Application study of the best evidence for physical restraint in ICU patients based on guidelines
10.3760/cma.j.cn211501-20200709-03087
- VernacularTitle:基于指南的ICU患者身体约束最佳证据的应用研究
- Author:
Haiyan WANG
1
;
Hong GUO
;
Jing ZHAO
;
Chao SUN
;
Yanling SHEN
;
Qingxia LIU
;
Luo YANG
Author Information
1. 北京医院 国家老年医学中心老年医学科 100730
- Keywords:
Guidelines;
Intensive care units;
Physical restraint;
Evidence;
Application research
- From:
Chinese Journal of Practical Nursing
2021;37(22):1728-1735
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of evidence-based physical restraint practice in ICU patients based on the best evidence.Methods:Based on the previous studies of evidence- based nursing program of physical restraint in ICU patients, the nurses were trained, and the evidences were introduced into clinical application and the effect of program application on nurse level, patient level and organization system were evaluated. Results:The body restraint duration of ICU patients in the contrd group was 41 (14.25, 166.50) h, and the body restraint duration of intervention group was 37(16.75,107.50) h, the difference was statistically significant ( Z value was 1.71, P<0.05). The level of physical restraint knowledge, attitude, behavior and total scores of ICU nurses increased from (12.30±1.73), (33.69±3.80), (45.19±10.56), (91.17±13.38) before implementation to (13.37±2.07), (36.81 ±3.61), (49.17±4.98), (98.08±6.11) after implementation. The differences in attitude, behavior and total scores were statistically significant ( t values were 4.05, 0.96, 2.44, P<0.05).At the organizational system level, after the application of the program, the related procedures, norms, assessment tools, nursing record sheets, restraint tools, training materials courses and so on were improved in the department. Conclusions:By introducing the best evidence of physical restraint into clinical application, it can guide nurses to use physical restraint more scientifically and standardize physical restraint behavior.At the same time, it can reduce the use of physical constraints to a certain extent, reduce the rate of physical restraints, shorten the average length of restraint, and improve the flow system related to physical restraints, so as to provide reference for the implementation of physical restraints.
