以指南为基础的干预措施,旨在减少重症监护室的身体限制:随机对照试验的系统审查和元分析
Yueli Ping1,2, Jianyan Yang1,2, Yanming Zheng1,2
1School of Nursing, Kunming Medical University, Kunming, China.
Frontiers in medicine
|October 13, 2025
概括
基于指南的干预措施显著减少了在重症监护病房 (ICU) 使用身体限制 (PR) 和相关并发症. 这些策略可以提高患者的满意度,而不会增加ICU停留时间.
科学领域:
- 关键护理医学 关键护理医学
- 患者安全 患者安全
- 基于证据的实践.
背景情况:
- 身体克制 (PR) 的使用在临床环境中仍然是一个全球性的挑战,尽管倡导减少.
- 需要高质量的,基于指南的干预措施,以有效地降低PR利用率.
研究的目的:
- 确定和评估以指南为基础的干预措施,以减少重症监护室 (ICU) 中的身体限制 (PR) 使用.
主要方法:
- 在多个数据库中对随机对照试验 (RCT) 进行了系统的文献搜索,直到2024年11月10日.
- 两个独立的研究人员审查了研究,提取了数据,并评估了质量,随后使用Review Manager软件进行了元分析.
主要成果:
- 有4338名参与者的14项RCT显示,基于指南的干预措施显著降低了PR率,PR时间,妄想发病率和机械通风持续时间.
- 这些干预措施还降低了无计划的输卵率和其他并发症,同时显著增加了患者的满意度.
- 没有观察到ICU停留时间或患者激动/焦虑率的显著减少.
结论:
- 基于指南的干预措施有效地减少了ICU中的身体限制 (PR) 使用.
- 实施多学科团队,量身定制的公关评估频率和标准化的评估尺度可以进一步减少公关使用.
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