Effectiveness of treatment interference protocol in Emergency Intensive Care Unit patients
10.3760/cma.j.cn115682-20240205-00728
- VernacularTitle:干扰治疗计划在急诊重症监护室患者中的应用效果
- Author:
Weidan ZHANG
1
;
Qiuyan YU
1
Author Information
1. 宁波市医疗中心李惠利医院急诊重症医学科，宁波 315040
- Publication Type:Journal Article
- Keywords:
Restraints;
Treatment interference protocol;
Knowledge-attitude-practice;
Emergency Intensive Care Unit
- From:
Chinese Journal of Modern Nursing
2025;31(5):669-673
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application effectiveness of the treatment interference protocol (TIP) in managing physical restraints for patients in the Emergency Intensive Care Unit (EICU) .Methods:Using a convenience sampling method, 98 patients admitted to the EICU of Lihuili Hospital, Ningbo Medical Center, from April 2020 to April 2022 were selected as the study subjects. They were randomly divided into two groups using a random number table, with 49 patients in each group. The control group received physical restraint management based on the experience of medical staff, while the observation group received management based on the TIP. The levels of knowledge, attitude, and practice regarding physical restraints among nurses before and after the intervention were compared. Additionally, the physical restraint conditions (total restraint time and proportion of patients subjected to physical restraints), incidence of unplanned extubation, and occurrence of restraint-related complications were compared between the two groups.Results:After the intervention, nurses demonstrated statistically significant improvements in knowledge, attitude, practice, and overall scores related to physical restraints ( P<0.05). The physical restraint rate in the observation group was 26.53% (13/49), significantly lower than the control group at 46.94% (23/49) ( P<0.05). The total duration of physical restraints in the observation group was also shorter than that in the control group ( P<0.05). There was no significant difference in the incidence of unplanned extubation between the two groups ( P>0.05). However, the incidence of restraint-related complications in the observation group was lower than that in the control group ( P<0.05) . Conclusions:TIP effectively improves nurses' knowledge, attitude, practice levels regarding physical restraints, reduces the proportion of patients subjected to physical restraints, decreases the occurrence of restraint-related complications, and shortens the duration of physical restraints without increasing the risk of unplanned extubation.
