高龄精神病患者保护性约束的护理方法

摘要

Objective:To investigate nursing methods of protective constraint for elderly patients with mental disorders. Meth-ods:89 cases with mental disorders were divided into elderly group (45 cases, 75-93 years old) and control group (445 cases, 15-53 years old) . The clinical data of protective constraint of the two groups were retrospectively analyzed and compared. Results: The usage rate of the protective constraint of the elderly group was 86. 5%, and the common complications were ecchymosis on the con-strained skin, constrained limb dropsy, iatrogenic skin lesion, obstruction by sputum during the constraint, and constraint and decubi-tus ulcers and fractures. There were obvious differences (P<0. 01) between the elderly group and control group in the usage causes, ways, times and the average constrained time of protective constraint as well as complications (P<0. 01). Conclusions:The protective constraint nursing care of the elderly patients with mental disorders still lacks the normative operation procedure, which is the important root of adverse events.%目的：：探讨高龄精神病患者保护性约束的护理方法。方法：将89例精神病患者按照年龄分为高龄组和对照组。高龄组患者45例，年龄为75~93岁，对照组患者44例，年龄为15~53岁。回顾性分析两组患者保护性约束护理的临床资料，并进行比较。结果：高龄组患者的保护性约束的使用率为86.5%，患者常见的并发症有约束部位瘀斑、约束肢体水肿、医源性皮肤损伤、约束中痰堵、发生褥疮和骨折。两组患者保护性约束的使用在原因、方式、次数、平均约束时间、有无并发症等方面比较均有显著性差异(P<0.01)。结论：高龄精神病患者保护性约束的护理方法缺乏规范标准是引起不良事件发生的重要根源。