Protective Restraint Nursing Interventions in ICU Patients: Assessing their Influence on Unplanned Extubation and Skin Injury Incidence

Altern Ther Health Med. 2023 Nov 3:AT9451. Online ahead of print.

Abstract

Objective: This study aims to investigate the application of protective restraint nursing interventions in intensive care unit (ICU) patients and their impact on the incidence of unplanned extubation and skin damage.

Methods: A total of 90 ICU patients admitted to Hai'an People's Hospital between January 2019 and December 2020 were randomly assigned to either the experimental group or the control group in a 1:1 ratio. The control group received conventional nursing care, while the experimental group received protective restraint nursing interventions. The Hospital Anxiety and Depression (HAD) scale, a clinical tool used to assess patients' levels of anxiety and depression, was employed to evaluate patients' emotional states before and after the intervention. A Patient Clinical Satisfaction Survey Questionnaire developed by our department was used to assess patient satisfaction after nursing. Compliance and the incidence of adverse reactions were compared between the two groups.

Results: The experimental group exhibited significantly lower HADS scores, higher nursing satisfaction, and a lower incidence of unplanned extubation, skin damage, and adverse reactions compared to the control group (all P < .05).

Conclusions: Protective restraint care demonstrates substantial benefits for ICU patients by reducing the incidence of unplanned extubation, preventing skin damage during treatment, improving compliance, and facilitating recovery. These findings support the clinical application and promotion of protective restraint nursing interventions.