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目的 探究约束决策轮在危重症患儿中的应用效果.方法 选择2017年1—12月南京医科大学附属儿童医院儿童重症监护室收治的留置管道的危重症患儿240例,随机分为对照组120例、观察组120例,对照组患儿依据《约束护理单》评估后进行约束;观察组患儿应用约束决策轮评估后再约束.对两组患儿身体约束使用率、非计划性拔管率进行比较.结果 观察组患儿身体约束使用率低于对照组,差异有统计学意义(P0.05).结论 使用约束决策轮可减少危重症患儿不必要的约束,提高护理质量.“,”Objective To analysis the effect of constraint decision wheel in children with severe acute care. Methods 240 patients in ICU with critical consciousness disorder from January to December 2017,who were intubated and con?strained with their limbs due to the risk of unexpected extubation,were divided into the control group(n=120),and the experiment group(n=120),according to registration sequence. The former were constrained to their limbs after evalua?tion referring to the constraint nursing form, and the latter was constrained by using the constraint decision-making wheel.The two groups were compared in terms of restraint rate,unplanned extubation rate. Results The restraint rate of the observation group was significantly lower than that of the control group(P0.05).Conclusion It is of great clinical significance to use the restraint decision wheel to reduce unnecessary restraints and improve the quality of nursing safety management.