Analysis of the effect of modified restraint band on reducing unplanned extubation and adverse events in ICU patients

ObjectiveTo study the making and using methods of modified restraint band, and explore its effects on reducing the occurrence of unplanned extubation and adverse events in severe patients.

MethodsEighty eligible hospitalized patients were conveniently selected, and randomly divided into the observation group and control group(40 cases each group).The patients were evaluated using the "ICU Patient Physical Constraint Assessment Scale", and the severe patients were binded with physical restraints.The improved breathable restraint band and conventional sponge restraint band were used in the observation group and control group, respectively.After the restraint ended, the restraint effects, occurrence rate of adverse events, and nurses' satisfaction with constraint were compared between two groups.

ResultsA case with unplanned tubing in observation group and 5 cases with unplanned tubing in control group were found, and the difference of which between two groups was not statistically significant(P>0.05).The incidence rate of adverse events in observation group was less than that in control group(P < 0.01), and the nurses' satisfaction in observation group was higher than that in control group(P < 0.01).

ConclusionsThe improved breathable restraint band can effectively reduce the incidence rate of unplanned tubing, occurrence rate of adverse events and workload of nurses, and improve the satisfaction of nurses.