Design of physical restraint checklist for critical patients and its application in ICU

ObjectiveTo design the physical crestraint checklist for critical patients, and observe its application effect in intensive care unit(ICU).

MethodsThe physical crestraint checklist in critical patients was designed by consulting the guide and related literature.Thirty inpatients from October to December 2017 and 30 patients from January to March 2018 were divided into the control group and observation group, respectively.In the control group, the responsible nurses predictably selected suitable restraint tools and restraint sites for the patients according to their work experience, indwelling pipelines, patients' agitation and other actual conditions.In the observation group, the responsible nurses assessed the basic situation of the patients according to the checklist, and then gave the patients standardized and rationalized physical restraint.The usage rate of physical restraint, skin injury at restraint site and duration of physical restraint between two groups were compared.

ResultsAfter the effects of using checklist was assessment, the usage rate of physical restraint, skin injury at restraint site and duration of physical restraint in observation group decreased compared with the control group(P < 0.05).

ConclusionsThe application of physical restraint checklist in the quality management of ICU patients' physical restraint can reduce the time of physical restraint, occurrence of skin injury at restraint site and usage rate of physical restraint in critical patients, which is worthy of clinical promotion and application.