Preparation of full-body strait jacket and its application in patients with restlessness in intensive care unit / 中国实用护理杂志

ABSTRACT

Objective To verify the application effect of self-developed strait jackets to patients with restlessness in intensive care unit. Methods Broke through the traditional constraint method of restraint tool and design a kind of full-body strait jacket for the purpose of protection, restraint and convenience. The patients in the intensive care unit of our hospital were randomly selected from June 2017 to May 2018 by convenient sampling method. There are 48 cases in the experimental group and 48 cases in the control group. The patients in the experimental group were restrained by full-body strait jackets and the patients in the control group were restrained by wrist restraint strap. The rate of release of restraint tools, the incidence of skin pressure injury and the incidence of limb skin edema, comfort level were observed. Results The incidence of stress injury, unplanned extubation rate, hydroderma rate at the limb end and release rate of restraint band in the experimental group were 2.08% (1/48), 2.08% (1/48), 4.16% (2/48), 6.25% (3/48) respectively, while the rates in the control group were 14.58% (7/48), 16.66% (8/48) ,22.91% (11/48), 22.91% (11/48) respectively. The difference between the two groups was statistically significant ( χ2=4.909, 6.007-7.207,P＜0.05). Conclusion The full-body strait jacket can protect the patients better, effectively reduce the incidence of stress injury, prevent patients from releasing, reduce unplanned extubation, reduce skin edema at the extremities, improve the comfort level of patients, and facilitate nurses to check patients.