优化保护性约束流程在精神分裂症患者护理中的 应用效果

何芳　何桂华

【摘要】 目的：分析優化保护性约束流程在精神分裂症患者护理中的应用效果。方法：笔者所在医院于2016年12月开始实施保护性约束优化流程，选择2014年12月-2016年11月就诊的100例精神分裂患者为对照组，2016年12月-2018年10月就诊100例精神分裂患者为观察组。对照组给予常规保护性约束，观察组在对照组基础上优化保护性约束流程。统计两组患者住院期间约束例数、平均每人约束次数及平均每人约束时间，统计两组患者干预前后依从性及危险行为次数，采用自拟满意度调查问卷调查两组患者护理满意度，统计两组患者约束相关并发症发生率。

结果：观察组约束例数、平均每人约束次数及平均每人约束时间均少于对照组（P<0.05）;干预后观察组依从性及危险行为次数均低于对照组（P<0.05）;观察组满意度高于对照组（P<0.05）;观察组约束相关并发症发生率低于对照组（P<0.05）。结论：优化保护性约束流程利于减少精神分裂患者进行约束次数及时间，并提高护理满意度。

【关键词】 优化保护性约束流程; 精神分裂症; 护理

doi：10.14033/j.cnki.cfmr.2019.14.045 文献标识码 B 文章编号 1674-6805（2019）14-0-03

Application Effects of Optimization of Protective Constraint Process in the Nursing of Patients with Schizophrenia/HE Fang，HE Guihua.//Chinese and Foreign Medical Research，2019，17（14）：-102

【Abstract】 Objective：To analyze the application effects of optimization of protective constraint process in the nursing of patients with schizophrenia.Method：The hospital began implementing the protective constraint optimization process from December 2016.100 patients with schizophrenia from December 2014 to November 2016 were selected as the control group，and 100 patients with schizophrenia from December 2016 to October 2018 were selected as the observation group.The control group was given conventional protective constraint，and the observation group was given optimization of protective constraint process on the basis of control group.The number of patients with constraint，the average constraint frequency per person and the average constraint time per person were counted during hospitalization.The compliance and risk behaviors frequency in the two groups were counted before and after intervention.The self-made satisfaction questionnaire was used to investigate the nursing satisfaction between the two groups.The incidence rate of constraint-related complications was compared between the two groups.Result：The number of constraint cases，the average constraint frequency per person and the average constraint time per person in the observation group were less than those in the control group（P<0.05）.The compliance and risk behaviors frequency in the observation group were lower than those in the control group（P<0.05）.The nursing satisfaction in the observation group was higher than that in the control group（P<0.05）.The incidence rate of constraint-related complications in the observation group was lower than that in the control group（P<0.05）.Conclusion：Optimization of protective constraint process is beneficial to reduce the number and time of constraint and improve nursing satisfaction in patients with schizophrenia.