ISSN 2097-6046（网络）
ISSN 2096-7446（印刷）
CN 10-1655/R
主管：中国科学技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 ›› 2023, Vol. 4 ›› Issue (10): 909-912.doi: 10.3761/j.issn.2096-7446.2023.10.008

• 指南与标准 • 上一篇    下一篇

成人ICU患者身体约束临床实践指南

浙江大学医学院附属第二医院 中华护理学会急诊护理专业委员会 中华护理学会重症护理专业委员会 复旦大学循证护理中心（执笔：崔念奇, 张玉萍, 周英凤, 孙红, 金静芬）   

  1. 310009 杭州市 浙江大学医学院附属第二医院护理部（崔念奇,张玉萍,金静芬）; 复旦大学护理学院（周英凤）; 北京协和医院组织处（孙红）
  • 收稿日期:2023-05-05 出版日期:2023-10-10 发布日期:2023-10-07
  • 通讯作者: 金静芬,E-mail：zrjzkhl@zju.edu.cn
  • 作者简介:崔念奇：男,博士,讲师,E-mail：cuinianqi@kmmu.edu.cn
  • 基金资助:
    中华护理学会2019年度科研课题（ZHKY201913）;浙江大学博士研究生学术新星培养计划项目（202059）

Clinical practice guidelines for physical restraints among adults patients in intensive care units

The Second Affiliated Hospital Zhejiang University School of Medicine, Emergency Nursing Committee of Chinese Nursing Association, Intensive Care Committee of Chinese Nursing Association, Fudan University Centre for Evidence-based Nursing（Writing Committee：CUI Nianqi, ZHANG Yuping, ZHOU Yingfeng, SUN Hong, JIN Jingfen）   

  • Received:2023-05-05 Online:2023-10-10 Published:2023-10-07

PDF下载

摘要： 目的 形成适合中国本土化情况的成人ICU患者身体约束临床实践指南。方法 基于指南整合方法学CAN-IMPLEMENT,通过整合现有高质量指南与系统评价证据,由多学科专家采用推荐分级的评价、制订与评估和德尔菲法在最佳证据的基础上对推荐意见达成共识。结果 针对成人ICU患者身体约束中的11个关键临床问题,在8部指南和71篇系统评价提供的证据基础上,形成了15条推荐意见。结论 该指南为以临床护士为主的实践者进行ICU身体约束管理与缩减提供了参考依据。

关键词: 身体约束, 重症监护病房, 临床实践指南, 循证护理学

Abstract: Objective To construct physical restraint clinical practice guidelines which it is appropriate to use among adult patients admitted into intensive care units（ICU）with Chinese context. Methods Based on the CAN-IMPLEMENT approach,which integrated existing high-quality clinical practice guidelines and systematic review evidence,a multidisciplinary team of experts used Grades of Recommendation,Assessment,Development,and Evaluation （GRADE）,and Delphi method to achieve a consensus on the recommendations. Results 15 recommendations were developed for 11 critical clinical questions related to physical restraint reduction based on 8 clinical practice guidelines and 71 systematic reviews. Conclusion This guideline provides evidence in physical restraint management and minimization in ICU for practitioners focusing on nurses.

Key words: Physical Restraints, Intensive Care Units, Clinical Practice Guideline, Evidence-Based Nursing