[摘要] 目的 探讨ICU气管插管患者约束方案的改良及效果。 方法 选取2017年6月～2018年6月34例干预组实施呼吸机辅助通气的ICU，给予约束方案的改良护理干预，缩减约束，另外，选取2016年6～7月31例患者采用常规约束护理流程，作为对照组，对比分析两组患者的非计划性拔管率、身体约束率、约束时间、患者或家属的满意度。 结果 两组患者的拔管前指标比较差异无统计学意义(P>0.05)，干预组非计划性拔管发生率、身体约束率降低，约束时间缩短;患者或家属的满意度提升，与对照组比较，差异均有统计学意义(P<0.05)。 结论 约束方案的改良护理干预可降低患者的身体约束率，减少ICU气管插管非计划性拔管的发生率，提高护理满意度。

    [关键词] 约束方案;改良护理;ICU;气管插管;拔管;满意度

    [中图分类号] R472 [文献标识码] B [文章编号] 1673-9701(2019)17-0161-04

    [Abstract] Objective To explore the improvement and effect of the restraint program of ICU tracheal intubation patients. Methods Thirty-four ICU patients who underwent ventilator-assisted ventilation in our hospital from June 2017 to June 2018 were selected as intervention group to provide improved nursing interventions to reduce the constraints. Thirty-one patients from June to July 2016 were selected as the control group and given routine restraint care process. The incidence of unplannecl extubation ......