基于循证的老年医疗护理机构身体约束管理方案的构建

Construction of an evidence-based management scheme of physical restraints in geriatric medical and nursing institutions

目的采用循证、专家会议法构建老年医疗护理机构身体约束管理方案,指导临床护理实践。方法检索身体约束相关指南、系统评价、证据总结等进行文献的质量评价和证据汇总,初步构建老年医疗护理机构身体约束管理方案。采用专家会议法,最终确立老年医疗护理机构身体约束管理方案。结果共纳入6篇指南,3篇系统评价,1篇证据总结,共计10篇文献,构建了包括评估、计划、实施、评价、培训5个方面的老年医疗护理机构身体约束管理方案。结论本研究基于循证构建了老年医疗护理机构身体约束管理方案,后续将对该方案进行临床转化和应用研究,验证方案的适用性和临床效果,以规范老年医疗护理机构身体约束的使用,提高老年医疗护理机构服务质量。

Objective To construct a management scheme of physical restraints in geriatric medical and nursing institutions by evidence-based and expert meeting methods so as to guide clinical nursing practice.Methods Physical restraint related guidelines, systematic evaluation, evidence summary and other data were searched to conduct literature quality evaluation and evidence collection and a management scheme of physical restraints in geriatric medical and nursing institutions was initially constructed. The expert meeting method was adopted to finally establish a management scheme for physical restraints in geriatric medical and nursing institutions.Results A total of 10 literatures were included, including 6 guidelines, 3 systematic evaluations and 1 evidence summary. The management scheme of physical restraints in geriatric medical and nursing institutions was constructed, including assessment, planning, implementation, evaluation and training.Conclusions This study constructs a physical restraint management scheme for geriatric medical and nursing institutions based on evidence, and will conduct clinical transformation and application research on this scheme in the future to verify the applicability and clinical effect of the scheme, so as to standardize the use of physical restraints in geriatric medical and nursing institutions and improve the service quality of geriatric medical and nursing institutions.