后的效果观察

摘要

目的 观察神经外科颅脑损伤躁动患者采用保护性约束临床路径护理后的效果。方法 对我院在2021.2月-2022.2月收治的60例神经外科颅脑损伤躁动患者进行观察，采用随机分组的方式，将上述患者分成两组，一组为实验组，接受保护性约束加人性化护理，另一种为对照组，接受常规保护性约束，对两组分别护理干预后的不良事件发生率、约束事件、约束次数进行对比。结果 在分别护理干预后，实验组的不良事件发生率，显著低于对照组中的患者，P＜0.05，而在约束时间比较上，实验组患者的约束时间短于对照组，约束次数明显低于对照组中的患者，P＜0.05。结论 对于神经外科颅脑损伤躁动患者而言，采用保护性约束人性化护理，相较常规护理来讲，会降低护理中不良事件的发生率。

Abstract

Objective To observe the effect of protective restraint clinical pathway nursing on restless patients with craniocerebral injury in neurosurgery.
Methods 60 restless patients with neurosurgical craniocerebral injury treated in our hospital from February 2021 to February 2022 were observed. The above patients were randomly divided into two groups. One group was the experimental group, receiving protective restraint and huma- nized nursing, and the other group was the control group, receiving routine protective restraint. The incidence of adverse events, restraint events and restraint times after nursing intervention were compared between the two groups.
Results After the nursing intervention, the incidence of adverse events in the experimental group was significantly lower than that of the patients in the control group, P<0.05. In terms of restraint time, the restraint time of the experimental group patients was shorter than that of the control group, and the restraint frequency was significantly lower than that of the control group. Patients in the control group, P<0.05.
Conclusion   Compared with routine nursing, protective restraint and humanized nursing can reduce the incidence of adverse events in the nursing of restless patients with craniocerebral injury in neurosurgery.