Summary of the best evidence for the physical restraint management of elderly dementia patients
10.3760/cma.j.cn115682-20240824-04752
- VernacularTitle:老年痴呆患者身体约束管理的最佳证据总结
- Author:
Wenjie WANG
1
;
Xia WAN
;
Rong WANG
Author Information
1. 无锡市新吴区康复医院（旺庄街道社区卫生服务中心）全科医学科，无锡 214028
- Publication Type:Journal Article
- Keywords:
Dementia;
Aged;
Physical restraint;
Evidence summary
- From:
Chinese Journal of Modern Nursing
2025;31(7):939-945
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate and summarize the evidence related to the physical restraint of elderly dementia patients, so as to provide a reference for clinical practice.Methods:Relevant literature on the physical restraint of elderly dementia patients in domestic and foreign databases was systematically retrieved, including clinical decisions, guidelines, expert consensus, recommended practices, evidence summaries, systematic reviews/Meta-analyses, and original studies. The retrieval time limit was from the establishment of the database to April 2024. The researchers evaluated the literature according to relevant evaluation criteria and extracted useful evidence.Results:A total of 11 articles were included, including one clinical decision, four guidelines, four systematic reviews, one evidence summary, and one expert consensus. Twenty-one best evidence items were summarized from five aspects: organizational norms, education and training, restraint assessment, alternative therapies, and clinical practice.Conclusions:The evidence on the physical restraint of elderly dementia patients can provide a theoretical basis for medical institution practitioners. When applying the best evidence, medical staff should combine their clinical experience, fully consider the individual specificity of elderly patients and the actual clinical situation, and analyze the differences between the evidence and practice, so as to implement personalized physical restraint for elderly dementia patients in clinical practice.
