目的 探讨保护性约束临床路径护理在神经外科颅脑损伤躁动患者中的应用效果。 方法 选取神经外科颅脑损伤躁动患者76例，随机分为对照组与观察组各38例。观察组实施保护性约束临床路径护理，对照组实施常规护理，对比观察2组的应用效果。 结果 观察组的镇静评分显著低于对照组，护理不良事件发生率13.16%显著低于对照组47.36%, 护理满意度94.73%则高于对照组78.94%, 差异均有统计学意义（ P 〈0.05）。 结论 保护性约束临床路径护理能够降低护理不良事件发生率，有效改善患者躁动状态，提升患者护理满意度。
Objective To explore effect of clinical nursing pathway of protective physical restraint of patients with craniocerebral injury restlessness in neurosurgery department. Methods A total of 76 patients with craniocerebral injury with restlessness in neurosurgery department were randomly divided into 2 groups, with 38 cases per group. Patients in the observation group received clinical pathway nursing of protective restraint, while those in the control group received routine nursing. The efficacy of the two groups were compared. Results The sedation score of the observation group was significantly lower than that of the control group, the incidence of adverse nursing events was significantly lower than that of the control group （13.16% vs. 47.36%）, and the nursing satisfaction was higher than control group （94.73% vs. 78.94%）, all the differences were statistically significant （ P 〈0.05）. Conclusion Clinical pathway nursing of protective physical restraint can reduce the incidence of nursing adverse events, effectively improve patients′restlessness, and enhance patients′nursing satisfaction.
Journal of Clinical Medicine in Practice
clinical nursing pathway