Summary of the best evidence for humanistic care of adult patients with physical restraints in the ICU
10.3760/cma.j.cn115682-20240927-05356
- VernacularTitle:ICU成人患者身体约束人文关怀护理的最佳证据总结
- Author:
Jiayu QIN
1
;
Youqing PENG
;
Yijun WANG
;
Yali ZHANG
;
Zhiyun YANG
;
Wenting LI
;
Lijun HAN
Author Information
1. 同济大学附属东方医院胆石中心，上海 200120
- Publication Type:Journal Article
- Keywords:
Intensive Care Unit;
Restraint physical;
Humanistic care;
Evidence-based nursing
- From:
Chinese Journal of Modern Nursing
2025;31(2):155-162
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve, evaluate, and integrate evidence on the humanistic care practice of physical restraints for adult patients in the ICU to inform the management of physical restraints for clinical ICU patients.Methods:Expert consensus, group standards, systematic reviews, clinical decisions, best practices, guidelines, evidence summaries, and other types of literature related to the humanistic care of physical restraints for adult patients in the ICU were electronically searched in Chinese and English databases, relevant association websites, and guideline websites. The search period was from database establishment to August 31, 2024. Evidence was extracted and summarized according to themes after an independent literature quality assessment by two researchers.Results:A total of 15 articles were included, including four guidelines, one group standard, three best practices, five systematic reviews, and two expert consensus. Literature reading, evidence extraction and categorization resulted in seven themes of 39 best evidence on respecting patients' personality and dignity, attending to patients' physical needs, attending to patients' psychological needs, attending to patients' social and cultural needs, establishing good communication and trusting relationships, attending to patients' family and social support, and providing comprehensive nursing services.Conclusions:The best evidence summarized in this study may provide an evidence-based basis for the proper use of physical restraints by ICU medical and nursing staff to ensure patient safety and improve the ICU patient experience.
