摘要目的:探讨管道风险评估量表联合缩减约束方案对预防ICU患者非计划性拔管的效果。方法:选取2019年5月至2020年5月海安市人民医院收治的ICU气管插管患者116例，随机分为两组，各58例。对照组实施常规约束护理方案，观察组实施管道风险评估量表联合缩减约束方案，比较两组约束率、非计划性拔管率与皮肤损伤情况、患者满意度、身体约束时间与ICU住院时间。结果:观察组干预后约束率、非计划性拔管率与皮肤损伤率均低于对照组，差异有统计学意义( P<0.05)；观察组干预后患者满意度高于对照组，差异有统计学意义( P<0.05)；观察组干预后身体约束时间、ICU住院时间均短于对照组，差异有统计学意义( P<0.05)。 结论:对ICU气管插管患者实施管道风险评估量表联合缩减约束方案可明显改善皮肤损伤情况，使非计划性拔管率、约束率降低，提升患者满意度，缩短身体约束时间与ICU住院时间。

abstractsObjective:To explore the effect of the pipeline risk assessment scale combined with reduced restraint scheme on preventing unplanned extubation in ICU patients.Methods:A total of 116 ICU patients with endotracheal intubation admitted to Hai 'an People's Hospital from May 2019 to May 2020 were selected and randomly divided into two groups, 58 cases in each group.The control group implemented routine restraint nursing program, while the observation group implemented pipeline risk assessment scale combined with reduced restraint scheme.The restraint rate, unplanned extubation rate and skin injury, patients' satisfaction, physical restraint time and ICU stay were compared between the two groups.Results:After intervention, the restraint rate, unplanned extubation rate and skin injury rate of the observation group were lower than those of the control group, and the differences were statistically significant( P<0.05). After intervention, patients' satisfaction in the observation group was higher than that in the control group, and the difference was statistically significant ( P<0.05). After intervention, the physical restraint time and ICU stay time of the observation group were shorter than those of the control group, and the differences were statistically significant ( P<0.05). Conclusions:The application of the pipeline risk assessment scale combined with reduced restraint scheme in ICU patients with tracheal intubation can significantly improve the skin injury, reduce the restraint rate and unplanned extubation rate, improve patients' satisfaction, and shorten the body restraint time and ICU stay.