摘要
目的对身体约束临床实践指南进行内容分析,为临床开展基于证据的身体约束合理化实践和构建适于我国国情的临床实践指南提供参考。方法计算机检索国内外数据库、指南网站,检索时限从建库至2018年5月,纳入已发布的身体约束临床实践指南或共识,采用内容分析法对纳入指南的相关内容进行分析。结果最终纳入8部指南,析出适用原则、身体约束实践建议、减少约束策略3个层面20项身体约束推荐意见。结论现有的身体约束指南对临床实践有一定的指导意义,但其部分推荐意见不明确,且未能及时更新,可能会造成身体约束的不合理应用。应以我国国情为基础,整合证据,构建出适合我国国情的身体约束临床实践指南。
Objective To analyze the content of clinical practice guidelines regarding the use of physical restraints,and to provide references for clinical practice of evidence-based physical restraints utilization and the construction of clinical practice guidelines suitable for China's national conditions. Methods We searched clinical practice guidelines or consensus statement regarding the use of physical restraints published as of May 2018 in electronic databases and guideline websites. Then the included clinical practice guidelines or consensus statement on physical restraints were analyzed by content analysis method. Results Eight guidelines were included,and three themes were extracted: applicable principles,practice suggestions on physical restraints,and strategies for reducing use of restraints,totaling 20 recommendations. Conclusion The existing physical restraints guidelines are helpful to guide clinical practice,but some of their recommendations are unclear and not updated in time,which may lead to inappropriate application of physical restraints. Based on China's national conditions,the evidence should be integrated to construct a clinical practice guideline of physical constraints suitable for China's national conditions.
引文
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