Application and evaluation of evidence-based practice nursing program for severe patients with physical constraints based on guidelines
10.3760/cma.j.cn115682-20230206-00375
- VernacularTitle:基于指南构建的重症患者身体约束循证实践护理方案的应用及评价
- Author:
Jing BAO
1
;
Shasha WANG
;
Yue LI
;
Xinxin LI
;
Hua FAN
;
Can LI
;
Fang LIN
;
Jian WANG
;
Yanling SHEN
;
Yuhong SUN
Author Information
1. 中日友好医院普外科.肝脏移植中心（肝胆胰外科二部），北京 100029
- Keywords:
Intensive Care Unit;
Restraint, physical;
Evidence-based practice;
Evidence application;
Evidence transformation
- From:
Chinese Journal of Modern Nursing
2023;29(22):2969-2973
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of the evidence-based practice nursing program for severe patients with physical constraints based on the guideline in Intensive Care Unit (ICU) patients.Methods:From February 2019 to July 2020, 4 663 patients in the Surgical Intensive Care Unit (SICU), Medicine Intensive Care Unit (MICU), Coronary Care Unit (CCU), and Emergency Intensive Care Unit (EICU) of the China-Japan Friendship Hospital were selected as the research object by purposive sampling. The evidence-based practice nursing program for severe patients with physical constraints based on the guideline of Promoting Safety: Alternative Approaches to the Use of Restraints was applied in clinical practice. We recorded the constraint duration, constraint rate, and substitution constraint rate of severe patients after the implementation of the program, and compared the differences in ICU nurses' scores on physical constraint knowledge, attitude, and practice before and after the implementation of the program. Results:Out of 4 663 patients, 871 received restraint, with a restraint rate of 18.68% and a restraint duration of (102.35±82.67) hours. The number of substitution constraint cases was 421, and the substitution constraint rate was 9.03%. The constraint rates in SICU, MICU, CCU and EICU were 23.68% (475/2 006), 28.26% (219/775), 7.29% (97/1 331) and 14.52% (80/551), respectively, and the differences in constraint rates among different departments were statistically significant ( P<0.05). Before and after the implementation of the program, there were statistically significant differences in the scores of ICU nurses on physical constraint knowledge, attitude, and practice dimensions and total scores ( P<0.05) . Conclusions:The evidence-based practice nursing plan program for severe patients with physical constraints based the guideline effectively reduces the rate and duration of physical constraint of ICU patients, improves the substitution constraint rate, standardizes the practice of physical constraint of ICU patients, and ensures patient safety.
