Implementation and application of cluster nursing measures to standardize inpatient restraint
集束化护理措施对规范住院患者约束的实施与应用

摘要

目的 规范住院患者约束具使用操作，改善临床患者约束现况，指导临床护士科学决策并合理使用 约束用具，提高护理服务水平。方法 本文通过选取北京燕化医院 2022 年 4-9 月约束集束化管理的 55 例住院患 者作为研究对象从患者的约束使用情况及护士的执行情况方面进行分析，和未进行约束集束化管理的 2022 年 3 月份相比较。结果 住院患者约束集束化管理实施后，住院患者约束具规范使用率由 3 月份的 12.82%上升至 9 月 份的 69.23%，护士操作规范性提高，对约束理论知识与操作技术考核成绩提高 ；使用约束具护理记录单合格率 由 2022 年 3 月的 46％上升到 9 月的 74.5％；约束前的评估合格率由实施前的 38.46%上升至 98.18%。结论 住院 患者约束集束化管理策略的实施，提高了住院患者约束具使用的合格率，有利于维护患者安全，体现以患者为中 心的护理服务理念。

Abstract

Objective To standardize the use of restraints in inpatients, improve the current situation of restraints in clinical patients, guide clinical nurses to make scientific decisions and use restraints reasonably, and improve the level of nursing services.
Methods A total of 55 inpatients with restricted cluster management in Beijing Yanhua Hospital from April to September 2022 were selected as research objects The use of restraints by patients and the implementation by nurses were analyzed and compared with that in March 2022 without the cluster management of restraints.
Results After the implementation of the cluster management of inpatients, the utilization rate of standardized restraints in inpatients increased from 12.82% in March to 69.23% in September. The single pass rate of nursing records using restraint increased from 46% in March 2022 to 74.5% in September 2022. The qualified rate of the evaluation before constraint increased from 38.46% to 98.18%.
Conclusion   The implementation of the constraint cluster management strategy for inpatients can improve the qualified rate of the use of restraints for inpatients, which is conducive to the maintenance of patient safety and reflects the patient-centered nursing service concept.