关键词: 循证护理学, 重症监护病房, 约束, 身体的

Abstract: Objective To explore interventions based on best evidence for reducing physical restraint among patients in ICUs and to evaluate effects of interventions. Methods The best evidence-based interventions were obtained by adopting evidence-based nursing procedures and were implemented in the ICUs with 110 beds. This project was guided by the Joanna Briggs Institute (JBI) Practice Application of Clinical Evidence System (PACES). The rates of using physical restraint and incorrect practice of physical restraint before and after the implementation were compared. Results After implementation of the evidence-based interventions (the year 2015 v.s. the year 2017)，the rate of using physical restraint was decreased from 40.89% to 30.23%，and the difference was statistically significant (P<0.05). The rate of incorrect practice of physical restraint was reduced from 33.12% to 7.48%，and the difference was statistically significant(P<0.05). Meanwhile，the rate of unplanned extubation before and after implementation was 3.12% and 2.94% "respectively. Conclusion The evidence-based nursing interventions can further standardize the usage of physical restraint，and effectively reduce the rates of using physical restraint and incorrect practice of physical restraint among patients in ICUs without increasing the risk of unplanned extubation.

Key words: Evidence-Based Nursing, Intensive Care Units, Restraint, Physical