Evidence-based nursing practice for standardized physical restraint in critically ill patients
10.3760/cma.j.cn115682-20200117-00266
- VernacularTitle:危重症患者规范化身体约束循证护理实践
- Author:
Xin LI
1
;
Huixiu HU
;
Chao SUN
;
Xia WANG
;
Xin SHAO
;
Xuesong DAI
Author Information
1. 北京医院护理部 国家老年医学中心 中国医学科学院老年医学研究院 100730
- Keywords:
Intensive care units;
Restraint;
Best evidence;
Evidence-based practice
- From:
Chinese Journal of Modern Nursing
2020;26(12):1541-1549
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To apply the best evidence of standardizing physical restraint in critically ill patients to clinical practice and to evaluate its clinical effects.Methods:The clinical evidence practice application model of the Australia Joanna Briggs Institute (JBI) was followed, the corresponding clinical review standards and review methods was formulated according to the best evidence obtained from the research, the obstacle factors were analyzed and action strategies were formulated one by one. By convenient sampling, a total of 212 patients from the general ICU and 4 wards ICU of Beijing Hospital and 66 nurses working in the above departments from June to October 2019 were selected as research objects. The usage rate of restraint and incidence of restraint complications in critically ill patients, cognition level of nurses on the knowledge related to standardized restraint of critically ill patients and the implementation rate of review standards were compared before and after intervention.Results:The usage rates of physical restraint in critically ill patients before and after intervention were respectively 52.73% (58/110) and 21.57% (22/102) , and the difference between before and after intervention was statistically significant (χ 2=21.869, P<0.05) . The incidence of restraint complications before and after intervention was 32.76% (19/58) and 4.55% (1/22) , and the difference before and after intervention was statistically significant (χ 2=6.771, P<0.05) . Before and after intervention, ICU nurses' scores on the knowledge of standardized physical restraint were respectively (41.89±15.01) and (78.18±10.66) , and the difference was statistically significant before and after the intervention ( t=-16.017, P<0.05) . The implementation rates of review indexes were higher than those before intervention, and the differences before and after the intervention were statistically significant ( P<0.05) . Conclusions:The development and application of best practice plan can standardize the use of physical restraint by nurses in intensive care units, improve the compliance of nurses to the best evidence implementation, reduce the usage rate of physical restraint in critically ill patients and promote continuous improvement in the quality of nursing.
