应用FOCUS-PDCA程序减少ICU身体约束的实践

DCA程序进行本次持续质量改进后,发现加强医护合作,职责明确,细化原有制度,增订约束执行流程细则,明确身体约束使用指征、评估要求、解除指征等,减少刺激,避免患者躁动,可以有效的降低该ICU患者身体约束率,增加患者舒适度,家属的满意度。Р 【参考文献】Р [1]潘夏蓁,方希敏,包向燕,等. 身体约束在ICU的应用研究[J].中华护理杂志,2011,46(10):1031-1033. Р [2] Martin B.Restraint use in acute and critical care setting:changing practice[J]. Clin Issues,2002,13(2):294-306. Р [3]胡贝贝,周丽萍,吴俊.应用FOCUS-PDCA及5S对监护室环境进行现场管理[J].护理与康复,2012,11(4):379-381.Р [4]朱胜春,金钰梅,徐志红,等.ICU患者身体约束使用特征及护理现状分析[J].中华护理杂志,2009,44(12):1116-1118. Р [5] Chang LY, Wang KW, Chao YF.Influence of physical restraint on unplanned extubation of adult intensive care patients: a case-control study[J].Am J Crit Care,2008,17(5):408-415. Р [6] Minnick AF,Mion LC,Johnson ME,et al.Prevalence and variation of physical restraint use in acute care settings in the US[J].J Nurs Scholarsh,2007,39(1):30-37.