目的 探讨基于关键点控制原理的SPORT管理方案在神经外科重症患者身体约束中的应用效果，为维护其安全、提供优质护理服务提供参考。 方法 2021年9月至2022年2月，采用方便抽样法选取某三级甲等综合性医院神经外科的36名重症患者为对照组，采取常规护理；2022年3月至2022年8月，同法选取该科33名重症患者为观察组，采取SPORT管理方案。比较两组患者身体约束体验、约束部位皮肤异常发生率。 结果 观察组患者身体约束体验优于对照组，差异有统计学意义（χ²=6.758，P=0.034），但两组患者约束部位皮肤异常发生率的差异无统计学意义（P=0.675）。 结论 采用基于关键点控制原理的SPORT管理方案有利于改善神经外科重症患者身体约束体验，可为规范此类患者身体约束提供依据。

Objective To explore the effect of SPORT management program based on key point control principle in severe neurosurgical patients with physical constraint，and to provide clinical reference for maintaining patient safety and providing high quality nursing service. Methods From September 2021 to February 2022，the convenience sampling method was used to select 36 critically ill patients in the Department of Neurosurgery of a tertiary A general hospital as the control group，who received routine nursing.From March 2022 to August 2022，33 severe patients in the same department were selected as the observation group，and the SPORT management plan was adopted.The physical constraint experience and the incidence of skin abnormalities at the restraint site were compared between the two groups. Results The physical constraint experience of patients in the observation group was better than that in the control group，and the difference was statistically significant (χ²=6.758，P=0.034).However，there was no statistically significant difference in the incidence of skin abnormalities at the restraint site between the two groups (P=0.675). Conclusion The application of SPORT management program based on key points of control principle is beneficial to improve the physical constraint experience of neurosurgical critical patients，and can provide a basis for standardizing the physical constraint of such patients.

R473

南京大学中国医院改革发展研究院2022年课题项目和南京鼓楼医院医学发展医疗救助基金会资助项目（NDYG2022024）；南京大学医学院附属鼓楼医院2022年护理科研课题（2022-B883）