Analysis of clinical applicability and implementation of expert consensus on the implementation and removal of protective restraints in psychiatry
10.3761/j.issn.0254-1769.2025.11.012
- VernacularTitle:精神科保护性约束实施及解除专家共识的临床适用性及实施情况调查分析
- Author:
Jianing GU
1
;
Dongmei XU
;
Jing SHAO
;
Jing GAO
;
Zhuang CAI
;
Yanhua QU
;
Xiaolu YE
;
Mengqian ZHANG
;
Dongli MEI
;
Yanhong ZHANG
;
Bo YANG
;
Gen CHENG
;
Lina WANG
;
Junrong YE
;
Ruiyue LIN
;
Yongling ZHOU
;
Runjuan MA
Author Information
1. 100096 北京市 北京回龙观医院临床心理科
- Publication Type:Journal Article
- Keywords:
Restraint;
Expert Consensus;
Clinical Applicability;
Questionnaire;
Psychiatric Nursing
- From:
Chinese Journal of Nursing
2025;60(11):1359-1365
- CountryChina
- Language:Chinese
-
Abstract:
Objective To understand the clinical applicability and implementation of expert consensus on the implementation and removal of protective restraints in psychiatry,and to provide references for promoting the standardized practice of psychiatric protective restraints and updating the consensus.Methods By the convenience sampling method,a questionnaire survey was conducted among nurses from 480 hospitals in 30 provinces from June 15 to July 15,2024.The survey was conducted using the instrument for evaluating clinical applicability of guide-lines(version 2.0)and a self-compiled questionnaire on the clinical implementation of the restraint consensus.Results A total of 7,844 valid questionnaires were collected,with a valid questionnaire recovery rate of 93.78％.The results of clinical applicability scoring showed that the consensus had the lowest availability score(64.72％)and the highest acceptability score(76.74％).The results showed that nurses' receiving training and the level of their hospitals were the main influencing factors for scores in various dimensions(P＜0.05).4,774 participants(87.42％)believed that the application of consensus could enhance the standardization of nurses' restraint operations.The safety rate of the restraint consensus was 79.51％,and the economic ratio was 76.87％.Among the evaluators,1,739(22.17％)believed that there were implementation obstacles in the consensus.Conclusion The clinical applicability of the consensus is relatively good,and the application of the consensus helps to improve the standardization of clinical operations.In the future,efforts should be made to strengthen the promotion and training of the consensus,develop hierarchical promotion strategies according to the characteristics of medical institutions,and improve the quality of evidence for the consensus,so as to further enhance the clinical application effect of the consensus.
