摘要
目的检索、评价和总结ICU患者身体约束替代措施的最佳证据,为护士减少约束使用提供参考。方法计算机检索国内外数据库、相关网站,检索时限均从建库截至2019年1月,纳入已发布的ICU相关身体约束指南、证据总结、最佳实践信息册、专家共识、推荐实践、系统评价。结果最终纳入6篇文献,其中4篇指南,1篇最佳实践信息册,1篇专家共识。汇总了患者因素管理、治疗设施管理、坠床预防、环境控制、护患关系建立5个大类证据,最终总结出13项最佳证据。结论身体约束替代措施对减少身体约束使用有着重要作用。建议护士在应用证据时,结合多学科团队建议,考虑患者文化背景、临床情景以及国内政策,为患者提供个性化约束护理,达到最大化减少约束,保护患者安全的目的。
Objective To retrieve,evaluate and summarize best evidence on alternatives to physical restraint in ICU patients,and to provide reference for reducing restraint use.Methods Related websites and electronic databases were searched from inception to January 2019 to collect guidelines,evidence summary,best practice,expert consensus,recommended practice,and systematic review regarding physical restraint use in ICU.Results Four guidelines,1 best practice information sheet,and 1 expert consensus were included.Five categories including patient management,equipment management,prevention of falls from bed,environmental control,and establishment of nurse-patient relationship,totaling to 13 items,were summarized as best evidence.Conclusion Use of restraint alternatives plays an important role in reducing restraint use.It is suggested that nurses should consider multidisciplinary team′s advices,patient′s cultural background,clinical situation and domestic policies when applying evidence,thus to provide personalized physical restraint,reduce restraint use and ensure patient safety.
作者
雷若冰
蒋小平
林楠
何慧
Lei Ruobing;Jiang Xiaoping;Lin Nan;He Hui(Nursing Department of Children′s Hospital of Chongqing Medical University,Chongqing 400014,China)
出处
《护理学杂志》
CSCD
北大核心
2019年第14期101-104,108,共5页
Journal of Nursing Science
基金
国家临床重点专科建设项目(国卫办医函[2013]544号)
关键词
ICU
身体约束
约束替代措施
循证医学
最佳证据总结
证据汇总
ICU
physical restraint
alternatives to restraint
evidence-based medicine
best evidence summary
evidence summary
