[1]胡雅静,颜立春,王之仪,等.国内缩减约束方案对ICU患者身体约束干预效果的Meta分析[J].医学信息,2025,38(03):26-32.[doi:10.3969/j.issn.1006-1959.2025.03.005]
　HU Yajing,YAN Lichun,WANG Zhiyi,et al.Meta-analysis of the Effect of Domestic Restraint Reduction Program on Physical Restraint Intervention in ICU Patients[J].Journal of Medical Information,2025,38(03):26-32.[doi:10.3969/j.issn.1006-1959.2025.03.005]
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国内缩减约束方案对ICU患者身体约束干预效果的Meta分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
38卷
期数:
2025年03期
页码:
26-32
栏目:
医学数据科学
出版日期:
2025-02-01

文章信息/Info

Title:
Meta-analysis of the Effect of Domestic Restraint Reduction Program on Physical Restraint Intervention in ICU Patients
文章编号:
1006-1959（2025）03-0026-07
作者:
胡雅静1; 颜立春1; 王之仪1; 俞 纤1; 易小聪1; 谭素文1; 张银华1; 2
1.湖南中医药大学护理学院，湖南 长沙 410208；2.湖南中医药大学附属常德医院护理部，湖南 常德 415000
Author(s):
HU Yajing1;  YAN Lichun1;  WANG Zhiyi1;  YU Xian1;  YI Xiaocong1;  TAN Suwen1;  ZHANG Yinhua1; 2
1.College of Nursing, Hunan University of Traditional Chinese Medicine, Changsha 410208, Hunan, China;2.Nursing Department of Changde Hospital Affiliated to Hunan University of Traditional Chinese Medicine, Changde 415000, Hunan, China
关键词:
身体约束; 缩减约束方案; ICU
Keywords:
Physical restraint;  Restraint reduction program;  ICU
分类号:
R473
DOI:
10.3969/j.issn.1006-1959.2025.03.005
文献标志码:
A
摘要:
目的 系统评价缩减约束方案在重症监护室患者中使用身体约束干预的效果。方法 通过计算机检索PubMed、Web of Science、Eebase、The Cochrane Library、CNKI、VIP、Wanfang Data、CBM 8个数据库中有关ICU患者使用缩减约束方案的随机对照试验，检索时限为建库至2023年4月30日。由2名研究者根据Cochrane系统评价方法对纳入文献独立进行筛选、提取资料，并评价纳入文献的偏倚风险，对符合纳入标准的文献采用RevMan 5.3软件进行Meta分析。结果 共纳入12篇研究，3250例患者。Meta分析结果显示，与常规身体约束护理相比，缩减身体约束方案能降低非计划拔管率[RR=0.30，95%CI（0.20，0.46），P＜0.000 01]，减少身体约束率[RR=0.33，95%CI（0.28，0.39），P＜0.000 01]，缩短身体约束时间[MD=-15.93，95%CI（-21.97，-9.90），P＜0.000 01]，降低皮肤损伤率[RR=0.33，95%CI（0.24，0.44），P＜0.000 01]，提升护理满意度[RR=1.19，95%CI（1.13，1.24），P＜0.000 01]。结论 我国ICU患者进行缩减约束方案可以有效降低身体约束率，缩短身体约束时间，减少非计划拔管率，减轻皮肤损害率，提升护理满意度，值得临床应用。
Abstract:
Objective To systematically evaluate the effect of restraint reduction program on physical restraint intervention in patients in intensive care unit. Methods PubMed, Web of Science, Embase, The Cochrane Library, CNKI, VIP, Wanfang Data and CBM databases were searched by computer for randomized controlled trials on the use of restraint reduction program in ICU patients from the establishment of the database to April 30, 2023. Two researchers independently screened and extracted data according to the Cochrane system evaluation method, and evaluated the risk of bias of the included literature. Meta-analysis was performed on the literature that met the inclusion criteria using RevMan 5.3 software. Results A total of 12 studies involving 3250 patients were included. The results of Meta-analysis showed that compared with conventional physical restraint care, the restraint reduction program could reduce the unplanned extubation rate [RR=0.30, 95%CI(0.20, 0.46), P<0.000 01], reduce the physical restraint rate [RR=0.33, 95% CI(0.28, 0.39), P<0.000 01], shorten the physical restraint time [MD=-15.93, 95%CI(-21.97, -9.90), P<0.000 01], reduce the rate of skin injury [RR=0.33, 95%CI(0.24, 0.44), P<0.000 01], and improve the nursing satisfaction [RR=1.19, 95%CI(1.13, 1.24), P<0.000 01]. Conclusion The restraint reduction program for ICU patients in China can effectively reduce the physical restraint rate, shorten the physical restraint time, reduce the unplanned extubation rate, reduce the skin damage rate, and improve the nursing satisfaction, which is worthy of clinical application.

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更新日期/Last Update: 1900-01-01