目的 探讨集束化管理策略对减少神经外科患者身体约束的应用效果。方法 采用目的抽样法,选取神经外科身体约束患者对其实施集束化管理策略,对实施前后患者身体约束率、约束相关并发症及非计划拔管发生率、护士身体约束知信行情况进行对比。结果 神经外科患者身体约束率、约束相关并发症及非计划拔管发生率、护士身体约束知信行实施前后有明显统计学差异（P<0.01）。结论 身体约束集束化管理策略能降低神经外科住院患者身体约束率及非计划性拔管发生率,减少约束相关并发症的发生,提升护士身体约束知信行能力,保障护理安全,提升护理质量。
Objective To explore the effect of centralized management on reducing physical restraint in neurosurgical patients. Methods Neurosurgical patients with physical restraint were selected by purposive sampling method to implement the strategy of cluster management. Before and after comparisons were made in terms of the patients’ physical restraint rate, restraint-related complications, and unplanned extubation rate, and the nurses’ knowledge, attitude, and practice of physical restraint. Results There were significant differences in the rates of physical restraint, restraint-related complications, and unplanned extubation in neurosurgical patients and the scores of knowledge, attitude, and practice of physical restraint in nurses before and after the implementation of centralized management strategy of physical restraint （P<0.01）. Conclusion The strategy of centralized management of physical restraint can reduce the incidence rate of physical restraint, restraint-related complications, and unplanned extubation in neurosurgical inpatients, improve nurses’ knowledge, attitude, and practice of physical restraint, ensure nursing safety, and increase the quality of nursing care.
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